538名维吾尔族居民膳食炎症指数与不同类型肥胖的关联研究  

Relationship Between Dietary Inflammation Index and Different Types of Obesity Among 538 Uygur Residents

作　　者：开比努尔·再比布力 姑丽切克然·艾斯克 迪娜·木合亚提 吕梅霞 韩加 Kaibinuer ZAIBIBULI;Guliqiekeran AISIKE;Dina MUHEYATI;LV Mei-xia;HAN Jia(Department of Nutrition and Food Hygiene,College of Public Health,Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学公共卫生学院营养与食品卫生学教研室,乌鲁木齐830011

出　　处：《中国食物与营养》2023年第4期80-84,共5页Food and Nutrition in China

基　　金：国家自然科学基金“维吾尔族肥胖人群膳食模式与肠道菌群的关联研究”(项目编号:81760585)。

摘　　要：目的:探讨膳食炎症指数(DII)与不同类型肥胖的关系。方法:数据来自2018年8月在和田县市开展的膳食营养与肥胖现况调查,收集调查人群一般人口学信息(身高、体重、腰围)和膳食调查资料。膳食调查采用食物频率法(FFQ)并计算DII。采用Logistic回归模型分析DII与肥胖指标间的关系。结果:本研究纳入538名调查对象,DII得分为1.64(0.85,2.13),范围为-2.14~3.13。调整年龄、婚姻状况、文化程度、月收入、吸烟、饮酒后,男性Q4(最大促炎组)患超重的风险是Q1(最大抗炎组)的3.197倍(95%CI:1.186~8.613,P=0.022);Q2和Q3组患肥胖的风险分别是Q1组的3.806倍(95%CI:1.204~12.029,P=0.023)和6.277倍(95%CI:2.008~19.618,P=0.002)。与Q1组相比,男性Q3和Q4组DII与腹型肥胖存在相关性,且随着DII评分的增加,调查对象患腹型肥胖的风险增加,而女性随着DII评分的增加,肥胖率有上升趋势,但未见统计学差异。结论:DII得分越高,肥胖发生风险越高,提示促炎膳食可能是危险因素,可从炎症角度深入分析膳食对脂肪组织炎症的作用。Objective To explore the relationship between Dietary Inflammation Index and different types of obesity indices.Method The survey was carried out in Hotan in August 2018.Sociodemographic characteristics,anthropometric measurements were collected by standardized protocols.A food frequency questionnaire(FFQ)was applied to assess the dietary intake of participants and DII score was calculated.Logistic regression model was used to analyze the relationship between DII and obesity indices.Result A total of 538 participants were included in this study.The DII score was 1.64(0.85,2.13),ranging from-2.14 to 3.13.After adjusting for age,marital status,education level,monthly income,smoking and alcohol consumption,compared with the 1 st group,participants from the 4 th group had a higher risk of overweight in male(OR=3.197,95%CI:1.186—8.613,P=0.022),the risk of obesity in 2 nd and 3 rd group was 3.806(95%CI:1.204—12.029,P=0.023)and 6.277(95%CI:2.008—19.618,P=0.002),respectively.DII was associated with abdominal obesity in 3 rd and 4 th groups compared with 1 st,and the risk of abdominal obesity increased as DII scores increased.No statistical significance was found between female DII and obesity indices.Conclusion The higher DII score,the higher the risk of obesity,suggesting that pro-inflammatory diet may be a risk factor,and the effect of diet on adipose tissue inflammation can be further analyzed from the perspective of inflammation.

关 键 词：膳食炎症指数(DII) 肥胖 腹型肥胖 

分 类 号：R589.2[医药卫生—内分泌]