2022年浙江省45~59岁居民膳食质量及其与代谢综合征的关系  

Dietary quality and its relationship with metabolic syndrome in the population aged 45 to 59 in Zhejiang Province in 2022

作　　者：赵娅 苏丹婷[2] 黄李春[2] 韩丹 章荣华[2] Zhao Ya;Su Danting;Huang Lichun;Han Dan;Zhang Ronghua(School of Public Health,Hangzhou Medical College,Hangzhou 310000,China;Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China)

机构地区：[1]杭州医学院公共卫生学院,杭州310000 [2]浙江省疾病预防控制中心,杭州310051

出　　处：《卫生研究》2024年第4期639-645,共7页Journal of Hygiene Research

基　　金：国家重点研发计划(No.2020YFC2006300,2020YFC2006301)。

摘　　要：目的 了解浙江省45~59岁居民膳食质量与代谢综合征的关系。方法 利用2022年浙江省居民营养与健康监测数据,选择1421名45~59岁居民作为研究对象,通过连续3天24小时膳食回顾法、家庭食用油和调味品称重法收集膳食数据,使用中国健康膳食指数(China health diet index,CHDI)评价膳食质量,将CHDI评分按四分位数分为4组。采用多因素Logistic回归分析不同CHDI评分组与代谢综合征及其组分的关系。结果 CHDI平均得分为(56.83±11.80)分,代谢综合征检出率为24.5%。调整性别、年龄、吸烟、身体活动后,最高第四分位CHDI评分(Q4组)与最低四分位CHDI评分(Q1组)相比,罹患代谢综合征(OR=0.57,95%CI 0.40~0.82)、高血压(OR=0.60,95%CI 0.44~0.81)、高血糖(OR=0.41,95%CI 0.26~0.65)的风险下降。进行性别亚组分析后发现:女性CHDI评分Q4组与Q1组相比罹患代谢综合征、高血压、高甘油三酯的风险下降(P<0.05),而在男性中仅发现高CHDI评分与高血糖呈负相关(P<0.05)。结论 2022年浙江省45~59岁居民膳食质量与代谢综合征及其组分的高血压、高血糖的患病风险呈负相关,并且CHDI与代谢综合征及其组分之间的关系存在性别差异。OBJECTIVE To explore the relationship between dietary quality and metabolic syndrome(MS) in the population aged 45 to 59 in Zhejiang Province.METHODS Selecting the 45-59 year old population as the research object from the 2022 nutrition and health monitoring data of residents in Zhejiang Province.Dietary data was obtained by the 24-hour dietary review method on 3 consecutive days and the weighing method of household cooking oil and condiments,and dietary quality was evaluated using the China health diet index(CHDI),which was categorized into four groups according to quartiles of CHDI scores.Multivariate logistic regression model was used to analyze the relationship between different CHDI score groups and MS and its components.RESULTS A total of 1421 study participants were included,with a mean CHDI score of(56.83±11.80) and a prevalence of MS of 24.5%.After adjusting for gender,age,smoking,and physical activity,the Q4 group with the highest CHDI score had a decreased risk of developing MS(OR=0.57,95%CI 0.40-0.82),hypertension(OR=0.60,95% CI 0.44-0.81),and elevated fasting blood glucose(OR=0.41,95%CI 0.26-0.65) compared to the Q1 group with the lowest CHDI score.After conducting gender subgroup analysis,it was found that:the risk of developing MS,hypertension and high triglycerides was decreased in the Q4 group of CHDI scores in females compared with the Q1 group(P<0.05),whereas in males only high CHDI scores were found to be a protective factor for elevated fasting blood glucose(P<0.05).CONCLUSION The quality of diet is negatively associated with the risk of MS,hypertension and hyperglycemia in people aged 45-59 years in Zhejiang Province,and there are gender differences in the relationship between CHDI and MS and its components.

关 键 词：中国健康膳食指数 膳食质量 代谢综合征 

分 类 号：R151[医药卫生—营养与食品卫生学] R153[医药卫生—公共卫生与预防医学]