高尿酸血症患者膳食质量评价  

Evaluation of dietary quality in patients with hyperuricemia

作　　者：邢慧鑫 隋小芳[2] 魏金枫 何爱华 张艺潆[1] 邱洪斌[3] XING Hui-xin;SUI Xiao-fang;WEI Jin-feng;HE Ai-hua;ZHANG Yi-ying;QIU Hong-bin(School of Public Health,Jiamusi University,Jiamusi 154007,China;The First Affiliated Hospital of Jiamusi University,Jiamusi 154003,China;Jiamusi University,Jiamusi 154007,China)

机构地区：[1]佳木斯大学公共卫生学院,黑龙江佳木斯154007 [2]佳木斯大学附属第一医院,黑龙江佳木斯154003 [3]佳木斯大学,黑龙江佳木斯154007

出　　处：《黑龙江医药科学》2023年第4期10-13,共4页Heilongjiang Medicine and Pharmacy

基　　金：黑龙江省自然科学基金重点项目,编号:ZD2022H006。

摘　　要：目的:应用膳食平衡指数(diet balance index-16,DBI-16)评价高尿酸血症(hyperuricemia,HUA)患者膳食质量,为HUA患者的临床饮食治疗和相关的膳食营养宣教提供理论依据。方法:采用健康危险因素调查问卷,对佳木斯大学附属第一医院体检中心436例体检人群的基本信息及进食量进行问卷调查,评定其膳食质量。结果:高尿酸血症组129例,正常组307例。谷类食物、肉类和食用油的摄取量在正常人群中处于偏高的水平(P<0.05)。HUA组有77.5%的病人存在摄入过量的状况。男性HUA者比女性的LBS、HBS、DQD(P<0.05)都要高。HUA患者在不同年龄段存在摄入不足的情况HUA患者主要以D型膳食模式为主。随着肉类摄入量的增多,膳食失衡程度越大,HUA的发病风险增大。结论:HUA患者存在摄入过多肉类、食用油和膳食摄入不平衡的问题,建议膳食要适当均衡,增加蔬菜、水果和优质蛋白的摄入,减少烹调用油和盐的量,膳食结构要合理。Objective:To evaluate the dietary quality of patients with hyperuricemia(HUA)with Dietary Balance Index-16(DBI-16),so as to provide a theoretical basis for the clinical diet treatment and related dietary nutrition education for patients with HUA.Methods:Health risk factors questionnaire was used to investigate the basic information and dietary intake of 436 people in the physical examination center of the First Affiliated Hospital of Jiamusi University.Results:There were 129 cases in hyperuricemia group and 307 cases in normal group.The intake of cereals,meat and edible oil in HUA group was higher than that in normal group(P<0.05).77.5%of patients in HUA group had excessive intake.LBS,HBS and DQD in male HUA were higher than those in female(P<0.05).There are differences in the insufficient intake of HUA patients in different age groups.The patients with HUA mainly had type D dietary pattern.As meat intake increases and the greater the dietary imbalance,the greater the risk of HUA.Conclusion:The patients with HUA have the problems of excessive intake of meat and edible oil and dietary imbalance.It is recommended to have a proper and balanced diet,increase the intake of vegetables,fruits and high-quality protein,and reduce the amount of cooking oil and salt.

关 键 词：膳食平衡指数 高尿酸血症 膳食质量 膳食模式 

分 类 号：R151.4[医药卫生—营养与食品卫生学]