膳食结构和身体活动度对血脂水平影响的研究  

Research into the influence of diet structure and physical activity on the lipid level

作　　者：罗盈怡[1] 李觉[1] 余金明[1] 田巨龙[2] 仝其广[3] 郑黎强[1] 李宪凯[1] 胡大一[1] 

机构地区：[1]上海同济大学医学院心肺血管中心,上海200092 [2]四川攀枝花市中心医院,四川攀枝花617067 [3]首都医科大学附属北京同仁医院,北京100730

出　　处：《中国实用内科杂志：临床前沿版》2006年第8期1252-1254,共3页

摘　　要：目的分析评价膳食结构和身体活动度对不同地区居民血脂水平的影响。方法2005年7月至9月,同济大学医学院心肺血管中心采用随机抽样的方法分别从上海市、攀枝花城镇及攀枝花乡村人群中分别抽取52、45、48人进行膳食结构和身体活动度的调查及血脂水平的测定。结果上海市居民血糖、血浆总胆固醇(TC)及低密度脂蛋白胆固醇(LDL-C)水平高于攀枝花城镇及乡村居民(P<0.05),攀枝花城镇居民TC水平高于乡村居民(P<0.05),血糖及LDL-C水平城乡差异无统计学意义(P>0.05)。3个地区居民平均每人每日能量摄入量差异无统计学意义(P>0.05),能量消耗量上海市低于攀枝花城镇(P<0.05),攀枝花城镇低于乡村(P<0.05),上海市居民脂肪的摄入量高于攀枝花城镇及乡村(P<0.05),碳水化合物及膳食纤维的摄入量低于攀枝花城镇及乡村(P<0.05)。血TC及LDL-C水平与膳食纤维的摄入量呈负相关,而与膳食胆固醇及膳食脂肪供能比呈正相关。结论应针对人群特点,进行适当的健康教育,改善膳食结构,增强体力活动,以获得理想的血脂水平。Objective To evaluate the influence of diet structure and physical activity on the lipid level in different area of China. Methods A total of 145 people were selected by simple random sampling, including 52 residents, 45 urban residents of Panzhihua and 48 rural residents of Panzhihua, each of them undergoing the laboratory examination and dietary and physical activity survey. Food frequency questionnaire and physical activity questionnaire were used. Results The blood sugar, TC and LDL - C level in Shanghai residents were higher than those of urban and rural residents of Panzhihua （P 〈 0. 05） while the TC level in urban residents of Panzhihua was higher than rural residents, The energy intakes had no significant difference among the three areas （P 〉 0. 05 ） while the energy exhaust of Shanghai residents was higher than those of urban and rural residents of Panzhihua （P 〈 0. 05 ）, and the energy exhaust of urban residents were higher than the rural residents （P 〈 0. 05 ）. The fat intakes of Shanghai residents were higher than those of urban and rural residents of Panzhihua （ P 〈 0. 05 ） while the CHO and dietary fiber intakes were lower than them （ P 〈 0. 05 ）.TC and LDL - C level had negative correlation with dietary fiber intake and positive correlation with cholesterol intake and the percentages of total calories provided by fat. Conclusion Suitable health education should be proposed to improve dietary pattern and strengthen physical activity to keep ideal serum lipids status.

关 键 词：血脂异常 膳食调查 血糖 血浆总胆固醇 

分 类 号：R5[医药卫生—内科学]