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遵循芬兰营养建议的饮食并不导致当前肥胖流行。

A diet following Finnish nutrition recommendations does not contribute to the current epidemic of obesity.

机构信息

National Institute for Health and Welfare, Department of Chronic Disease Prevention, Helsinki, Finland.

出版信息

Public Health Nutr. 2013 May;16(5):786-94. doi: 10.1017/S1368980012005356. Epub 2012 Dec 14.

Abstract

OBJECTIVE

Recently, the general public opinion is that nutritional recommendations promote obesity rather than prevent it. We created the Recommended Finnish Diet Score (RFDS) that illustrates the Finnish nutrition recommendations and assessed whether this score is associated with BMI, waist circumference (WC) and body fat percentage (BF%).

DESIGN

Cross-sectional study included two phases of the National FINRISK 2007 Study. Diet was assessed using a validated FFQ. Height, weight, WC and BF% were measured, and BMI values were calculated. The RFDS was developed based on the national nutrition recommendations.

SETTING

A large representative sample of the Finnish population.

SUBJECTS

Men (n 2190) and women (n 2530) aged 25-74 years.

RESULTS

The RFDS was inversely associated with WC in men (OR = 0·48, 95 % CI 0·28, 0·81, P < 0·05) and BF% in both men (OR = 0·44, 95 % CI 0·24, 0·82, P-trend < 0·05) and women (OR = 0·63, 95 % CI 0·37, 1·08, P-trend < 0·05). The inverse association of RFDS and BF% appeared stronger among older age groups (men: OR = 0·21 CI 0·07, 0·64, P-trend < 0·01; women: OR = 0·56, 95 % CI 0·25, 1·27, P-trend < 0·05) and among women with normal BMI (OR = 0·62, 95 % CI 0·36, 1·09, P-trend < 0·05). The RFDS was not associated with BMI.

CONCLUSIONS

A diet following nutrition recommendations is likely to help to maintain normal WC and BF%. These findings could be useful for dietary counselling and the prevention of obesity.

摘要

目的

最近,公众普遍认为营养建议会促进肥胖,而不是预防肥胖。我们创建了推荐芬兰饮食评分(RFDS),以说明芬兰的营养建议,并评估该评分与 BMI、腰围(WC)和体脂百分比(BF%)的相关性。

设计

这项横断面研究包括 2007 年全国 FINRISK 研究的两个阶段。使用经过验证的 FFQ 评估饮食。测量身高、体重、WC 和 BF%,并计算 BMI 值。RFDS 是基于国家营养建议制定的。

地点

芬兰人口的大型代表性样本。

受试者

年龄在 25-74 岁的男性(n=2190)和女性(n=2530)。

结果

在男性中,RFDS 与 WC 呈负相关(OR=0.48,95%CI 0.28,0.81,P<0.05),在男性和女性中,RFDS 与 BF%均呈负相关(OR=0.44,95%CI 0.24,0.82,P-趋势<0.05;OR=0.63,95%CI 0.37,1.08,P-趋势<0.05)。RFDS 与 BF%的负相关在年龄较大的组别中更为明显(男性:OR=0.21,95%CI 0.07,0.64,P-趋势<0.01;女性:OR=0.56,95%CI 0.25,1.27,P-趋势<0.05),在 BMI 正常的女性中更为明显(OR=0.62,95%CI 0.36,1.09,P-趋势<0.05)。RFDS 与 BMI 无关。

结论

遵循营养建议的饮食可能有助于维持正常的 WC 和 BF%。这些发现可能有助于饮食咨询和肥胖预防。

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