北方工业城市人群膳食模式对臂踝脉搏波波速的影响  

Effect of dietary pattern on the brachial ankle pulse wave velocity in the northern industrial urban population

作　　者：朱颖[1] 刘苹[1] 陈朔华[1] 安利杰[1] 阚淑婷[1] 王瑞霞[1] 崔刘福[1] 葛超[1] 杜艳英[1] Zhu Ying;Liu Ping;Chen Shuohua;An Lijie;Kan Shuting;Wang Riuxia;Cui Liufu;Ge Chao;Du Yanying(Cardiovascular Department,K_ailuan General Hospital,Tangshan 063000,Chin)

机构地区：[1]开滦总医院护理部, 河北省唐山市063000

出　　处：《中国综合临床》2018年第5期407-411,共5页Clinical Medicine of China

基　　金：河北省医学科学研究重点课题（20150845）

摘　　要：目的探讨北方工业城市人群不同膳食模式对臂踝脉搏波波速的影响。方法按入选标准选取2014－2015年开滦集团在职及离退休职工健康查体者22 436名作为观察对象，进行健康体检、问卷调查，同时检测臂踝脉搏波波速。根据中国膳食指南给出的饮食建议，按食物频率问卷中动物性、植物性食物所占的比重，以及供能营养素的供给量情况分成4组，分别为中国传统膳食组（3 585例）、西方膳食组（13 639例）、平衡膳食组（1 309例）、地中海膳食组（3 903例）四种膳食模式，并对动脉硬化的危险因素进行多因素Logistic回归分析。结果22 436名观察人群臂踝脉搏波波速值为（1462.46±320.69） cm/s，周围动脉硬化发生率为50.78%（11 392/22 436）。平衡膳食组、地中海膳食组、中国传统膳食组、西方膳食组周围动脉硬化发生率分别为48.82%（639/1 309）、49.12%（1 917/3 903）、50.49%（1 810/3 585）、51.51%（7 026/13 639），组间比较差异有统计学意义（P=0.024）；调整其他相关危险因素后，与平衡膳食组比较，地中海膳食组、传统膳食组、西方膳食组发生周围动脉硬化的风险比（95%CI）分别为1.121（95%CI：0.557-2.258）、1.015（95%CI：0.663-1.554）、1.033（95%CI：0.677-1.575）。 结论平衡膳食人群、地中海膳食人群、中国传统膳食人群、西方膳食人群周围动脉硬化发生率逐步增加，但在调整其他相关危险因素后发生周围动脉硬化的危险差异无统计学意义。这需要更多的大样本长期随访研究来进一步证实。Objective To investigate the effects of different dietary patterns on brachial ankle pulse wave velocity in northern industrial cities.MethodsAccording to the selection criteria, from 2014 to 2015, 22436 health checkup persons were selected as the subjects of Kailuan Group, they were followed up with health examination and questionnaire investigation, at the same time, the brachial ankle pulse wave velocity was detected.According to the dietary advice given by the Chinese dietary guidelines, the proportion of animal and plant food in the food frequency questionnaire and the supply of nutrients are divided into 4 groups, which are the traditional Chinese diet group （3 585 cases）, the Western diet group （13 639 cases）, the balanced diet group （1 309 cases）, the Mediterranean diet group （3 903 cases）. Logistic multivariate regression analysis was used to analyze he risk factors of atherosclerosis. ResultsThe mean value of brachial ankle pulse wave velocity in 22 436 cases was （1 462.46±320.69） cm/s, and the incidence of peripheral arteriosclerosis was 50.78% （11 392/22 436）. The incidence of arteriosclerosis around the balanced diet group, the Mediterranean diet group, the traditional Chinese diet group and the Western diet group were 48.82% （639/1 309）, 49.12% （1 917/3 903）, 50.49% （1 810/3 585）, 51.51% （7 026/13 639）, and the difference between the groups was statistically significant （P=0.024）; after adjusting other related risk factors, compared with the balanced diet group, the risk of peripheral arteriosclerosis in the Mediterranean diet group, the traditional diet group and the Western diet group was 121（95%CI： 0.557-2.258）, 1.015（95%CI： 0.663-1.554）, 1.033（95%CI： 0.677-1.575）, respectively.ConclusionThe incidence of peripheral arteriosclerosis increased gradually in the balanced diet group, the Mediterranean diet group, the Chinese traditional diet group and the Western diet group, but there was no statistical significance in the risk of periphe

关 键 词：臂踝脉搏波波速 动脉硬化 膳食模式 

分 类 号：R151.42[医药卫生—营养与食品卫生学]