Hajishafiee Maryam, Ghiasvand Reza, Darvishi Leila, Maghsoudi Zahra, Ghasemi Shekoofe, Hariri Mitra, Khorvash Fariborz, Iraj Bijan, Askari Gholamreza
Food Security Research Center, Isfahan Universtiy of Medical Science, Isfahan, Iran.
Int J Prev Med. 2013 May;4(Suppl 2):S290-3.
Stroke is a leading cause of preventable morbidity and mortality in the United States. Numerous studies have shown that dietary carbohydrates play an important role in stroke incident. Therefore, this study aimed to assess the association between dietary intake of carbohydrate and its types and stroke incidence among Iranian adults.
A case-control study was performed among 46 men (5618) and 23 women (527) admitted to the Al Zahra hospital with stroke and 60 healthy people were chosen in control group. Dietary intake was measured by food frequency questionnaire (FFQ) including 168 items. Food processor software (version 2) was used to analyze data.
ANTHROPOMETRIC INDICES OF MALE AND FEMALE PATIENTS WERE (BMI: 297.5), (Waist: 11215) and (BMI: 25.53.5), (Waist: 925) respectively. Energy intake and carbohydrate consumption of patients in both genders was higher than the healthy subjects which was statistically significant among men (P < 0.05). Across different carbohydrate sources, refined carbohydrates consumption was higher among patients in both gender rather than the healthy subjects While, the healthy people had a higher whole grain consumption.
High carbohydrate intake specially refined sources with high glycemic index (GI) and glycemic load (GL) is associated with increased risk of stroke. Hence, dietary intake requires improvement to provide protection from life threatening outcomes.
在美国，中风是可预防的发病和死亡的主要原因。众多研究表明，膳食碳水化合物在中风发病中起重要作用。因此，本研究旨在评估伊朗成年人膳食碳水化合物摄入量及其类型与中风发病率之间的关联。
对入住阿尔扎赫拉医院的46名男性（5618人）和23名女性（527人）中风患者进行了病例对照研究，并选择60名健康人作为对照组。通过包括168个条目的食物频率问卷（FFQ）来测量膳食摄入量。使用食物处理器软件（版本2）分析数据。
男性和女性患者的人体测量指标分别为（体重指数：297.5），（腰围：11215）和（体重指数：25.53.5），（腰围：925）。男女患者的能量摄入量和碳水化合物消耗量均高于健康受试者，在男性中具有统计学意义（P < 0.05）。在不同的碳水化合物来源中，男女患者的精制碳水化合物消耗量均高于健康受试者，而健康人群的全谷物摄入量更高。
高碳水化合物摄入量，特别是高血糖指数（GI）和血糖负荷（GL）的精制来源，与中风风险增加有关。因此，需要改善膳食摄入以预防危及生命的后果。
