Division of Preventive Medicine and Diabetes Education, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fushimi-ku, Kyoto 612-8555, Japan.
Division of Preventive Medicine and Diabetes Education, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fushimi-ku, Kyoto 612-8555, Japan.
Obes Res Clin Pract. 2014 Jan-Feb;8(1):e16-25. doi: 10.1016/j.orcp.2012.07.005.
The aim of this study was to assess the relationship between dietary factors and abdominal subcutaneous and visceral adipose tissue in overweight and obese men.
A pooled cross-sectional analysis was conducted to evaluate the associations between dietary factors (nutrition, dietary pattern and alcohol consumption) and subcutaneous fat area (SFA) and visceral fat area (VFA) in 301 Japanese men, aged 21-65 years.
The standardized regression coefficients of major dietary items (total energy intake, energy intake from breakfast, lunch, supper, between-meal, protein, fat, carbohydrate and alcohol) were positive for VFA in multiple linear regression analyses with the use of age and dietary items as independent variables. The energy intake from between-meal snacks correlated with SFA (standardized regression coefficient β = 0.174, p = 0.002). The coefficient of alcohol intake was positive for VFA and negative for SFA, and alcohol intake correlated with the VFA/total fat area (TFA) ratio (β = 0.130, p = 0.009). Alcohol intake was positively correlated with the blood non-esterified fatty acid concentration. Alcohol consumption additively increased energy intake from supper. The risk of an increase to VFA ≥ 100 cm(2) was 2.02 times higher (95% CI: 1.15, 3.56) for subjects whose energy intake was ≥ 2200 kcal/d, and 2.07 times higher (95% CI: 1.26, 3.42) in those who consumed ≥ 3 g/d alcohol. The risk of an increase to a VFA/TFA ratio ≥ 0.4 was 1.81 times higher (95% CI: 1.01, 3.23) for subjects whose energy intake from supper was ≥ 1000 kcal/d.
Our results indicate that habitual alcohol drinking and high-energy intake from supper are associated with disproportionate accumulation of visceral fat.
本研究旨在评估饮食因素与超重和肥胖男性腹部皮下和内脏脂肪组织之间的关系。
采用汇总的横断面分析方法，评估了 301 名年龄在 21-65 岁的日本男性的饮食因素（营养、饮食模式和饮酒）与皮下脂肪面积（SFA）和内脏脂肪面积（VFA）之间的关系。
在以年龄和饮食因素为自变量的多元线性回归分析中，主要饮食项目（总能量摄入、早餐、午餐、晚餐、两餐之间、蛋白质、脂肪、碳水化合物和酒精的能量摄入）的标准化回归系数与 VFA 呈正相关。两餐之间零食的能量摄入与 SFA 相关（标准化回归系数β=0.174，p=0.002）。酒精摄入量与 VFA 呈正相关，与 SFA 呈负相关，且与 VFA/总脂肪面积（TFA）比值呈正相关（β=0.130，p=0.009）。酒精摄入与血液非酯化脂肪酸浓度呈正相关。饮酒会额外增加晚餐的能量摄入。与 VFA≥100cm²的风险增加相关的是，能量摄入≥2200kcal/d 的受试者的风险增加 2.02 倍（95%可信区间：1.15，3.56），而消耗≥3g/d 酒精的受试者的风险增加 2.07 倍（95%可信区间：1.26，3.42）。与 VFA/TFA 比值≥0.4 的风险增加相关的是，晚餐能量摄入≥1000kcal/d 的受试者的风险增加 1.81 倍（95%可信区间：1.01，3.23）。
我们的结果表明，习惯性饮酒和晚餐摄入的高能量与内脏脂肪的不成比例积累有关。
