School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
BMC Public Health. 2011 May 19;11:345. doi: 10.1186/1471-2458-11-345.
We hypothesized that socio-economic development could, via nutritionally driven levels of pubertal sex-steroids, promote a pro-inflammatory state among men but not women in developing countries. We tested this hypothesis, using recalled childhood meat eating as a proxy for childhood nutrition, in southern China.
We used multivariable linear regression in the Guangzhou Biobank Cohort Study phase 3 (2006-8) to examine the adjusted associations of recalled childhood meat eating, <1/week (n = 5,023), about once per week (n = 3,592) and almost daily (n = 1,252), with white blood cell count and its differentials among older (≥ 50 years) men (n = 2,498) and women (n = 7,369).
Adjusted for age, childhood socio-economic position, education and smoking, childhood meat eating had sex-specific associations with white blood cell count and lymphocyte count, but not granulocyte count. Men with childhood meat eating almost daily compared to <1/week had higher white blood cell count (0.33 109/L, 95% confidence interval (CI) 0.10 to 0.56) and higher lymphocyte count (0.16 109/L, 95% CI 0.07 to 0.25). Adjustment for obesity slightly attenuated these associations.
If confirmed, this hypothesis implies that economic development and the associated improvements in nutrition at puberty may be less beneficial among men than women; consistent with the widening sex differentials in life expectancy with economic development.
我们假设社会经济发展可以通过青春期性激素的营养驱动水平,在发展中国家促进男性的促炎状态,但不会促进女性的促炎状态。我们在中国南方使用回忆性儿童期吃肉行为来代表儿童期营养,检验了这一假设。
我们使用广州生物银行队列研究 3 期(2006-8 年)的多变量线性回归,来检验回忆性儿童期吃肉行为(<1/周(n=5023)、约每周一次(n=3592)和几乎每天(n=1252)与白细胞计数及其在老年(≥50 岁)男性(n=2498)和女性(n=7369)中的不同分类之间的调整关联。
在调整年龄、儿童期社会经济地位、教育和吸烟因素后,儿童期吃肉行为与白细胞计数和淋巴细胞计数具有性别特异性关联,但与粒细胞计数无关。与<1/周相比,几乎每天吃儿童期吃肉的男性白细胞计数(0.33×109/L,95%置信区间(CI)为 0.10 至 0.56)和淋巴细胞计数(0.16×109/L,95%CI 为 0.07 至 0.25)更高。肥胖的调整略微减弱了这些关联。
如果得到证实,这一假设意味着青春期经济发展和相关营养改善对男性的益处可能不如女性;这与经济发展导致的预期寿命性别差异扩大一致。