天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

濟(jì)南市部分健康體檢女性膳食模式與測(cè)量指標(biāo)相關(guān)性分析

發(fā)布時(shí)間:2019-07-02 21:21
【摘要】:目的 了解濟(jì)南市女性的膳食狀況與膳食模式,探討不同膳食模式與身體測(cè)量指標(biāo)的相關(guān)性,為研究膳食模式與健康和疾病的關(guān)系提供依據(jù),同時(shí)也為女性的健康管理提供參考。 方法 采用隨機(jī)抽樣的方法抽取2010年12月至2012年4月在濟(jì)南市某醫(yī)院健康體檢中心進(jìn)行常規(guī)體檢的女性595名,年齡18-70歲,在完成測(cè)量指標(biāo)(身高、體重、腰圍、臀圍、血壓)和血液指標(biāo)檢查的同時(shí)應(yīng)用食物頻率法進(jìn)行膳食調(diào)查,收集近1年來(lái)各類食物的攝入頻率及攝入量。體檢指標(biāo)與年齡的相關(guān)性采用雙變量相關(guān)分析;采用因子分析法分析膳食信息,得出主要膳食模式,并計(jì)算因子得分;用Spearman等級(jí)相關(guān)分析方法探索膳食狀況與年齡及測(cè)量指標(biāo)的相關(guān)性,采用t-檢驗(yàn)、多元線性回歸分析方法研究不同膳食模式與體重指數(shù)(Body Mass Index, BMI)、腰圍、腰臀比(Waist to Hip Ratio,WHR)及血壓的相關(guān)關(guān)系。采用結(jié)構(gòu)方程模型探討膳食與體檢指標(biāo)之間的依存關(guān)系。 結(jié)果 1基本情況 BMI均數(shù)為22.89±3.17(范圍是15.4-35.4),超重者(24.0BMI28.0)占24.87%;肥胖者(BMI≥28.0)占8.07%。腰圍均數(shù)為78.16±9.11cm(最小值56.0cm,最大值111.0cm),腰圍≥80cm者占36.64%。腰臀比均數(shù)為0.83+0.07(最小值0.66,最大值1.21),腰臀比≥0.85者占30.42%。血壓高于140/90mmHg者占15.97%。經(jīng)BMI、腰圍、腰臀比和血壓與年齡兩變量線性回歸分析得到,BMI (β=0.128, P=0.000).腰圍(β=0.382,P=0.000)、腰臀比(β=0.003,P=-0.000)、收縮壓(β=0.800,P=0.000)、舒張壓(戶0.456,P=0.000)與年齡呈正相關(guān),提示隨著年齡的增長(zhǎng),超重和肥胖及高血壓的危險(xiǎn)性加大。 2各類食物攝入情況 與中國(guó)居民平衡膳食寶塔推薦的各類食物每日攝入量比,濟(jì)南市女性膳食中谷類、蔬菜、水果、蛋類和油脂的攝入量基本能滿足每日推薦量,即低于推薦量的人數(shù)低于30%;畜禽肉類、豆類及制品低于推薦量的人數(shù)達(dá)40%;魚蝦類、奶類及制品攝入量嚴(yán)重不足,低于推薦量的人數(shù)達(dá)75%以上,特別是奶類達(dá)94.29%;而鹽攝入10gd的人數(shù)占57.31%。蔬菜、魚蝦類、粗雜糧類及堅(jiān)果類的攝入量與年齡呈顯著正相關(guān),肉類、奶類及制品、甜點(diǎn)、飲料及鹽的攝入量與年齡呈顯著負(fù)相關(guān),谷類豆類、水果、蛋類、酒類和油的攝入量與年齡無(wú)相關(guān)關(guān)系。提示隨著年齡的增大,肉類、奶類、甜食等的攝入量減少,而蔬菜、魚蝦類、粗雜糧、堅(jiān)果攝入量增加。 調(diào)整年齡后,蔬菜、油、鹽攝入量與BMI呈正相關(guān);鹽的攝入量與腰圍、腰臀比和收縮壓呈正相關(guān);水果、鹽的攝入量與舒張壓呈正相關(guān)。 3膳食模式 因子分析的適用性檢驗(yàn)結(jié)果為:KMO=0.6310.6,Bartlett球形檢驗(yàn)X2=587.822,P=0.000,因此各食物種類彼此并不獨(dú)立,存在較強(qiáng)的相關(guān)性,說(shuō)明本數(shù)據(jù)適用因子分析。根據(jù)碎石圖和特征根大小,本研究保留因子數(shù)目為6個(gè)。最大方差正交旋轉(zhuǎn)后,6個(gè)因子共解釋食物攝入總方差的55.45%。最終得到6種膳食模式,即傳統(tǒng)模式:以粗糧、豆類、堅(jiān)果和魚蝦貝類攝入較多為特點(diǎn);油脂模式:以食用油、肉類、鹽和精制谷類攝入較多;現(xiàn)代模式:以水果、奶制品攝入較高;素食模式:以新鮮蔬菜攝入較高,蛋類和飲料攝入較少;零食模式:攝入較多膨化食品及糕點(diǎn)類、飲料;酒類模式:攝入較多酒類。 不同年齡組膳食模式的結(jié)果顯示,40歲以下年齡組因子分析也得到6種膳食模式,即豆類+魚蝦貝類+堅(jiān)果+雜糧模式,食用油+肉類+谷類+鹽模式,奶制品+水果模式,酒類+飲料+少雜糧模式,膨化食品及糕點(diǎn)類+飲料模式和蔬菜+少蛋類模式。40歲以上(含40歲)年齡組因子分析最終得到5種膳食模式,分別為雜糧+豆類+堅(jiān)果+素食模式,水果+魚蝦貝類+少谷類模式,肉類+食用油+鹽模式,膨化食品及糕點(diǎn)類+奶類+飲料模式,蛋類+少蔬菜+少酒類模式。說(shuō)明不同年齡的膳食模式存在差異。 將研究對(duì)象按總體的各膳食模式得分升序排列后,將各膳食模式的因子得分由低到高分為四等份:Q1.Q2.Q3.Q4.傳統(tǒng)模式因子得分較高的Q4組年齡較Q1組大(P0.01),BMI、腰圍、腰臀比也較大(P0.05)。顯示以該模式為主的人群年齡偏大,且體重偏重、偏胖者較多。油脂模式的Q4組BMI顯著高于Q1組(P0.01),F(xiàn)代模式Q4組的腰臀比較Q1組小(P0.05)。素食模式Q4組年齡、BMI及舒張壓和收縮壓均大于Q1組(P0.01)。零食模式得分最高的Q4組較Q1組的年齡小(P0.05),BMI、腰圍和腰臀比也均較低(P0.05)。酒類模式Q4組年齡顯著小于Q1組(P0.01)。調(diào)整年齡后,油脂模式與BMI、腰圍、收縮壓和舒張壓呈正相關(guān),素食模式與舒張壓呈正相關(guān)。 4膳食與體檢指標(biāo)的結(jié)構(gòu)方程模型分析 本模型的最終擬合優(yōu)度指標(biāo):GFI為0.9706.AGFI為0.9687.RMR為2.5575、PGFI為0.9647,由此可知,模型擬合較好。 傳統(tǒng)模式與血紅蛋白因子、肝功能因子的路徑系數(shù)分別為0.056、0.1338;油脂模式與血壓因子、代謝因子的的路徑系數(shù)分別為0.9974、1.1287;酒類模式與血壓因子、血紅蛋白因子和肝功能因子的路徑系數(shù)分別為0.0385、2.3972、0.9928,表明它們之間有正相關(guān)關(guān)系。