应用食物频率法评价普米族膳食多不饱和脂肪酸摄入与高血压、血脂异常的关系  

Applicating Food Frequency Questionnaire to assess the relationship between dietary polyunsaturated fatty acid intake and hypertension, dyslipidemia of Pumi nationality

作　　者：王瑞欣[1] 殷建忠[1] 冉旭[2] 张雪辉[1] 徐芳[1] 王琦[1] 吴少雄[1] 王心昕 杨茜[1] 吴萌[1] 

机构地区：[1]昆明医科大学营养与食品研究所,昆明650500 [2]昆明学院校医院

出　　处：《卫生研究》2013年第4期576-580,共5页Journal of Hygiene Research

基　　金：国家自然科学基金(No.81060237)

摘　　要：目的研究普米族膳食中多不饱和脂肪酸的摄入与高血压、血脂异常的关系。方法选择云南省怒江州兰坪白族普米族自治县18岁以上376例普米族居民为研究对象,采用问卷调查收集研究对象过去一年中各种食物的摄入频率及摄入量、现病史和家族史情况;测量研究对象血压;采集调查对象空腹血测定甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)。结果普米族居民的膳食脂肪摄入量较高,占RNI的198.5%;三大产能营养素的供能比失衡,但n-3PUFA、EPA、DHA的人均摄入量并不高。普米族居民高血压患病率为15.4%;血脂异常类型主要表现为低高密度脂蛋白血症,占54.8%,高胆固醇血症占8%,高甘油三酯血症占19.1%,TC或TG异常人群占25.0%。PUFAs与血脂异常、n-6PUFA与高血压呈负相关关系。结论普米族居民应减少油脂类及高脂肪食物的摄入,增加富含DHA、EPA类食物的摄入,以防止心血管疾病的发生与发展,降低血脂。Objective The relationship between dietary polyunsaturated fatty acid intake and hypertension,dyslipidemia of Pumi nationality was studied,which provides a scientific basis of prevention and cure of hypertension and dyslipidemia.Methods A total of 376 Pumi nationality residents over 18 years in Lanping Bai Pumi nationality County of Nujiang state in Yunnan Province were selected as the research object,and a variety of food intake,intake frequency,the history of present illness and family history in recent years were collected by questionnaire survey.The blood pressure was measured.The fasting blood of the respondents was collected to detect triglyceride（TG）,cholesterol（TC）,low density lipoprotein（LDL-C） and high density lipoprotein（HDL-C）.Results The Pumi nationality residents＇ dietary fat intake was high,accounted for 198.5% of RNI.Energy ratio of three large capacity nutrient were imbalanced,but the per capita intake of n-3PUFA,EPA,DHA were not high.Hypertension prevalence of the Pumi nationality residents was 15.4%.Dyslipidemia type main performs that low high-density lipoprotein occupying 54.8%,hypercholesterolemia occupying 8%,hypertriglyceridemia occupying 19.1%,and TC or TG anomaly crowd occupying 25%.PUFAs and dyslipidemia,n-6PUFA and hypertension were both showed a negative correlation.Conclusion In order to prevent the occurrence and development of cardiovascular disease,to reduce blood lipids,the Pumi nationality residents should reduce the intake of grease and food rich in fat,and increase the intake of food rich in DHA,EPA.

关 键 词：普米族 食物频率法(FFQ) 多不饱和脂肪酸(PUFA) 高血压 血脂异常 

分 类 号：R153.9[医药卫生—营养与食品卫生学] R54[医药卫生—公共卫生与预防医学]