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体重指数与营养作为克罗地亚亚得里亚海岛屿人群健康和疾病的决定因素

Body mass index and nutrition as determinants of health and disease in population of Croatian Adriatic islands.

作者信息

Pucarin-Cvetković Jasna, Mustajbegović Jadranka, Doko Jelinić Jagoda, Senta Ankica, Nola Iskra Alexandra, Ivanković Davor, Kaić-Rak Antoinnete, Milosević Milan

机构信息

Department of Environmental, and Occupational Health, Andrija Stampar School of Public Health, Zagreb University School of Medicine, Rockefellerova 4, 10000 Zagreb, Croatia.

出版信息

Croat Med J. 2006 Aug;47(4):619-26.

Abstract

AIM

To investigate the relationships between body mass index (BMI), dietary habits, and cardiovascular risk factors in isolated Adriatic island populations of Croatia.

METHODS

Random sample of subjects (n=1001) was interviewed, using a validated questionnaire developed for this research program. Dietary habits were assessed on the basis of applied Food Frequency Questionnaire (FFQ). Biochemical analyses of total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), triglycerides, and blood glucose were performed. Blood pressure (mm Hg), height (m), and weight (kg) were measured following standard procedures.

RESULTS

Out of 1001 study participants, 507 (50.7%) were overweight (247 [48.7%] men and 260 [51.3%] women), whereas 268 (26.8%) were obese (122 [45.5%] men and 146 [54.5%] women). In both genders, there was a positive correlation between body mass index (BMI) and levels of triglycerides (P<0.001), glucose (P<0.001), diastolic blood pressure (P<0.001), and systolic blood pressure (male: P=0.002, female: P<0.001). Logistic regression showed that female gender (OR, 2.31; 95% CI, 1.61-3.31), overweight (OR, 1.97; 95% CI, 1.34-2.88), obesity (OR, 1.90; 95% CI, 1.22-2.96), more frequent consumption of meat (OR 1.17; 95% CI, 1.06-1.30) and beer (OR 1.14; 95% CI, 1.03-1.27), and less frequent consumption of potatoes (OR 0.91; 95% CI, 0.83-0.99) were predictive for the presence of cardiovascular risk factors.

CONCLUSION

Prevalence of obesity and related health outcomes was surprisingly high for the studied population. We found a correlation between BMI, dietary habits, and cardiovascular risk factors.

摘要

目的

研究克罗地亚亚得里亚海孤立岛屿人群的体重指数(BMI)、饮食习惯与心血管危险因素之间的关系。

方法

采用为本研究项目编制的经过验证的问卷,对受试者随机抽样(n = 1001)进行访谈。根据应用的食物频率问卷(FFQ)评估饮食习惯。对总胆固醇、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、甘油三酯和血糖进行生化分析。按照标准程序测量血压(mmHg)、身高(m)和体重(kg)。

结果

在1001名研究参与者中,507人(50.7%)超重(男性247人[48.7%],女性260人[51.3%]),而268人(26.8%)肥胖(男性122人[45.5%],女性146人[54.5%])。在男女两性中,体重指数(BMI)与甘油三酯水平(P<0.001)、血糖(P<0.001)、舒张压(P<0.001)和收缩压(男性:P = 0.002,女性:P<0.001)之间存在正相关。逻辑回归显示,女性(比值比,2.31;95%置信区间,1.61 - 3.31)、超重(比值比,1.97;95%置信区间,1.34 - 2.88)以及肥胖(比值比,1.90;95%置信区间,1.22 - 2.96)、更频繁食用肉类(比值比1.17;95%置信区间,1.06 - 1.30)和啤酒(比值比1.14;95%置信区间,1.03 - 1.27)以及较少食用土豆(比值比0.91;95%置信区间,0.83 - 0.99)可预测心血管危险因素的存在。

结论

研究人群中肥胖及相关健康结果的患病率出奇地高。我们发现BMI、饮食习惯与心血管危险因素之间存在相关性。

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