現(xiàn)代模式與血壓因子的路徑系數(shù)為-0.07;素食與血紅蛋白因子的路徑系數(shù)為-0.3303;零食模式與血紅蛋白因自的路徑系數(shù)為-0.9432,表明它們之間有負(fù)相關(guān)關(guān)系。 結(jié)論 1.濟(jì)南市健康體檢女性BMI水、li超重和肥胖率超過(guò)或接近全國(guó)營(yíng)養(yǎng)調(diào)查水平,腰圍平均值低于山東省流行病學(xué)調(diào)查水平,高血壓的患病率低于全國(guó)、平均水平。 2.濟(jì)南市健康體檢女性中魚蝦貝類和奶制品的攝入嚴(yán)重不足,鹽的攝入量遠(yuǎn)超膳食寶塔推薦量;不同人群攝入的食物種類及數(shù)量存在明顯差別。提示,油、鹽攝入增加可加大肥胖、高血壓的風(fēng)險(xiǎn)。 3.濟(jì)南市健康體檢女性膳食模式呈多樣性,且不同年齡段的人群膳食模式存在差別;油脂模式與BMI、腰圍、WHR和血壓有關(guān),減少油脂、肉類、鹽和精制谷類攝入,養(yǎng)成健康的飲食習(xí)慣對(duì)預(yù)防肥胖和高血壓的發(fā)生具有重要意義。 4.血壓因子和肝功能因子受膳食因素影響較大。血壓因子與油脂模式、酒類模式、現(xiàn)代模式有關(guān),肝功能因子主要受傳統(tǒng)模式和酒類模式影響較大。
[Abstract]:Purpose To study the dietary status and dietary pattern of women in Jinan, to study the correlation between dietary pattern and body measurement index, to provide the basis for studying the relationship between dietary pattern and health and disease, and also to provide reference for women's health management. An examination. Methods A random sampling method was used to extract 595 women with routine physical examination from December 2010 to April 2012 in the health examination center of a hospital in Jinan. The age was 18-70 years, and the measurement index (height, body weight, The food frequency method was used to carry out the dietary survey, and the intake frequency of all kinds of food in the last 1 year was collected by using the food frequency method. And the correlation between the dietary condition and the age and the measurement index is explored by the Spearman grade correlation analysis method, and the correlation between the dietary condition and the age and the measurement index is explored by using the Spearman grade correlation analysis method. The body mass index (BMI), waist and hip ratio (WHR) and blood pressure of different dietary patterns and body mass index (BMI), waist and hip ratio (WHR) were studied by t-test and multivariate linear regression analysis. The relationship between diet and physical examination is discussed by structural equation model. in accordance with Save the relationship. Results The basic condition of BMI was 22.89-3.17 (range 15.4-35.4), overweight (24.0 BMI28.0) was 24.87%, and obesity (BMI) 28.0) 8.07%. The average waist circumference is 78.16 to 9.11 cm (the minimum value is 56.0 cm, the maximum value is 111.0 cm), and the waist circumference is 8. The waist-to-hip ratio is 0.83 + 0.07 (the minimum value is 0.66, the maximum value is 1.21), and the waist-to-hip ratio is 0.0 .85 (30.42%). The blood pressure is higher than 140/ 90m The mHg was 15.97%. The BMI, waist, waist-to-hip ratio and blood pressure and age were analyzed by linear regression, and the BMI (P = 0.1) 28, P = 0.000). The waist circumference (P = 0.382, P = 0.000), the waist-to-hip ratio (P = 0.003, P =-0.000), the systolic pressure (P = 0.800, P = 0.000) and the diastolic blood pressure (P = 0.456, P = 0.000) were positively related to the age, indicating that with the increase of age, overweight