Ruixing Yin, Shangling Pan, Hong Chen, Hanjun Yang, Hai Wu, Yuming Chen, Jinzhen Wu, Feng Huang, Meng Li, Muyan Li
Department of Cardiology, Institute of Cardiovascular Diseases, the First Affiliated Hospital, Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi, P. R. China.
Alcohol. 2008 May;42(3):219-29. doi: 10.1016/j.alcohol.2008.01.009.
Bai Ku Yao is an isolated subgroup of the Yao minority in China. The special customs and cultures including their clothing, intraethnic marriages, corn wine and rum intakes are still completely conserved to the present day. Little is known about the association of diet and alcohol consumption with serum lipid levels in this population. The aim of this study was to compare the differences in diet, alcohol consumption, and serum lipid levels of the middle-aged and elderly between the Guangxi Bai Ku Yao and Han populations. A total of 485 subjects of Bai Ku Yao and 501 participants of Han Chinese aged 40 and over were surveyed by a stratified randomized cluster sampling. Information on dietary intake and alcohol consumption was collected by standard questionnaires. Serum lipid levels were measured. Education level, height, weight, body mass index, waist circumference, blood pressure, hypertension, and total energy, fat, protein, dietary cholesterol, and salt intakes were lower in Bai Ku Yao than in Han (P < .05-.001), whereas physical activity level, carbohydrate, vegetal protein, and total dietary fiber intakes were higher in Bai Ku Yao than in Han (P < .001 for all). Serum total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein (Apo) A1, and Apo B levels were lower in Bai Ku Yao than in Han (P < .001 for all). The levels of triglyceride, HDL-C, Apo A1, and the ratio of Apo A1 to Apo B in Bai Ku Yao were higher, but the levels of LDL-C and Apo B were lower in drinkers than in nondrinkers. The levels of triglyceride, HDL-C, LDL-C, Apo A1, Apo B, and the ratio of Apo A1 to Apo B in Bai Ku Yao were also influenced by the amount of alcohol consumed (P < .05-.001). High-density lipoprotein cholesterol levels in Han were higher and LDL-C levels were lower in drinkers than in nondrinkers (P < .01 for each). Serum total cholesterol, HDL-C, and LDL-C levels in Han were also associated with the amount of alcohol consumed (P < .05-.001). The differences in the lipid levels between the two ethnic groups may partially attribute to the differences in dietary habits and alcohol consumption.
白裤瑶是中国瑶族中一个与世隔绝的分支群体。其独特的习俗和文化，包括服饰、族内通婚、饮用玉米酒和米酒等，至今仍完整保留。目前对于该人群饮食和酒精摄入与血脂水平之间的关联了解甚少。本研究旨在比较广西白裤瑶和汉族中老年人群在饮食、酒精摄入及血脂水平方面的差异。采用分层随机整群抽样法，对白裤瑶485名受试者和汉族501名40岁及以上参与者进行了调查。通过标准问卷收集饮食摄入和酒精摄入信息，并测量血脂水平。白裤瑶的教育水平、身高、体重、体重指数、腰围、血压、高血压患病率以及总能量、脂肪、蛋白质、膳食胆固醇和盐的摄入量均低于汉族（P <.05 -.001），而白裤瑶的身体活动水平、碳水化合物、植物蛋白和总膳食纤维摄入量高于汉族（均P <.001）。白裤瑶的血清总胆固醇、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）、载脂蛋白（Apo）A1和Apo B水平均低于汉族（均P <.001）。白裤瑶饮酒者的甘油三酯、HDL-C、Apo A1水平以及Apo A1与Apo B的比值较高，但LDL-C和Apo B水平低于不饮酒者。白裤瑶的甘油三酯、HDL-C、LDL-C、Apo A1、Apo B水平以及Apo A1与Apo B的比值也受酒精摄入量的影响（P <.05 -.001）。汉族饮酒者的HDL-C水平较高，LDL-C水平低于不饮酒者（各P <.01）。汉族的血清总胆固醇、HDL-C和LDL-C水平也与酒精摄入量有关（P <.05 -.001）。两个民族之间血脂水平的差异可能部分归因于饮食习惯和酒精摄入的差异。
