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大地震幸存者的生活条件与饮食模式的关系。

Relationship of living conditions with dietary patterns among survivors of the great East Japan earthquake.

机构信息

Center for International Collaboration and Partnership, National Institute of Health and Nutrition, Tokyo, Japan.

出版信息

J Epidemiol. 2013 Sep 5;23(5):376-81. doi: 10.2188/jea.je20130025. Epub 2013 Aug 10.

Abstract

BACKGROUND

During the year after the Great East Japan Earthquake on March 11, 2011, the health conditions and lifestyles of survivors were extensively surveyed. We examined the relationship between living conditions and dietary pattern among survivors.

METHODS

A total of 10 466 survivors aged 18 years or older (25% of the population of that age in the area) participated in a survey of Iwate Prefecture. The average frequency of daily consumption of 8 food groups was determined by questionnaire. After excluding staple foods, which were consumed 3 times a day by 85% of participants, factor analysis was performed on 7 food groups among 9789 people (3795 men, 5994 women).

RESULTS

Factor analysis identified 2 dietary patterns-prudent and meat. The prudent dietary pattern is characterized by high intakes of fish and shellfish, soybean products, vegetables, fruit, and dairy products and was more evident among older participants and women. The meat dietary pattern is characterized by high intakes of meat and eggs and was more evident among younger participants and men. Age-adjusted multiple logistic regression analyses showed that male and female current smokers and men and women living in difficult conditions were likely to have a lower prudent dietary pattern score; male current smokers and male daily alcohol drinkers were likely to have a higher meat dietary pattern score.

CONCLUSIONS

During the year after the earthquake, the prudent dietary pattern was associated with better living conditions among survivors, whereas the meat dietary pattern was not.

摘要

背景

2011 年 3 月 11 日东日本大地震后的一年里,广泛调查了幸存者的健康状况和生活方式。我们研究了幸存者的生活条件与饮食模式之间的关系。

方法

共有 10466 名年龄在 18 岁及以上的幸存者(该地区该年龄段人口的 25%)参加了岩手县的一项调查。通过问卷调查确定了 8 个食物组的每日平均消费频率。在排除了 85%的参与者每天食用 3 次的主食之后,对 9789 人(3795 名男性,5994 名女性)中的 7 种食物组进行了因子分析。

结果

因子分析确定了两种饮食模式——谨慎型和肉类型。谨慎型饮食模式的特点是摄入大量的鱼贝类、豆制品、蔬菜、水果和奶制品,在年龄较大的参与者和女性中更为明显。肉类饮食模式的特点是摄入大量的肉类和蛋类,在年龄较小的参与者和男性中更为明显。年龄调整后的多因素逻辑回归分析表明,男性和女性的现吸烟者以及生活困难的男性和女性更有可能谨慎型饮食模式得分较低;男性现吸烟者和男性每日饮酒者更有可能肉类饮食模式得分较高。

结论

在地震后的一年里,谨慎型饮食模式与幸存者的较好生活条件相关,而肉类饮食模式则不然。

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