山西省不同性别人群膳食模式与高血压关系  

The study on the association between dietary pattern and the incidence of hypertension in different genders in Shanxi Province

作　　者：任泽萍[1] 赵俊康[2] 陈靖 张然 王苗[1] 梁洁[2] 何玉玲[1] 杨晓娟 令狐丽琴 张睿孚 王彤[2] REN Ze-ping;ZHAO Jun-kang;CHEN Jing;ZHANG Ran;WANG Miao;LIANG Jie;HE Yu-ling;YANG Xiao-juan;LINHU Li-qin;ZHANG Rui-fu;WANG Tong(Department of Chronic Diseases,Shanxi Center for Disease Control and Prevention,Taiyuan 030012,China;Department of Health Statistics,School of Public Health,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西省疾病预防控制中心慢病科,太原030012 [2]山西医科大学公共卫生学院卫生统计教研室,太原030001

出　　处：《中华疾病控制杂志》2020年第7期754-760,共7页Chinese Journal of Disease Control & Prevention

基　　金：山西省卫生计生委科研课题(2018GW20);全国医学专业学位研究生教育指导委员会研究课题(B1-YX20180302-04);国家自然科学基金(81872715)。

摘　　要：目的按性别分层探讨膳食模式与高血压的关系。方法采用多阶段分层随机整群抽样的方法,对山西省2 667名男性和2 982名女性开展膳食营养调查,通过包含64个食物组的食物频率调查问卷(food frequency questionnaire,FFQ)评估各食物的摄入量,并用因子分析法提取并命名膳食模式。在不同性别人群中,采用Logistic回归分析模型分析高血压与膳食模式的关系。结果男性提取出4个膳食模式,分别是高蛋白模式、高脂甜食模式、谷薯腌菜模式、蔬菜水果模式;女性提取出5个膳食模式,分别是低碳水化合物模式、谷物蔬菜模式、高蛋白模式、高脂甜食模式、薯类腌菜模式。其中,有3个相似的膳食模式,分别为高蛋白模式、高脂甜食模式、谷薯腌菜模式。Logistic回归分析模型分析结果显示,男性高脂甜食模式OR=1.361(95%CI:1.069~1.732,P=0.012),女性低碳水化合物模式OR=1.357(95%CI:1.064~1.731,P=0.014)。结论不同性别人群膳食模式与高血压关系存在一定差异。其中,男性的高脂甜食模式和女性的低碳水化合物模式可能会增加高血压的患病风险。Objective The purpose of this study was to examined gender differences in the association between dietary patterns and the risk of hypertension. Methods A multistage stratified random cluster sampling method was used to carry out a dietary nutrition survey on 2 667 males and 2 982 females in Shanxi Province. The intake of each food was evaluated by food frequency questionnaire(FFQ) containing 64 food groups, and the dietary patterns were extracted and named by factor a-nalysis. Logistic regression model was used to analyze the relationship between hypertension and dietary patterns in different genders. Results Four dietary patterns were derived in men: high protein pattern;high fat and sweet pattern;grain, potato and pickles pattern;vegetable and fruit pattern;Five dietary patterns were derived in women: low carbohydrate pattern;grain and vegetable pattern;high protein pattern;high fat and sweet pattern;potato pickles pattern. There are three similar dietary patterns: high protein pattern;high fat and sweet pattern;potato and pickles pattern. The results of the Logistic regression model analysis showed that OR=1.361(95% CI: 1.069-1.732,P=0.012) for high fat and sweet pattern of man, OR=1.357(95% CI:1.064-1.731,P=0.014)for low carbohydrate pattern of woman. Conclusions The relationship between dietary patterns and hypertension is different between man and woman. High fat and sweet pattern of man and low carbohydrate pattern of woman may increase the risk of hypertension.

关 键 词：山西省 膳食模式 高血压 因子分析 性别 

分 类 号：R151.4[医药卫生—营养与食品卫生学] R544.1[医药卫生—公共卫生与预防医学]