城市女性膳食质量与糖尿病及糖尿病前期患病风险的关联研究  

Study on the relationship between dietary quality and the risk of diabetes and prediabetes in urban women

作　　者：田子星 赵艾[1] 张健[1] 任中夏 王颜 孟丽苹 李婷 王培玉[1] 张玉梅[1] Tian Zixing;Zhao Ai;Zhang Jian;Ren Zhongxia;Wang Yan;Meng Liping;Li Ting;Wang Peiyu;Zhang Yumei(School of Public Health,Peking University Health Science Center,Beijing 100191,China;Inner Mongolia Dairy Technology Research Institute Company,Limited,Hohhot 010110,China;Yili Innovation Center,Inner Mongolia Yili Industrial Group Company,Limited,Hohhot 010110,China)

机构地区：[1]北京大学公共卫生学院,100191 [2]内蒙古乳业技术研究院有限责任公司,呼和浩特010110 [3]内蒙古伊利实业集团股份有限公司创新中心,呼和浩特010110

出　　处：《中华预防医学杂志》2020年第7期742-742,743-746,共5页Chinese Journal of Preventive Medicine

摘　　要：目的探索基于替代健康饮食指数‑2010(AHEI‑2010)评价的城市女性膳食质量与糖尿病及糖尿病前期患病风险的关联。方法于2016年3至7月采用多阶段抽样法从北京、广州、成都、兰州、许昌、吉林、芜湖和郴州8个城市抽取1061名女性居民作为调查对象,采用自制问卷收集对象的基本特征,采用单日24 h膳食回顾法收集对象的膳食情况,计算AHEI‑2010得分并按三分位数将膳食分为低、中等和高膳食质量。对调查对象进行体格检查、收缩压、空腹血糖和糖化血红蛋白测定。采用非条件logistic回归模型分析膳食质量与糖尿病和糖尿病前期患病风险的关联。结果调查对象年龄为(48.0±17.5)岁,AHEI‑2010得分的M(P25,P75)为46.52(40.04,54.88)分,糖尿病和糖尿病前期患病率分别为13.3%(141例)和50.0%(530例)。非条件logistic回归分析显示:调整年龄、城市、受教育程度、饮食控制情况、体力活动、能量摄入、腰围等因素后,与低膳食质量相比,中等和高膳食质量与糖尿病患病风险的OR(95%CI)值分别为0.96(0.57~1.62)和0.63(0.36~1.09),糖尿病前期患病风险的OR(95%CI)值分别为0.93(0.64~1.35)和1.28(0.87~1.88)。结论基于AHEI‑2010评价的城市女性膳食质量与糖尿病及糖尿病前期患病风险无关联。Objective To explore the relationship between dietary quality and the risk of diabetes and prediabetes among urban women based on alternative healthy eating index‑2010(AHEI‑2010).Methods From March to July 2016,a total of 1061 female residents from 8 cities,Beijing,Guangzhou,Chengdu,Lanzhou,Xuchang,Jilin,Wuhu and Chenzhou in China,were selected by using the multi‑stage sampling method.The basic characteristics of all participants were collected by using self‑made questionnaire,and the dietary status of the subjects was collected by using 24‑hour dietary recall method.AHEI‑2010 scores were calculated and the diet was divided into low,medium and high dietary quality group according to the third quartile.All participants received physical examination,systolic blood pressure test,fasting blood glucose test and glycosylated hemoglobin test.Unconditional logistic regression model was used to analyze the relationship between dietary quality and the risk of diabetes and prediabetes.Results The age of all participants was(48.0±17.5)years old.The median(P25,P75)of AHEI‑2010 score was 46.52(40.04,54.88).The prevalence of diabetes and prediabetes were 13.3%(141 cases)and 50.0%(530 cases),respectively.Unconditional logistic regression analysis showed that after adjusting for age,city,education,diet control,physical activity,energy intake and waist circumference,compared with the low diet quality group,the OR(95%CI)values of medium,high dietary quality group and diabetes risk were 0.96(0.57-1.62)and 0.63(0.36-1.09),respectively;the OR(95%CI)values of medium,high dietary quality group and prediabetes risk were 0.93(0.64-1.35)and 1.28(0.87-1.88),respectively.Conclusion The dietary quality of urban women based on AHEI‑2010 evaluation is not related to the risk of diabetes and prediabetes.

关 键 词：膳食调查 糖尿病 糖尿病前期 横断面研究 替代健康饮食指数 

分 类 号：R587.1[医药卫生—内分泌]