中国南北方地区中年人群食物不耐受差异及其与饮食习惯的相关性分析  

Investigation on the difference of intolerance to food between southern and northern middle-aged Chinese and its association with eating habits

作　　者：石海燕[1] 王建荣[1] 曹剑[1] 王青云[1] 刘翠平[1] 

机构地区：[1]解放军总医院国际医学中心住院三科,北京100853

出　　处：《中国应用生理学杂志》2013年第3期283-286,共4页Chinese Journal of Applied Physiology

摘　　要：目的:调查中国南北方地区中年人群中食物不耐受情况的差异,分析其与饮食习惯的相关性。方法:使用酶联免疫方法(ELISH)检测南方及北方共11个地区1568名健康体检的中年人群血清中14种食物过敏原特异性IgG抗体浓度。用生活方式调查问卷调查受检者与食物不耐受中相关的六类食物的日常摄入情况。结果:所调查的受检者总体食物不耐受阳性率为45.8%,南方、北方地区受检者食物不耐受阳性率分别为62.3%和40.4%,差异有统计学意义。南方地区和北方地区前3位主要不耐受的食物是:螃蟹、鸡蛋、鳕鱼和鸡蛋、螃蟹、牛奶。南方、北方地区受检者在螃蟹、鳕鱼、大豆、大米、西红柿不耐受情况存在统计学差异(P<0.05)。饮食习惯调查显示:南方、北方地区受检者日常摄入频次较多的食物中在谷类、鱼类、牛奶、蛋类、豆制品类存在差异,食物不耐受与饮食习惯没有相关性。结论:中国南方、北方地区中年人群食物不耐受的情况有一定的差异。南方、北方地区人群应针对食物不耐受情况进行有针对性改善饮食习惯,调整饮食结构。对于重度不耐受的食物避免摄入或进行食物替代。Objective： The aim of the present study was to investigate the difference of intolerance to food between southern and northern middle-aged Chinese,and furthermore analyze its association with eating habits in both study population.Methods： ELISA was applied to determine the serum concentrations of specific IgG of 14 food anaphylactogen in 1568 healthy subjects from totally 9 districts in both southern and northern China.Life style questionnaire was also applied to investigate the daily intake of six categorizes of food associated with food intolerance.Results： 45.8% of all subjects were found to be intolerant to certain food.62.3% of subjects from southern China and 40.4% of subjects from northern China were found to be intolerant to certain food,the difference between southern and northern Chinese was statistically significant.Top three foods intolerant by southern Chinese were crab,egg,and cold fish,while top three food intolerant by northern Chinese were egg,crab,and milk.The diferences of intolerance to crab,cold fish,soy bean,rice,and tomato between southern and northern Chinese were statistically significant.Investigation on eating habits revealed that cereals and fish were the major food consumed by subjects in our study.There was no certain association between food intolerance and eating habits. Conclusion： Considering that there are differences between southern and northern Chinese,southern and northern Chinese should pay attention to their daily food in order to avoid food allergy.

关 键 词：食物不耐受 特异性IGG 地区 饮食习惯 

分 类 号：R151.1[医药卫生—营养与食品卫生学]