Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Int J Obes (Lond). 2009 Jun;33(6):621-8. doi: 10.1038/ijo.2009.45. Epub 2009 Mar 24.
Meats are high in energy and fat content, and thus may be associated with higher risk of obesity. Many controversies remain regarding the association between meat consumption (MC) and obesity.
The aim of this study was to analyze the associations between MC and obesity assessed using body mass index (BMI > or = 30) and waist circumference (> or = 102 cm in men and > or = 88 cm in women) among US adults.
Nationally representative data collected in the 1999-2004 National Health and Nutrition Examination Survey (NHANES) were used. Linear and logistic regression analyses were conducted to test the associations between MC and adiposity measures controlling for potential confounders.
Considerable differences existed in MC across sociodemographic groups among US adults. Those who consumed more meat had a much higher daily total energy intake, for example, those in the upper vs bottom quintiles consumed around 700 more kcal day(-1) (P<0.05). Regression models showed consistent positive associations between MC and BMI, waist circumference, obesity and central obesity, respectively. Using quintile 1 (low MC) as the reference, the association (odds ratio (OR) and 95% confidence interval (CI)) between total MC quintiles and obesity were 1.03 (0.88; 1.21; 2nd quintile), 1.17 (1.00; 1.38), 1.27 (1.08; 1.51) and 1.27 (1.08; 1.49; upper quintile), respectively; whereas that with central obesity was 1.13 (0.96-1.33), 1.31 (1.10; 1.54), 1.36 (1.17-1.60) and 1.33 (1.13; 1.55), respectively.
These US national cross-sectional data show positive associations between MC and risk for obesity and central obesity.
肉类富含能量和脂肪,因此可能与肥胖风险增加有关。关于肉类消费(MC)与肥胖之间的关联,仍存在许多争议。
本研究旨在分析美国成年人中使用体重指数(BMI≥30)和腰围(男性≥102cm,女性≥88cm)评估的 MC 与肥胖之间的关联。
使用 1999-2004 年全国健康和营养调查(NHANES)中收集的具有全国代表性的数据。进行线性和逻辑回归分析,以控制潜在混杂因素后,检验 MC 与肥胖测量指标之间的关联。
美国成年人的 MC 在社会人口统计学群体之间存在很大差异。例如,那些摄入更多肉类的人每天的总能量摄入要高得多,处于最高五分位组与最低五分位组相比,每天多摄入约 700 卡路里(P<0.05)。回归模型显示,MC 与 BMI、腰围、肥胖和中心性肥胖之间分别存在一致的正相关关系。以五分位 1(低 MC)为参考,总 MC 五分位组与肥胖之间的关联(比值比(OR)和 95%置信区间(CI))分别为 1.03(0.88;1.21;第二五分位组)、1.17(1.00;1.38)、1.27(1.08;1.51)和 1.27(1.08;1.49;最高五分位组);而与中心性肥胖的关联分别为 1.13(0.96-1.33)、1.31(1.10;1.54)、1.36(1.17-1.60)和 1.33(1.13;1.55)。
这些美国全国性的横断面数据表明,MC 与肥胖和中心性肥胖的风险之间存在正相关关系。