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中国北京郊区心血管疾病危险因素的流行情况及其与饮食和体力活动的关系。

Prevalence of risk factors for cardiovascular disease and their associations with diet and physical activity in suburban Beijing, China.

机构信息

Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China.

出版信息

J Epidemiol. 2010;20(3):237-43. doi: 10.2188/jea.je20090119. Epub 2010 Apr 17.

Abstract

BACKGROUND

We calculated new prevalences of risk factors for cardiovascular disease (CVD) and examined their associations with dietary habits and physical activity in a suburban area of Beijing--one of the most urbanized cities in China.

METHODS

In 2007, a cross-sectional survey of a representative sample of 19,003 suburban residents aged 18 to 76 years was conducted. Dietary and anthropometric data were collected by questionnaire, and blood pressure, fasting blood glucose, and serum lipids were measured.

RESULTS

The age-standardized prevalences of the CVD risk factors overweight/obesity, diabetes, hypertension, dyslipidemia, and metabolic syndrome (MS) were 31.9%, 6.1%, 33.6%, 30.3%, and 11.6%, respectively. The adjusted odd ratios (95% confidence interval [CI]) of overweight/obesity, diabetes, hypertension, dyslipidemia, and MS for participants who were physically active, as compared with those who were not physically active, were 0.67 (0.47 to 0.85), 0.87 (0.80 to 0.95), 0.92 (0.87 to 0.98), 0.89 (0.82 to 0.96), and 0.74 (0.62 to 0.89), respectively. The adjusted odds ratios (95% CI) of hypertension and MS for participants with a high intake of salt, as compared with those without a high intake of salt, were 1.72 (1.29 to 2.03) and 1.48 (1.16 to 1.77), respectively. In addition, participants who consumed a high-fat diet were more likely to be overweight/obese and dyslipidemic, whereas vegetarians had less risk of overweight/obesity, diabetes, hypertension, dyslipidemia, and MS.

CONCLUSIONS

In this population of adults living in suburban Beijing, there were relatively high prevalences of the CVD risk factors overweight/obesity, diabetes, hypertension, dyslipidemia, and MS. Healthy dietary habits and physical activity may reduce the risks of these conditions.

摘要

背景

我们计算了心血管疾病(CVD)危险因素的新患病率,并研究了它们与饮食习惯和体育活动的关系,这些研究是在北京的一个郊区进行的,该地区是中国城市化程度最高的城市之一。

方法

2007 年,对 19003 名 18 至 76 岁的郊区居民进行了一项代表性的横断面调查。通过问卷收集饮食和人体测量数据,并测量血压、空腹血糖和血清脂质。

结果

经年龄标准化后,超重/肥胖、糖尿病、高血压、血脂异常和代谢综合征(MS)的 CVD 危险因素患病率分别为 31.9%、6.1%、33.6%、30.3%和 11.6%。与不活跃的参与者相比,积极进行体育活动的参与者的超重/肥胖、糖尿病、高血压、血脂异常和 MS 的调整后比值比(95%置信区间[CI])分别为 0.67(0.47 至 0.85)、0.87(0.80 至 0.95)、0.92(0.87 至 0.98)、0.89(0.82 至 0.96)和 0.74(0.62 至 0.89)。与低盐摄入者相比,高盐摄入者高血压和 MS 的调整后比值比(95%CI)分别为 1.72(1.29 至 2.03)和 1.48(1.16 至 1.77)。此外,摄入高脂肪饮食的参与者更容易超重/肥胖和血脂异常,而素食者超重/肥胖、糖尿病、高血压、血脂异常和 MS 的风险较低。

结论

在这个居住在北京郊区的成年人中,心血管疾病危险因素超重/肥胖、糖尿病、高血压、血脂异常和 MS 的患病率相对较高。健康的饮食习惯和体育活动可能会降低这些疾病的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d3/3900847/796aa297d7e6/je-20-237-g001.jpg

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