and fat Risk of fat and hypertension Increase. The intake of all kinds of food and the daily intake of all kinds of food recommended by China's balanced diet, and the intake of cereals, vegetables, fruits, eggs and grease in the women's diet of Jinan can meet the recommended daily amount. That is, the number of people who are lower than the recommended amount is lower than 30%; the number of the meat, beans and products of the livestock and poultry is lower than that of the recommended amount by 40%; the fish and shrimp, the milk and the product are seriously insufficient, and the number of the fish and shrimp, the milk and the product is less than 75%, in particular to 94.29% of the milk; and the salt is taken as a salt. The intake of vegetables, milk and products, desserts, beverages and salt was negatively correlated with age, cereals, fruits, eggs, and wine, and the intake and age of meat, milk and products, desserts, beverages and salt were negatively correlated with age. The intake of class and oil is not related to age. It is suggested that as the age increases, the intake of meat, milk, sweet and the like is reduced, and the vegetables, The intake of fish and shrimp, coarse cereals, and nuts increased. After adjusting age, the intake of vegetables, oil and salt was positively correlated with BMI. The intake of salt was positively related to the waist, waist and hip ratio and systolic pressure. ; fruit, salt The results were: KMO = 0.6310.6, Bartlett's spherical test X2 = 587.822, P = 0.000, so the food types were not independent of each other There is a strong correlation, which indicates the applicable factor analysis of this data. The number of retention factors in this study is 6. The maximum variance is orthogonal to the rotation. A total of 6 factors were used to explain the total variance of food intake by 55.45%. Modern mode: high intake of fruit and dairy products; vegetarian diet: high intake of fresh vegetables, less egg and beverage intake, and snack mode: intake of more puffed Food and pastries, beverages; alcoholic mode: intake of more alcohol. The results of the group's diet patterns show that the factor analysis of the age group under the age of 40 also results in six dietary patterns, namely, beans + fish and shrimp, nuts + coarse cereal, edible oil, and meat + cereals + salt. Mode, dairy + fruit pattern, wine + beverage + minor grain pattern, puffed food and cake + beverage mode and vegetable + less egg pattern. The factor analysis of the age group above 40 years (including 40 years) results in five kinds of dietary patterns, which are coarse cereals + beans, respectively. Type + nut + vegetarian, fruit + fish and shrimp, less cereal, meat + edible oil + salt, puffed food, and cake Point class + milk + beverage mode, egg class + shao There is a difference in the dietary patterns of different ages. After the study subjects are arranged in ascending order according to the overall dietary pattern, each