Millen Barbara E, Quatromoni Paula A, Pencina Michael, Kimokoti Ruth, Nam Byung-H O, Cobain Sonia, Kozak Waldemar, Appugliese Danielle P, Ordovas Jose, D'Agostino Ralph B
Graduate Programs in Medical Nutrition Sciences, Boston University School of Medicine, Boston, MA, USA.
J Am Diet Assoc. 2005 Nov;105(11):1723-34. doi: 10.1016/j.jada.2005.08.007.
To identify the dietary patterns of adult men and examine their relationships with nutrient intake and chronic disease risk over long-term follow-up.
DESIGN/SUBJECTS: Baseline 145-item food frequency questionnaires from 1,666 Framingham Offspring-Spouse cohort men were used to identify comprehensive dietary patterns. Independent 3-day dietary records at baseline and 8 years later provided estimates of subjects' nutrient intake by dietary pattern. Chronic disease risk factor status was compared at baseline and 16-year follow-up across all male dietary patterns.
Cluster analysis was applied to food frequency data to identify non-overlapping male dietary patterns. Analysis of covariance and logistic regression were used to compare nutrient intake, summary nutritional risk scores, and chronic disease risk status at baseline and follow-up by male dietary pattern.
Five distinct and comprehensive dietary patterns of Framingham Offspring-Spouse men were identified and ordered according to overall nutritional risk: Transition to Heart Healthy, Higher Starch, Average Male, Lower Variety, and Empty Calories. Nutritional risk was high and varied by dietary pattern; key nutrient contrasts were stable over 8-year follow-up. Chronic disease risk also varied by dietary pattern and specific subgroup differences persisted over 16 years, notably rates of overweight/obesity and smoking.
Quantitative cluster analysis applied to food frequency questionnaire data identified five distinct, comprehensive, and stable dietary patterns of adult Framingham Offspring-Spouse cohort men. The close associations between the dietary patterns, nutritional risk, and chronic disease profiles of men emphasize the importance of targeted preventive nutrition interventions to promote health in the male population.
确定成年男性的饮食模式，并在长期随访中研究其与营养摄入及慢性病风险的关系。
设计/研究对象：使用来自弗雷明汉后代-配偶队列中1666名男性的145项基线食物频率问卷来确定综合饮食模式。基线时及8年后独立的3天饮食记录提供了按饮食模式划分的研究对象营养摄入估计值。在所有男性饮食模式的基线和16年随访时比较慢性病风险因素状况。
对食物频率数据应用聚类分析以确定不重叠的男性饮食模式。使用协方差分析和逻辑回归按男性饮食模式比较基线和随访时的营养摄入、综合营养风险评分及慢性病风险状况。
确定了弗雷明汉后代-配偶男性的五种不同且全面的饮食模式，并根据总体营养风险排序：向心脏健康转变型、高淀粉型、普通男性型、低多样性型和空热量型。营养风险较高且因饮食模式而异；关键营养素对比在8年随访中保持稳定。慢性病风险也因饮食模式而异，特定亚组差异在16年中持续存在，尤其是超重/肥胖率和吸烟率。
对食物频率问卷数据应用定量聚类分析确定了弗雷明汉后代-配偶队列成年男性的五种不同、全面且稳定的饮食模式。男性饮食模式、营养风险和慢性病概况之间的密切关联强调了针对性预防营养干预对促进男性人群健康的重要性。
