水摄入及其他膳食因素对血脂异常人群的影响  

Impact of water intake and other dietary factors on dyslipidemia population

作　　者：谌红珊 陈垚[1] 刘晟忻 冯建[1] 赵长峰[1] 于连龙[3] 任慈[1] 黄斯妤 

机构地区：[1]山东大学公共卫生学院营养与食品卫生学系,山东济南250012 [2]青岛大学医学院公共卫生系,山东青岛266011 [3]山东省疾病预防控制中心食品与营养所,山东济南250014

出　　处：《山东大学学报（医学版）》2015年第1期81-86,共6页Journal of Shandong University:Health Sciences

摘　　要：目的：了解济南市中老年人群饮水及膳食结构差异，研究水摄入和其他膳食因素对血脂异常人群的影响。方法选取济南市5个区50～75岁确诊的107例血脂异常患者（血脂异常组）和127例健康人群（对照组）作为研究对象，利用称量器具进行饮水量的调查，由研究对象记录连续4d每天每次饮水量和饮水种类；食物水来源调查采用24 h膳食回顾和称量法收集食物种类、数量。结果研究对象总水摄入量约55．8％来源于饮水，44．2％来源于食物，男性、女性的饮水量和总水摄入量均低于成年人群适宜摄入量。血脂异常组的饮水、食物水分、总水摄入量均明显低于对照组（P均＜0．01）。多因素 Logistic 回归分析表明，能量摄入＞2000 kcal／d、总水摄入量＜1900 mL／d可使血脂异常患病的危险性增加，优势比分别为11．277、2．992，总水分摄入量＞2400 mL／d是血脂异常的保护因素（OR＝0．166）。结论性别、肥胖、膳食能量摄入水平、水摄入量与血脂异常症的发生有密切关联；总能量摄入过多和水摄入不足是血脂异常症的危险因素，高危人群和患者应控制能量并保证充足的水摄入。Objective To explore the differences in diet patterns between dyslipidemia population and healthy people, and to investigate the correlation between water intake and dyslipidemia among the elderly in Jinan City.Methods A total of 107 dyslipidemia patients （dyslipidemia group）and 127 healthy subjects （control group）aged 50 to 75 years were enrolled in the study.The diets and water intakes in the past 24 hours were interviewed,results were analyzed by multivariate Logistic regression,and ORs of relevant factors were calculated.Results In all subjects,about 55.8%of total water was taken in from liquid water,44.2% from moisture in food.Liquid water and total water intake of sub-jects involved in our study were significantly lower than the adequate intake for the adult population.Liquid water, moisture in food and total water intake of the dyslipidemia group were remarkably lower than those of the control group （830 vs 913 mL/d,1 038 vs 1 161 mL/d,1 868 vs 2 075 mL/d,P2 000 kcal/d,total water intake 2 400 mL/d was a protective factor of dyslipidemia （OR=0.166）.Conclusion Dyslipidemia is closely associated with gender,obesity,dietary intake,and water intake. The high intake of energy and low intake of water are risk factors of dyslipidemia.The high risk population and patients should appropriately control the energy intake and ensure adequate water intake.

关 键 词：水摄入 膳食 影响因素 血脂异常 

分 类 号：R153.3[医药卫生—营养与食品卫生学]