dietary pattern will be The score of factor score is divided into four parts by low to high: Q1.Q2. Q3.Q4. The group of Q4 with higher score of traditional mode factor is larger than that in Q1 group (P0 (01) BMI, waist and waist-to-hip ratio (P0.05). The majority of the population in this mode is older, and the weight is higher and the weight is higher. The BMI of Q4 group was significantly higher than that in Q1 group (P0.01). ). In the fourth group, the waist-and-hip of the Q4 group was smaller than that in the Q1 group (P0.05). BMI and diastolic blood pressure and systolic blood pressure were higher than that in Q1 group (P0.01). 05) BMI, waist and waist-to-hip ratio were lower (P0.05). The age of Q4 group was significantly lower than that in Q1 group (P0.01). After adjusting age, the fat pattern and BMI, waist circumference , systolic and diastolic blood pressure positive correlation, vegetarian model The final fit-of-fit index of the model is analyzed by the structural equation model of the diet and the physical examination index: the GFI is 0.9706. AGFI is 0.9687. The RMR is 2. .5575, PGFI was 0.9647. It was found that the model fitting was good. The path coefficients of the traditional and the hemoglobin factors and the liver function factors were 0.056 and 0.1338, respectively. The path coefficients of the lipid and blood pressure factors and the metabolic factors were 0.9974 and 1.1287, respectively. The alcoholic mode and the blood pressure factor, the hemoglobin factor and the liver function The path coefficients of the energy factors are 0, respectively. 03385, 2.3972, 0.9928, indicating a positive correlation between them. The path coefficient of the modern model to the blood pressure factor is-0.07; the path coefficient of the vegetarian and hemoglobin factors is-0.33303; the snack mode and the blood red egg Conclusion 1. The BMI water, li overweight and obesity rate in Jinan are higher than or close to the national nutrition survey level. The average waist circumference is lower than that of Shandong Province, and the prevalence of hypertension is lower than that of the whole country. The intake of the foot and the salt is much higher than the recommended amount of the dietary pagoda; the intake of different people There is a clear difference in the type and quantity of the food. It is suggested that the increase of the intake of oil and salt can increase the risk of obesity and hypertension. don't; grease pattern is associated with BMI, waist, WHR, and blood pressure to reduce grease, The intake of meat, salt and refined grains, and the formation of healthy eating habits. It is of great significance to prevent the occurrence of obesity and hypertension.4. The blood pressure factor and the liver function factor are affected by the dietary factors. Blood pressure
【學(xué)位授予單位】:山東大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類號(hào)】:R153.1

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