浙江省成年女性膳食模式与肥胖的关联  

Association between dietary patterns and abdominal obesity among the adult women in Zhejiang Province

作　　者：吐尔逊阿依·阿不都米吉提 黄李春[2] 苏丹婷[2] 赵栋[2] 章荣华[2] Tuerxunayi Abudumijiti;Huang Lichun;Su Danting;Zhao Dong;Zhang Ronghua(Medical Collage,Ningbo University,Ningbo 315000,China;Institute of Nutrition and Food Safety,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China)

机构地区：[1]宁波大学医学院,宁波315000 [2]浙江省疾病预防控制中心营养与食品安全所,杭州310051

出　　处：《卫生研究》2022年第5期733-739,共7页Journal of Hygiene Research

基　　金：国家卫生健康委国家重大公共卫生服务项目(No.201519-A)。

摘　　要：目的 探讨成年女性膳食模式与肥胖之间的关系。方法 在2015年8-11月采用多阶段分层随机整群抽样的方法,抽取2915例18岁及以上的女性常住居民,通过问卷调查获取居民基本信息,采用体格检查测量研究对象的身高和体重,以体质指数来判别普通肥胖,以腰围来判别腹型肥胖,采用膳食问卷了解营养状况。以食物频率表法对研究对象过去一年的膳食情况进行调查,并用因子分析法建立膳食模式。膳食模式与肥胖的关系用多因素Logistic回归进行分析。结果 研究对象的腹型肥胖患病率为33.07%,普通肥胖患病率为9.23%。腹型肥胖患病率在≥66岁的人群中最高,农村女性患病率大于城市,大学及以上学历的人群腹型肥胖和普通肥胖的患病率均较低,差异均有统计学意义(P<0.0001)。用因子分析法获得谷类型、坚果豆类型、奶蛋类型以及现代化型四类膳食模式,其累计方差贡献率为38.5%。多因素Logistic回归分析结果显示、通过校正年龄、文化程度、职业、婚姻状况、城乡以及运动状况等因素后发现坚果豆类膳食模式因子得分处于Q4水平时腹型肥胖的患病风险是处于Q1水平的0.720倍(95%CI 0.571-0.908),P=0.0012。未发现以上4个膳食模式与普通肥胖有关。结论 浙江省成年女性坚果豆类膳食模式与腹型肥胖之间存在负相关。OBJECTIVE To explore the dietary patterns and its relationship with abdominal obesity among the adult women in Zhejiang Province.METHODS We recruited 2915 female residents aged 18 and older by using multi-stage stratified cluster sampling method;We conducted questionnaires survey and physical examinations to understand the basic information and nutritional status of the residents. Dietary patterns were extracted with factor analysis, and the multivariate Logistic regression model was used to analyze the association between dietary patterns and abdominal obesity among the participants.RESULTS The prevalence rate of abdominal obesity and general obesity among the subjects were 33.07% and 9.23%, respectively. The highest rate of abdominal obesity was among the female who were above 65 years old, living in rural areas with low education. On the other hand, the lowest rate of abdominal obesity was among females with higher education(P<0.0001). Four dietary patterns identified with factor analysis were grain pattern, nut-legume pattern, milk-eggs pattern and modern pattern, accounting for 38.5% of total variance. After adjusting confounding factors as age, education level, occupation, marital status, urban/rural and exercise status, the participants with the fourth quartile(Q4) score of nut-legume dietary pattern had a low risk of abdominal obesity(OR=0.720, 95% CI 0.571-0.908, P=0.0012) compared to those with the quartile(Q1) first score.CONCLUSION The nut-legume dietary pattern is negatively associated with abdominal obesity in female adults.

关 键 词：肥胖 膳食模式 因子分析 女性 

分 类 号：R153.1[医药卫生—营养与食品卫生学]