[不健康饮食摄入与智利成年人群代谢综合征较高患病率相关：2009 - 2010年全国健康调查的横断面研究]

[UNHEALTHY FOOD INTAKE IS LINKED TO HIGHER PREVALENCE OF METABOLIC SYNDROME IN CHILEAN ADULT POPULATION: CROSS SECTIONAL STUDY IN 2009-2010 NATIONAL HEALTH SURVEY].

作者信息

Dussaillant Catalina, Echeverría Guadalupe, Villarroel Luis, Marin Pedro Paulo, Rigotti Attilio

机构信息

Centro de Nutrición Molecular y Enfermedades Crónicas. Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago, Chile..

Centro de Nutrición Molecular y Enfermedades Crónicas..

出版信息

Nutr Hosp. 2015 Nov 1;32(5):2098-104. doi: 10.3305/nh.2015.32.5.9657.

DOI:10.3305/nh.2015.32.5.9657

PMID:26545665

Abstract

INTRODUCTION

metabolic syndrome (MS) is a clustering of risk factors known to promote cardiovascular disease and diabetes. Environmental factors, such as unhealthy diet, play a major role in the development of this condition. In this study, we evaluated the prevalence of MS and its association with food intake quality among Chilean adults.

METHODS

we analyzed data of 2 561 adults (≥ 18 years-old) included in the last National Health Survey (NHS 2009-2010) who had appropriate information to diagnose MS based on ATP III-NCEP guidelines. Consumption frequency of fish, whole grains, dairy, fruits and vegetables was also analyzed and associated with MS prevalence. Using a healthy diet score (HDS), we described the overall diet quality and further correlated it with MS prevalence.

RESULTS

we found that lower whole grain intake was associated with greater MS prevalence (OR = 1.78; 95% CI: 1.088-2.919; p = 0.022). HDS showed better diet quality among women and in subjects with increasing age and higher educational level. A HDS < 3 points was associated with an increased risk of MS (OR HDS < 3 / HDS ≥ 3 = 3.69; 95% CI 1.884-7.225, p < 0.001).

CONCLUSION

Chilean adult population exhibits a high prevalence of MS linked to a poor diet quality.

摘要

引言

代谢综合征（MS）是一组已知会促进心血管疾病和糖尿病的危险因素。环境因素，如不健康饮食，在这种疾病的发展中起主要作用。在本研究中，我们评估了智利成年人中MS的患病率及其与食物摄入质量的关联。

方法

我们分析了纳入上次全国健康调查（2009 - 2010年国家健康调查）的2561名成年人（≥18岁）的数据，这些人有根据ATP III - NCEP指南诊断MS的适当信息。还分析了鱼类、全谷物、乳制品、水果和蔬菜的消费频率，并将其与MS患病率相关联。使用健康饮食评分（HDS），我们描述了总体饮食质量，并进一步将其与MS患病率相关联。

结果

我们发现全谷物摄入量较低与较高的MS患病率相关（OR = 1.78；95% CI：1.088 - 2.919；p = 0.022）。HDS显示女性以及年龄增长和教育水平较高的受试者饮食质量更好。HDS < 3分与MS风险增加相关（OR HDS < 3 / HDS≥3 = 3.69；95% CI 1.884 - 7.225，p < 0.001）。