EMGO Institute for Health and Care Research & Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.
J Hum Nutr Diet. 2010 Dec;23(6):601-8. doi: 10.1111/j.1365-277X.2010.01089.x.
The prevalence of the metabolic syndrome is increasing, especially in young individuals. Most of the previous studies that have investigated the association between dietary fibre intake and the metabolic syndrome are cross-sectional or of short duration, and their results are inconsistent. The present study investigated whether dietary fibre intake during adolescence has a protective effect on developing the metabolic syndrome as an adult.
Data on dietary intake and metabolic syndrome components were derived from a healthy sample of 174 men and 194 women who were followed-up from the age of 13 years onwards in the Amsterdam Growth and Health Longitudinal Study. Data were analysed with use of generalised estimating equations and linear regression analyses.
The mean dietary fibre intake was 9.9 g/4.0 MJ (1000 kcal) during adolescence and 10.8 g/4.0 MJ (1000 kcal) at age 36 years. The prevalence of the metabolic syndrome at age 36 years was 10.1%. No differences were found in the time-course of dietary fibre intake between subjects with and those without the metabolic syndrome or its components. Dietary fibre intake during adolescence was not related to the components of the metabolic syndrome at age 36 years, except for an inverse relationship with waist circumference, where a gram/4.0 MJ (1000 kcal) higher fibre intake was associated with a 0.44 cm smaller waist circumference (P = 0.03, 95% CI -0.85 to -0.04).
The present study found no association between dietary fibre intake and the metabolic syndrome in young adults. High fibre intake, however, was inversely associated with waist circumference.
代谢综合征的患病率正在上升,尤其是在年轻人中。大多数先前研究膳食纤维摄入量与代谢综合征之间的关系的研究都是横断面或短期的,其结果不一致。本研究旨在调查青少年时期膳食纤维摄入量是否对成年后代谢综合征的发生具有保护作用。
从阿姆斯特丹生长与健康纵向研究中,选择了一个健康的男性样本 174 人和女性样本 194 人,随访至 13 岁以后,利用广义估计方程和线性回归分析,对饮食摄入和代谢综合征组成部分的数据进行分析。
青少年时期平均膳食纤维摄入量为 9.9 g/4.0 MJ(1000 千卡),36 岁时为 10.8 g/4.0 MJ(1000 千卡)。36 岁时代谢综合征的患病率为 10.1%。在有和没有代谢综合征或其组成部分的受试者中,膳食纤维摄入量的时间进程没有差异。青少年时期的膳食纤维摄入量与 36 岁时的代谢综合征组成部分无关,除了与腰围呈负相关,每 4.0 MJ(1000 千卡)高纤维摄入与腰围减少 0.44 cm 相关(P = 0.03,95%CI -0.85 至 -0.04)。
本研究未发现年轻成年人膳食纤维摄入量与代谢综合征之间存在关联。然而,高纤维摄入量与腰围呈负相关。