387例幽门螺杆菌感染患者半年内各类食物、膳食营养素日摄入量分析  

Analysis of daily intake of various foods and dietary nutrients in 387 patients with HP infection within half a year

作　　者：谭桂军 张万起[1] 朱丙连[2] TAN Guijun;ZHANG Wanqi;ZHU Binglian(School of Public Health,Tianjin Medical University,Tianjin 300050,China;不详)

机构地区：[1]天津医科大学公共卫生学院,天津300050 [2]天津市第一中心医院营养科

出　　处：《山东医药》2021年第30期14-18,共5页Shandong Medical Journal

基　　金：国家自然科学基金资助项目(81920108031)。

摘　　要：目的对387例幽门螺杆菌(Hp)感染患者半年内各类食物及膳食营养素日摄入量进行分析,探讨其与Hp感染的关系。方法选择天津市387例Hp感染患者为Hp感染组,同期194例体检健康且Hp阴性者为对照组。采用食物频率问卷收集并比较两组半年内油脂类、豆类及制品、乳类及制品等九类食物的摄入量,采用家庭营养师-营养学专家系统veil.1软件计算两组膳食营养素(营养素、维生素、矿物质)的摄入量。采用多因素Logistics回归分析法分析各类食物及营养素摄入量与Hp感染的关系。结果与对照组比较,Hp感染组乳类及制品日摄入量高,蛋类、蔬菜类、水果类、肉类及制品日摄入量低(Z分别为-5.731、-7.33、-3.415、-5.228、-2.766;P均<0.05)。与对照组比较,Hp感染组能量、碳水化合物日摄入量高,膳食纤维、维生素B1、维生素B2、维生素C、尼克酸、钙、钾、镁、硒、锰日摄入量低(Z分别为5.840、-4.737、-5.072、-9.031、-5.580、-2.956、-4.548、-4.850、-2.291、-2.498、-2.181;P均<0.05)。高乳类及制品、碳水化合物摄入为Hp感染的独立危险因素,高蛋类及制品、蔬菜类、水果类、肉类及制品、膳食纤维、维生素B1、维生素B2、维生素C、尼克酸、钙、钾摄入为Hp感染独立保护因素(P均<0.05)。结论Hp感染者乳类及制品、碳水化合物摄入量较高,蛋类及制品、蔬菜类、水果类、肉类及制品、膳食纤维、维生素B1、维生素B2、维生素C、尼克酸、钙、钾摄入量较低。天津市健康人群日常可适量减少乳类及制品、碳水化合物的摄入量,增加蛋类及制品、蔬菜水果类、肉类及制品等富含膳食纤维、水溶性维生素、钙、钾等营养素食物摄入。Objective To analyze the daily intake of various foods and dietary nutrients in 387 patients with Helicobacter pylori(HP)infection within half a year,and to explore the relationship between them and HP infection.Methods Totally 387 cases of patients with HP infection in Tianjin were selected as the HP infection group,and 194 healthy and HP negative controls in the same period were selected as the control group.The food frequency questionnaire was used to collect and compare the intake of nine kinds of food such as oil,beans and their products,milk and dairy products in the two groups within half a year.The intake of dietary nutrients(nutrients,vitamins and minerals)was calculated by the family nutritionist nutrition expert system vein.1 software.The relationship between intake of various foods and nutrients and Hp infection was analyzed by multivariate Logistic regression.Results Compared with the control group,the daily intake of milk and dairy products in the HP infection group was higher,while the daily intake of eggs,vegetables,fruits,meat and meat products was lower(Z=-5.731,-7.33,-3.415,-5.228,-2.766 respectively,all P<0.05).Compared with the control group,the daily intake of energy and carbohydrate in HP infection group was higher,and the daily intake of dietary fiber,vitamin B1,vitamin B2,vitamin C,niacin,calcium,potassium,magnesium,selenium and manganese were lower(Z=5.840,-4.737,-5.072,-9.031,-5.580,-2.956,-4.548,-4.850,-2.291,-2.498 and-2.181 respectively,all P<0.05).High intake of dairy products and carbohydrates were independent risk factors for HP infection,while high intake of eggs and their products,vegetables,fruits,meat and meat products,dietary fiber,vitamin B1,vitamin B2,vitamin C,niacin,calcium and potassium were independent protective factors for HP infection(all P<0.05).Conclusions HP-infected people have higher intake of dairy products and carbohydrates,and lower intake of eggs and products,vegetables,fruits,meat and products,dietary fiber,vitamin B1,vitamin B2,vitamin C,niacin,calcium and

关 键 词：革兰染色阴性细菌 幽门螺杆菌感染 胃炎 慢性活动性胃炎 营养素 

分 类 号：R151.2[医药卫生—营养与食品卫生学]