围绝经期女性常见膳食模式对血脂情况的影响  

The Effect of the Different Diet Pattern to the Lipids of the Menopausal Female

作　　者：张娅林[1] 王宏星[1] 

机构地区：[1]江苏省南通市妇幼保健院内科,226018

出　　处：《国际妇产科学杂志》2016年第3期272-273,286,共3页Journal of International Obstetrics and Gynecology

基　　金：2015年度江苏省妇幼健康科研项目(F201524)

摘　　要：目的:分析围绝经期女性中常见的不同膳食模式对血脂情况的影响。方法:选取自2014年2月—2015年2月于江苏省南通市妇幼保健院住院治疗的392例轻体力劳动级且排除影响血脂其他情况的围绝经期女性,入院时均采用24 h回顾法调查连续3日饮食情况,分析膳食模式并按照能量及三大产能营养素比例情况归类分组,比较各组血脂情况。结果:经过调查发现有6种不同膳食模式,即高能量摄入组(A组,n=62)、高碳水化合物正常能量摄入组(B组,n=53)、高脂肪正常能量摄入组(C组,n=58)、高蛋白正常能量摄入组(D组,n=59)、正常能量正常比例摄入组(E组,n=116)、低能量摄入组(F组,n=44)。6组女性的胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇水平比较差异有统计学意义(P<0.05),6组各指标异常发生率比较差异亦有统计学意义(P<0.05)。结论:高能量、高脂肪、高碳水化合物摄入均有可能引起血脂代谢异常,尤其是高碳水化合物摄入可能更容易引起三酰甘油升高为主的血脂异常,而高能量及高脂肪摄入可以同时引起胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇指标异常。Objective： To analyze the influence of the different diet structure to the lipids of the menopausal women.Methods： From February 2014 to February 2015, 24 hours recall method for 3 consecutive days of dietary survey were carried among the 392 light physical labor menopausal feminine who hospitalized in the department of internal medicine in Nantong Maternal and Child Health Care Hospital, excluded the impact of the other factors. Then we analyzed the dietary patterns and divided these women into different group according to the energy and the situation of the ratio among the three capacity nutrients,then compared the blood lipids among the groups. Results： After investigation we found that there are 6 kinds of different dietary patterns including high energy intake group（group A, n=62）, normal energy high carbohydrate intake group（group B, n=53）,normal energy high fat energy intake group（group C, n=58）, normal energy high protein intake group（group D, n=59）, normal energy normal ratio intake group（group E, n =116） and low energy intake group（group F, n =44）. There was a significant difference in the numerical value of cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol between the 6 groups of women, the same as the incidence of abnormal（P0.05）. Conclusions： High energy, high fat, high carbohydrate intake may cause abnormal lipid metabolism, especially the high carbohydrate intake may be more prone to blood lipid abnormalities, and the high energy and high fat intake can also cause the abnormalities of cholesterol, triglyceride,low density lipoprotein cholesterol and high density lipoprotein cholesterol.

关 键 词：更年期 膳食调查 血脂异常 食品分析 江苏 膳食碳水化合物 膳食脂肪类 膳食蛋白质类 

分 类 号：R711.75[医药卫生—妇产科学] R459.3[医药卫生—临床医学]