浙江省成人膳食营养素与代谢综合征危险性研究  

THE ASSOCIATION BETWEEN DIETARY NUTRIENTS INTAKE AND THE RISK OF METABOLIC SYNDROME AMONG ADULTS IN ZHEJIANG PROVINCE

作　　者：贺登花 章荣华[2] 周标[2] 黄李春[2] 朱徐慧[1] 丁钢强[2] 

机构地区：[1]宁波大学医学院,宁波315211 [2]浙江省疾病预防控制中心,杭州310051

出　　处：《营养学报》2015年第2期137-142,共6页Acta Nutrimenta Sinica

基　　金：卫生部行业科研专项项目(No.201202012);十二五国家科技支撑项目(No.2012BAI02B03);国家自然科学基金(No.81372992)

摘　　要：目的探索浙江省居民的膳食营养素摄入结构并分析不同的膳食营养素主因子与代谢综合征及其组分之间的关系,为进一步开展营养干预,预防代谢综合征的发生提供理论依据。方法选取2010~2012年＂中国居民营养状况监测项目＂中浙江省地区成人的膳食调查资料,因子分析获得膳食营养素的主因子及因子得分,利用Logistic回归模型分析膳食营养素主因子与代谢综合征及其组分的关系。结果因子分析获得四个膳食营养素主因子,其总的方差贡献率为77.56%,其中＂矿物质＋膳食纤维＂组可使高血糖危险性降低（OR=0.74,95%CI：0.59,0.93）,＂胆固醇＋硒＂组的因子得分与代谢综合征及其组分之间无关联,＂供能营养素＋维生素＂组的Q3可使腹型肥胖危险性增加为（OR=1.45,95%CI：1.02,2.08）,＂钠灰＂组的Q5可分别使MS（OR=1.43,95%CI：1.01,2.03）、高血压（OR=1.58,95%CI：1.15,2.17）及高脂血症（OR=1.57,95%CI：1.15,2.14）的危险性分别增加。结论 ＂矿物质＋膳食纤维＂组可降低血糖异常风险性,＂供能营养素＋维生素＂和＂钠灰＂组可增加MS及其组分异常危险性,结合中国居民膳食指南,建议居民控制脂肪及总能量摄入,保证维生素、矿物质的摄入量,同时增加膳食纤维的摄入量,并降低钠盐食用量,从而降低MS及其组分异常的风险。Objective To explore dietary intake profile among adults in Zhejiang province, and analyze the association between the principle components of the dietary nutrients intake and metabolic syndrome or its components. Methods： Data were collected from the 2010-2012 Chinese National Nutrition and Health Survey, and factor analysis was used to obtain the principal components and factor scores. Logistic regression model was used to explore the association between the principal components of dietary nutrients intake and metabolic syndrome or its components. Results： Four principal dietary components explaining 78.17% of the whole variance were extracted in this study. Fiber minerals group was associated with a decreased odds ratio（OR） of hyperglycemia（OR=0.74, 95% CI： 0.59, 0.93）. There was no association between cholesterol Se group and metabolic syndrome or its component. Energy-yielding nutrients vitamins group was associated with a increased OR of abdominal obesity（OR=1.45, 95% CI： 1.02, 2.08）; Sodium ash group was associated with an increased OR of metabolic syndrome（OR=1.43, 95% CI： 1.01, 2.03）, hypertension（OR=1.58, 95% CI： 1.15, 2.17） and hypertriglycemia（OR=1.57, 95% CI： 1.15, 2.14）. Conclusion Fiber minerals group was negatively correlated with hyperglycemia, but energy-yielding nutrients vitamins group and sodium ash group were positively associated with metabolic syndrome or its components. According to the dietary guidelines for Chinese residents, people should control the intakes of fat and total energy, ensure enough vitamins and minerals intake, increase dietary fiber intake, and decrease dietary sodium salt to minimize the risk of metabolic syndrome and its components.

关 键 词：膳食营养素 代谢综合征 因子分析 LOGISTIC回归 

分 类 号：R589[医药卫生—内分泌] R151.42[医药卫生—内科学]