發(fā)布時間：2018-03-30 15:15

  本文選題：膳食模式　切入點：高血壓　出處：《中國公共衛(wèi)生》2017年10期

【摘要】：目的了解中國北方城市哈爾濱居民飲食習慣和膳食模式與高血壓患病關系。方法采用多階段分層隨機整群抽樣方法共抽取哈爾濱市42個社區(qū),使用食物頻率表對12 865名20~74歲常住居民進行膳食調(diào)查,有效調(diào)查8 591人,使用因子分析方法建立膳食模式,應用logistic回歸模型分析不同膳食模式與高血壓的關系。結果 8 591名居民中,高血壓患者3 386例,總患病率為39.4%,其中男性患病率為47.4%(1 447/3 051),女性為35.0%(1 939/5 540);因子分析得到5種膳食模式、即主食模式、植物食物模式、均衡膳食模式、豆類食物模式、動物食物模式;經(jīng)logistic回歸分析,均衡膳食模式為高血壓患病的保護因素(OR=0.86,95%CI=0.81~0.92,P0.000 1),能降低高血壓患病風險;對年齡、性別、教育、BM I、吸煙、飲酒、運動、高血壓家族史和總能量攝入進行校正,高鹽攝入組患病風險為低鹽攝入組的1.62倍(OR=1.62,95%CI=1.29~2.04,P0.000 1);食用油攝入油膩組高血壓的患病風險為清淡組的1.10倍(OR=1.10,95%CI=1.01~1.43,P=0.004)。結論高鹽和油膩的飲食習慣,以及不均衡的膳食模式能增加我國北方居民高血壓患病風險,應該調(diào)整膳食結構和飲食習慣,預防和控制高血壓的發(fā)生。
[Abstract]:Objective to investigate the relationship between the prevalence of hypertension and the dietary habits and patterns of Harbin residents in northern China. Methods A total of 42 communities in Harbin were sampled by multi-stage stratified random cluster sampling. A dietary survey was conducted on 12 865 residents aged 20 to 74 years old with food frequency table, and 8 591 people were investigated effectively. The dietary pattern was established by factor analysis. Logistic regression model was used to analyze the relationship between different dietary patterns and hypertension. The total prevalence rate was 39.4, in which the prevalence rate of male was 44.4 / 3.051g, and that of female was 35.0 / 1 939 / 5 5400.Factor analysis showed five dietary patterns, namely, staple food pattern, plant food model, balanced diet model, bean food model, animal food model, and logistic regression analysis. The balanced diet model was the protective factor of hypertension. The risk of hypertension was reduced by 0.81% 0.92% P 0.0001g, and adjusted for age, sex, education, smoking, drinking, exercise, family history of hypertension and total energy intake, and adjusted for age, sex, education, exercise, family history of hypertension and total energy intake. The risk of hypertension in the high salt intake group was 1.62 times as high as that in the low salt intake group, and 1.292.04% P 0.000 1C in the edible oil group, and 1.10 times as much as that in the light group. Conclusion the high salt and greasy diet habits are high salt and greasy diet, and the risk of hypertension is 1.10 times higher than that of the light group, and the risk of hypertension in the high salt intake group is 1.62 times higher than that in the low salt intake group, and the risk of hypertension is 1.10 times higher than that in the light group. And the unbalanced dietary pattern can increase the risk of hypertension in northern China, so we should adjust the diet structure and diet habits to prevent and control the occurrence of hypertension.
【作者單位】： 哈爾濱醫(yī)科大學;
【基金】：國家自然基金(81472980) 黑龍江省杰出青年基金(JC201410)
【分類號】：R544.1

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