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在德黑兰成年人中,乳制品摄入量与代谢综合征的患病率呈负相关。

Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults.

作者信息

Azadbakht Leila, Mirmiran Parvin, Esmaillzadeh Ahmad, Azizi Fereidoun

机构信息

Endocrine Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Am J Clin Nutr. 2005 Sep;82(3):523-30. doi: 10.1093/ajcn.82.3.523.

Abstract

BACKGROUND

Although previous studies showed some benefits from dairy consumption with respect to obesity and insulin resistance syndrome, epidemiologic data on the association between dairy intakes and metabolic syndrome are sparse.

OBJECTIVE

The objective was to evaluate the relation between dairy consumption and metabolic syndrome in Tehranian adults.

DESIGN

Dairy consumption and features of metabolic syndrome were assessed in a population-based cross-sectional study of 827 subjects (357 men and 470 women) aged 18-74 y. Metabolic syndrome was defined according to guidelines of the Adult Treatment Panel III. Multivariate logistic regression adjusted for lifestyle and nutritional confounders was used in 4 models.

RESULTS

Mean (+/-SD) consumption of milk, yogurt, and cheese was 0.7 +/- 0.2, 1.06 +/- 0.6, and 0.9 +/- 0.3 servings/d, respectively. Subjects in the highest quartile of dairy consumption had lower odds of having enlarged waist circumference [odds ratio (OR) by quartile: 1, 0.89, 0.74, 0.63; P for trend < 0.001], hypertension (OR by quartile: 1, 0.88, 0.79, 0.71; P for trend < 0.02), and metabolic syndrome (OR by quartile: 1, 0.83, 0.74, 0.69; P for trend < 0.02). The values of ORs became weaker after further adjustment for calcium intake.

CONCLUSION

Dairy consumption is inversely associated with the risk of having metabolic syndrome. It seems that this relation is somewhat attributed to calcium.

摘要

背景

尽管先前的研究表明食用乳制品对肥胖和胰岛素抵抗综合征有一些益处,但关于乳制品摄入量与代谢综合征之间关联的流行病学数据却很稀少。

目的

评估德黑兰成年人乳制品消费与代谢综合征之间的关系。

设计

在一项基于人群的横断面研究中,对827名年龄在18 - 74岁的受试者(357名男性和470名女性)的乳制品消费情况和代谢综合征特征进行了评估。代谢综合征根据成人治疗小组III的指南进行定义。在4个模型中使用了针对生活方式和营养混杂因素进行调整的多变量逻辑回归分析。

结果

牛奶、酸奶和奶酪的平均(±标准差)消费量分别为0.7±0.2份/天、1.06±0.6份/天和0.9±0.3份/天。处于乳制品消费最高四分位数的受试者腰围增大的几率较低[按四分位数计算的优势比(OR):1、0.89、0.74、0.63;趋势P<0.001],高血压(按四分位数计算的OR:1、0.88、0.79、0.71;趋势P<0.02)和代谢综合征(按四分位数计算的OR:1、0.83、0.74、0.69;趋势P<0.02)。在进一步调整钙摄入量后,OR值变弱。

结论

乳制品消费与患代谢综合征的风险呈负相关。这种关系似乎在一定程度上归因于钙。

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