安徽省某胃癌高发县中老年人群膳食炎症指数与消化道症状关系  

Relationship between the dietary inflammatory index and gastrointestinal symptoms in middle-aged and elderly residents in a high-incidence-of-gastric-cancer county in Anhui Province

作　　者：王可心 汪婷婷 林啸 王力 赵奇红[1] WANG Ke-xin;WANG Ting-ting;LIN Xiao;WANG Li;ZHAO Qi-hong(Department of Nutrition and Food Hygiene,School of Public Health,Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学公共卫生学院营养与食品卫生学系,合肥230032

出　　处：《中华疾病控制杂志》2022年第6期732-735,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(81973049);安徽省自然科学基金(1808085MH258)。

摘　　要：目的探究安徽省某胃癌高发县中老年居民膳食炎症指数(dietary inflammatory index,DII)与消化道症状的关系,为提高居民健康素养和开展肿瘤预防提供依据。方法采用多阶段整群随机抽样方法,于2019年在庐江县随机抽取45岁以上居民共1229人进行问卷调查,分析DII与消化道症状的关系。结果消化道症状为无、食欲不振、上腹部不适和消瘦/贫血的居民人数和占比分别为953(77.5%)、87(7.1%)、171(13.9%)、18(1.5%)。调整变量后的多因素分析显示,与DII按照四分位数由低到高分为Q1(P_(0)~P_(25))相比,DII为Q4(P_(75)~P_(100))的居民具有上腹部不适症状的风险更高(OR=2.326,95%CI:1.350~4.008,P=0.002)。结论安徽省某胃癌高发县中老年居民DII评分越高,则消化道不良症状风险越高。Objective To explore the relationship between dietary inflammatory index(DII)and gastrointestinal symptoms of middle-aged and elderly residents in a county with high incidence of gastric cancer in Anhui Province.Methods In this study,a total of 1229 residents over 45-year old were randomly selected from Lujiang County,Anhui Province to conduct a questionnaire survey.The relationship between DII and gastrointestinal symptoms was analyzed.Results There were residents with gastrointestinal symptoms.For instance,87(7.1%)residents had anorexia,171(13.9%)had epigastric discomfort,and 18(1.5%)had emaciation/anemia,respectively.Multivariate analysis showed that,residents with DII of Q4(P_(75)-P_(100))had a higher risk of epigastric discomfort(OR=2.326,95%CI:1.350-4.008,P=0.002)than those with DII of Q1(P_(0)-P_(25))from lowest to highest according to quartiles.Conclusion With the increase of DII scores of middle-aged and elderly residents in that area of Anhui province, the risk of gastrointestinal symptoms increase.

关 键 词：膳食炎症指数 消化道症状 中老年 

分 类 号：R151.3[医药卫生—营养与食品卫生学]