【摘要】：目的探討膳食因素、腰圍(waist circumference,WC)和腰圍身高比(waist-to-height ratio,WHtR)與血脂異常的關(guān)系。方法抽樣調(diào)查和膳食頻數(shù)問卷法相結(jié)合,采用偏相關(guān)分析、t檢驗、x~2檢驗和Logistic回歸分析研究膳食因素、WC、WHtR與血脂關(guān)系。結(jié)果偏相關(guān)分析顯示,谷類、總能量、脂肪和膽固醇攝入量與膽固醇(total cholesterol,TC)水平正相關(guān),水產(chǎn)品、鋅、硒和銅與甘油三酯(triglyceride,TG)水平負(fù)相關(guān)(均有P0.05)。WC或WHtR異常時的TG水平及其患病率高于WC或WHtR正常時(均有P0.05);同時對于女性來說,WC異常時的TC水平及其患病率高于WC正常人群,差異均有統(tǒng)計學(xué)意義(t=-2.12、P=0.035;x~2=7.93,P=0.005)。WC、WHtR每增加1個標(biāo)準(zhǔn)差,高TC血癥患病風(fēng)險分別增加26%和43%,高TG血癥患病風(fēng)險分別增加30%和35%。結(jié)論降低谷類、總能量、脂肪和膽固醇的攝入量,同時增加蔬菜、水產(chǎn)品、維生素C、鋅、硒和銅的攝入量有利于降低血脂異常發(fā)生的風(fēng)險;WC和WHtR可以作為早期發(fā)現(xiàn)和預(yù)防血脂異常的監(jiān)測指標(biāo)。
[Abstract]:Objective to investigate the relationship between dietary factors, waist circumference (waist circumference,WC) and waist height ratio (waist-to-height ratio,WHtR) and dyslipidemia. Methods sampling survey and dietary frequency questionnaire were used to study the relationship between dietary factors WCG-WHtR and serum lipids by using partial correlation analysis and Logistic regression analysis. Results partial correlation analysis showed that cereals, total energy, fat and cholesterol intake were positively correlated with cholesterol (total cholesterol,TC) levels. Se and Cu were negatively correlated with triglyceride (triglyceride,TG) levels (P0.05). The TG levels and their prevalence in abnormal WC or WHtR were higher than those in normal WC or WHtR (P0.05), and the TC levels and the prevalence rate were higher in women with abnormal WC than those with WC. The difference was statistically significant (tr-2. 12 Pu 0. 035 + P0. 005). For each increase of 1 standard deviation, the risk of hyperthermia was increased by 26% and 43%, and the risk of hyperthermia was increased by 30% and 35%, respectively. Conclusion reducing the intake of cereals, total energy, fat and cholesterol, and increasing vegetables, aquatic products, vitamin C, zinc, The intake of selenium and copper can reduce the risk of dyslipidemia. WC and WHtR can be used as early detection and prevention indicators of dyslipidemia.
【作者單位】： 廣東藥科大學(xué)公共衛(wèi)生學(xué)院營養(yǎng)與食品衛(wèi)生系;深圳市寶安區(qū)慢性病防治院慢性非傳染性疾病防治科;
【基金】：廣東省科技廳項目(2013B021800081)
【分類號】：R589.2

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