日本人群的饮食模式与血压及血脂水平
Dietary patterns and levels of blood pressure and serum lipids in a Japanese population.
作者信息
Sadakane Atsuko, Tsutsumi Akizumi, Gotoh Tadao, Ishikawa Shizukiyo, Ojima Toshiyuki, Kario Kazuomi, Nakamura Yosikazu, Kayaba Kazunori
机构信息
Department of Public Health, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
出版信息
J Epidemiol. 2008;18(2):58-67. doi: 10.2188/jea.18.58.
BACKGROUND
Associations between dietary patterns and cardiovascular disease risk factors remain unclear. The objective of this study was to evaluate the association between dietary patterns derived from factor analysis and the levels of blood pressure and serum lipids in a Japanese population.
METHODS
We conducted a cross-sectional analysis among 6886 (in the analysis on blood pressure) and 7641 (in the analysis on serum lipids) Japanese subjects aged 40-69 years. Dietary patterns were identified from a food frequency questionnaire by factor analysis. Associations between dietary patterns and blood pressure and serum lipids were examined after taking potential confounders into account.
RESULTS
Three dietary patterns were identified: vegetable, meat, and Western. In men, the meat pattern was associated with higher total, high-density lipoprotein (HDL), and low-density lipoprotein (LDL) cholesterol. The Western pattern was associated with higher total and LDL cholesterol. In women, the vegetable pattern was associated with lower systolic and diastolic blood pressure and pulse pressure, and higher HDL cholesterol. The meat pattern was associated with higher total and HDL cholesterol. The Western pattern was associated with higher total, HDL, and LDL cholesterol, and the least intake pattern of Western diet was associated with higher systolic and diastolic blood pressures.
CONCLUSIONS
Dietary patterns of a Japanese population were related to cardiovascular disease risk factors, especially in women.
背景
饮食模式与心血管疾病风险因素之间的关联尚不清楚。本研究的目的是评估通过因子分析得出的饮食模式与日本人群血压和血脂水平之间的关联。
方法
我们对6886名（血压分析）和7641名（血脂分析）40 - 69岁的日本受试者进行了横断面分析。通过因子分析从食物频率问卷中确定饮食模式。在考虑潜在混杂因素后，研究饮食模式与血压和血脂之间的关联。
结果
确定了三种饮食模式：蔬菜模式、肉类模式和西式模式。在男性中，肉类模式与较高的总胆固醇、高密度脂蛋白（HDL）胆固醇和低密度脂蛋白（LDL）胆固醇相关。西式模式与较高的总胆固醇和LDL胆固醇相关。在女性中，蔬菜模式与较低的收缩压和舒张压以及脉压相关，且HDL胆固醇较高。肉类模式与较高的总胆固醇和HDL胆固醇相关。西式模式与较高的总胆固醇、HDL胆固醇和LDL胆固醇相关，而西式饮食摄入最少模式与较高的收缩压和舒张压相关。
结论
日本人群的饮食模式与心血管疾病风险因素相关，尤其是在女性中。
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