
富人的饮食模式与糖耐量异常有关,“富贵病”在中国已经大行其道了。
转自丁香园,UFan1118编译
Dietary patterns and glucose tolerance abnormalities in Chinese adults
中国成人饮食模式与糖耐量异常
He, Y., Ma, G., Zhai, F., Li, Y., Hu, Y., Feskens, E.J.M., Yang, X.
OBJECTIVE - To investigate the association of the dietary pattern with the presence of newly diagnosed glucose tolerance abnormalities among Chinese adults.
目的:研究中国成人饮食模式与新诊断为糖耐量异常的关系。
RESEARCH DESIGN AND METHODS - A total of 20,210 adults aged 45-69 years from the 2002 China National Nutrition and Health Survey were included. Information on dietary intake was collected using a validated food frequency questionnaire. Factor analysis and cluster analysis were used to identify the food factors and dietary pattern clusters.
研究设计与方法:2002年中国全国营养和健康调查中共20,210名年龄45-69岁的成年人纳入本研究。使用经验证有效的食物频率问卷收集饮食摄入资料。使用因素分析和群组分析确定食物因素和饮食模式群组。
RESULTS - Four dietary pattern clusters were identified ("Green Water," "Yellow Earth," "Western Adopter," and "New Affluence"). The prevalence of glucose tolerance abnormalities ranged from 3.9% in the Green Water to 8.0% in the New Affluence. After adjustment for area, age, sex, current smoking, and physical activity, subjects in the Yellow Earth cluster (prevalence ratio 1.22 [95% CI 1.04-1.43]) and New Affluence cluster (2.05 [1.76-2.37]) had significantly higher prevalence rates compared with those for the Green Water cluster. After further adjustment for BMI and waist-to-height ratio, the elevated risk in the New Affluence remained statistically significant.
结果:四组饮食模式被确定(“碧水”、“黄土”、“接纳西方者”和“新富”)。糖耐量异常的患病率范围从碧水组的3.9%到新富族的8.0%。在校正地区、年龄、性别、目前吸烟情况和生理活动后,黄土组[患病率比1.22(95% CI 1.04-1.43)]和新富组[2.05(1.76-2.37)]的受试者患病率显著高与碧水组。在进一步校正BMI和腰身比后,新富组风险增加具有统计学显著性。
CONCLUSIONS - Dietary patterns and food factors are associated with the presence of glucose tolerance abnormalities in China, even independent of obesity. A New Affluence diet is an important modifiable risk factor, which needs attention from the prevention point of view. © 2009 by the American Diabetes Association.
结论:饮食模式和食物因素与中国糖耐量异常的存在有关,甚至独立于肥胖。一种新的富饮食是一个重要的可改变的危险因素,需从预防的角度加以关注。
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