Liang Wenbin, Lee Andy H, Binns Colin W, Huang Rongsheng, Hu Delong, Shao Hong
School of Public Health, Curtin University of Technology, Perth, WA, Australia.
Neuroepidemiology. 2009;33(2):111-6. doi: 10.1159/000222093. Epub 2009 May 30.
Experimental studies have suggested that soybean products may protect against ischemic stroke, but only limited epidemiological evidence is available.
Our aim was to investigate the relationship between soy food consumption and the risk of ischemic stroke among the Chinese population.
A case-control study was conducted in southern China during 2007-2008. Soy food consumption, dietary intake and lifestyle information were obtained from 374 incident ischemic stroke patients and 464 hospital-based controls. Logistic regression analyses were performed to assess the association between soy food intake and the ischemic stroke risk.
The mean weekly soy food intake was significantly lower (p = 0.001) among cases (89.9, SD = 239.3 g) than control subjects (267.7, SD = 426.1 g). Increased consumptions of dried soybean, tofu, soymilk and total soy foods were associated with reduced risks of ischemic stroke after adjusting for confounding factors. The corresponding adjusted odds ratios for the highest versus lowest level (<50 g) of intake were 0.20 (95% confidence interval = 0.09-0.48), 0.56 (0.36-0.89), 0.18 (0.06-0.51) and 0.23 (0.14-0.39), with significant dose-response relationships observed.
The results provided evidence of inverse association between habitual soy food consumption and the risk of ischemic stroke for Chinese adults.
实验研究表明,大豆制品可能预防缺血性中风,但仅有有限的流行病学证据。
我们的目的是调查中国人群中大豆食品消费与缺血性中风风险之间的关系。
2007年至2008年在中国南方进行了一项病例对照研究。从374例新发缺血性中风患者和464例医院对照中获取大豆食品消费、饮食摄入和生活方式信息。进行逻辑回归分析以评估大豆食品摄入量与缺血性中风风险之间的关联。
病例组(89.9,标准差=239.3克)的平均每周大豆食品摄入量显著低于对照组(267.7,标准差=426.1克)(p = 0.001)。在调整混杂因素后,干大豆、豆腐、豆浆和总大豆食品的摄入量增加与缺血性中风风险降低相关。摄入量最高与最低水平(<50克)相比的相应调整比值比分别为0.20(95%置信区间=0.09 - 0.48)、0.56(0.36 - 0.89)、0.18(0.06 - 0.51)和0.23(0.14 - 0.39),观察到显著的剂量反应关系。
结果提供了中国成年人习惯性大豆食品消费与缺血性中风风险之间存在负相关的证据。