广西成年居民膳食模式与代谢综合征的关系研究  

Study on the relationship between dietary patterns and metabolic syndrome among adult residents in Guangxi

作　　者：秦秋兰[1] 周为文[1] 李晓鹏[1] 陈玉柱[1] 陆武韬[1] QIN Qiulan;ZHOU Weiwen;LI Xiaopeng;CHEN Yuzhu;LU Wutao(Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention,Nanning,Guangxi 530028,China)

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530028

出　　处：《应用预防医学》2024年第4期226-230,共5页Applied Preventive Medicine

摘　　要：目的分析广西成年居民膳食模式与代谢综合征(MS)的关系,为MS人群的膳食营养指导和干预提供科学依据。方法利用2015-2017年广西成年居民营养调查数据,将问卷调查、膳食调查、体格测量和实验室资料均完整的18岁及以上成年常住居民纳入本次分析对象。采用主成分因子分析方法和非条件logistic回归模型分析、探讨膳食模式的特点及其与MS的关系。结果2015-2017年共调查2372人,其中MS共355例,MS患病率为15.0%。非MS组和MS组人群在脂肪、碳水化合物、铜3个项目的摄入量存在差异。广西成年居民膳食模式共归纳为5种,分别是高蛋白膳食模式、蔬菜水果膳食模式、高膳食纤维膳食模式、高脂肪膳食模式和高胆固醇钠膳食模式。高脂肪膳食模式的脂肪摄入量最高,脂肪供能比高达50.4%;高胆固醇钠膳食模式的钠摄入量最高,蛋白质和膳食纤维摄入量最低。非条件logistic回归模型分析结果显示,调整了城乡、性别、年龄、民族、教育程度等混杂因素后,高脂肪膳食模式和高胆固醇钠膳食模式可造成居民MS的发病风险增加。结论广西成年居民膳食模式与MS存在一定关联,据此应倡导合理膳食、适量运动,多吃蔬果、奶类,饮食清淡,预防MS的发生。Objective To analyze the relationship between dietary patterns and metabolic syndrome(MS)among adult residents in Guangxi,providing a scientific basis for dietary nutrition guidance and intervention for people with MS.Methods Using nutritional survey data of adult residents from 2015 to 2017 in Guangxi,and adult permanent residents aged 18 and above with complete questionnaires,dietary surveys,physical measurements,and laboratory data were included in this analysis.Principal component analysis and unconditional logistic regression analyses were used to explore the characteristics of dietary patterns and their relationship with MS.Results A total of 2372 people were surveyed from 2015 to 2017,including 355 cases of MS,and the prevalence rate of MS was 15.0%.There were differences in the intake of fat,carbohydrate,and copper between the non-MS group and the MS group.The dietary patterns of adult residents in Guangxi were summarized into five types:high-protein dietary patterns,vegetable and fruit dietary patterns,high dietary fiber dietary patterns,high-fat dietary patterns,and highcholesterol and sodium dietary patterns.The high-fat dietary pattern had the highest fat intake,and the fat energy supply ratio was as high as 50.4%.The high-cholesterol sodium dietary pattern had the highest intake of sodium and the lowest intake of protein and dietary fiber.The unconditional logistic regression analysis,adjusted for confounders such as urban/rural areas,sex,age,ethnicity,and education level,indicated that a high-fat dietary pattern and a high cholesterol and sodium dietary pattern might increase the risk of developing metabolic syndrome among residents.Conclusions The dietary patterns of adult residents in Guangxi are associated with MS.The findings underscore the importance of advocating a reasonable diet,moderate exercise,eat more fruits,vegetables,and milk,and eat a light diet to prevent the occurrence of MS.

关 键 词：膳食模式 代谢综合征(MS) 因子分析 

分 类 号：R151.42[医药卫生—营养与食品卫生学]