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缅甸仰光地区水果和蔬菜的消费及其与非传染性疾病危险因素的关联:一项横断面研究。

Consumption of fruits and vegetables and associations with risk factors for non-communicable diseases in the Yangon region of Myanmar: a cross-sectional study.

作者信息

Kjøllesdal Marte, Htet Aung Soe, Stigum Hein, Hla Ne Yi, Hlaing Hlaing Hlaing, Khaine Ei Kay, Khaing Win, Khant Aung Kyaw, Khin Naw Ohn Khin, Mauk Kay Khine Aye, Moe Ei Ei, Moe Hla, Mon Kyawt Kyawt, Mya Kyaw Swa, Myint Chomar Kaung, Myint Cho Yi, Myint Maung Maung, Myint Ohnmar, New Aye Aye, Oo Ei Sanda, Oo Khin Sandar, Pyone Zin Zin, Soe Yin Yin, Wai Myint Myint, Win Nilar, Bjertness Espen

机构信息

Institute of Health and Society, University of Oslo, Oslo, Norway.

University of Pharmacy, Yangon, Myanmar.

出版信息

BMJ Open. 2016 Aug 26;6(8):e011649. doi: 10.1136/bmjopen-2016-011649.

Abstract

OBJECTIVES

To explore the intake of fruits and vegetables in the Yangon region, Myanmar, and to describe associations between intake of fruits and vegetables (FV) and established risk factors for non-communicable diseases.

DESIGN

2 cross-sectional studies, using the STEPs methodology.

SETTING

Urban and rural areas of the Yangon region of Myanmar.

PARTICIPANTS

1486, men and women, 25-74 years, were recruited through a multistage cluster sampling method. Institutionalised people, military personnel, Buddhist monks and nuns were not invited. Physically and mentally ill people were excluded.

RESULTS

Mean intake of fruit was 0.8 (SE 0.1) and 0.6 (0.0) servings/day and of vegetables 2.2 (0.1) and 1.2 (0.1) servings/day, in urban and rural areas, respectively. Adjusted for included confounders (age, sex, location, income, education, smoking and low physical activity), men and women eating ≥2 servings of fruits and vegetables/day had lower odds than others of hypertriglyceridaemia (OR 0.72 (95% CI 0.56 to 0.94)). On average, women eating at least 2 servings of fruits and vegetables per day had cholesterol levels 0.28 mmol/L lower than the levels of other women. When only adjusted for sex and age, men eating at least 2 servings of fruits and vegetables per day had cholesterol levels 0.27 mmol/L higher than other men.

CONCLUSIONS

A high intake of FV was associated with lower odds of hypertriglyceridaemia among men and women. It was also associated with cholesterol levels, negatively among women and positively among men.

摘要

目的

探讨缅甸仰光地区水果和蔬菜的摄入量,并描述水果和蔬菜摄入量与已确定的非传染性疾病风险因素之间的关联。

设计

两项横断面研究,采用逐步评估方法。

地点

缅甸仰光地区的城乡。

参与者

通过多阶段整群抽样方法招募了1486名年龄在25 - 74岁之间的男性和女性。未邀请住院人员、军人、佛教僧侣和尼姑。排除身体和精神疾病患者。

结果

在城市和农村地区,水果的平均摄入量分别为每天0.8份(标准误0.1)和0.6份(0.0),蔬菜的平均摄入量分别为每天2.2份(0.1)和1.2份(0.1)。在对纳入的混杂因素(年龄、性别、地点、收入、教育、吸烟和低体力活动)进行调整后,每天食用≥2份水果和蔬菜的男性和女性患高甘油三酯血症的几率低于其他人(比值比0.72(95%置信区间0.56至0.94))。平均而言,每天至少食用2份水果和蔬菜的女性的胆固醇水平比其他女性低0.28 mmol/L。仅对性别和年龄进行调整时,每天至少食用2份水果和蔬菜的男性的胆固醇水平比其他男性高0.27 mmol/L。

结论

水果和蔬菜的高摄入量与男性和女性患高甘油三酯血症的几率较低有关。它也与胆固醇水平有关,在女性中呈负相关,在男性中呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7d0/5013453/b9aed2c18570/bmjopen2016011649f01.jpg

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