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
[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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