2015—2017年中国成人终止高血压膳食模式与残余胆固醇之间的关系研究  

Association between dietary approaches to stop hypertension and remnant cholesterol among Chinese adults,2015-2017

作　　者：李福胜 蔡姝雅 朴玮 杨宇祥 南晶 赵丽云 于冬梅 LI Fusheng;CAI Shuya;PIAO Wei;YANG Yuxiang;NAN Jing;ZHAO Liyun;YU Dongmei(National institute for Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China;不详)

机构地区：[1]中国疾病预防控制中心营养与健康所,100050 [2]国家卫生健康委公共营养与健康重点实验室

出　　处：《首都公共卫生》2025年第1期12-16,共5页Capital Journal of Public Health

基　　金：国家财政项目[公共卫生应急-营养健康与合理膳食行动(编号:102393220020070000012)]。

摘　　要：目的分析中国成年居民终止高血压膳食模式与残余胆固醇之间的关系,为从饮食角度控制和预防心血管疾病提供新的指标与科学证据。方法数据来源于2015—2017年中国居民营养与健康状况监测,共有65618名20岁及以上成人纳入本研究。对残余胆固醇的估计采用国际通用方法:CRC=CTC-(CDL-C+CDL-C)。采用无序多分类logistic回归模型研究终止高血压膳食模式与残余胆固醇之间的关系。结果本研究发现终止高血压膳食模式是残余胆固醇的保护因素。随着人群对终止高血压膳食模式的依从性增加,发生高残余胆固醇水平的危险性下降,模型2中与低终止高血压膳食模式依从性组相比,最高依从性组中人群残余胆固水平升至Q3的危险性降低23.0%(OR=0.770,95%CI:0.682~0.869),升至Q4的危险性降低22.8%(OR=0.772,95%CI:0.685~0.871);模型3中发生高残余胆固醇水平的危险性降低15.6%(OR=0.844,95%CI:0.740~0.963)。结论中国成人终止高血压膳食模式与残余胆固醇水平与之间呈负相关,可为慢性病的预防控制提供科学证据。Objective To analyze the relationship between Dietary approaches to stop hypertension(DASH)and remnant cholesterol(RC)in Chinese adult residents,and to provide new indicators and scientific evidence for controlling and preventing cardiovascular diseases from a dietary perspective.Methods Data were collected from the China National Nutrition and Health Surveillance(CNHS)from 2015 to 2017.A total of 65618 adults aged 20 years and above were included in this study.For the estimation of RC,the international general method was adopted:C_(RC)=C_(TC)-(C_(LDL-C)+C_(HDL-C)).Multivariate logistic regression model was used to study the relationship between DASH and RC.Results This study found that DASH was a protective factor for RC.As the compliance of DASH increases,the risk of high RC levels decreases.In Model 2,compared with the low DASH compliance group,the risk of RC levels rising to Q_3in the highest compliance group decrease by 23.0%(OR=0.770,95%CI:0.682-0.869),and the risk of rising to Q_4 decreased by 22.8%(OR=0.772,95%CI:0.685-0.871).In Model 3,as adherence to the DASH increased,the risk of developing high RC decreased 15.6%(OR=0.844,95%CI:0.740-0.963).Conclusions There was negative correlation between DASH and RC level among Chinese adults,which can provide scientific evidence for the prevention and control of chronic diseases.

关 键 词：残余胆固醇 终止高血压膳食 营养监测 

分 类 号：R544.1[医药卫生—心血管疾病]