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西班牙膳食纤维的摄入量及膳食食物来源:与ANIBES研究中成年人体重超标和腹部肥胖患病率的差异

Intake and Dietary Food Sources of Fibre in Spain: Differences with Regard to the Prevalence of Excess Body Weight and Abdominal Obesity in Adults of the ANIBES Study.

作者信息

González-Rodríguez Liliana G, Perea Sánchez José Miguel, Aranceta-Bartrina Javier, Gil Ángel, González-Gross Marcela, Serra-Majem Lluis, Varela-Moreiras Gregorio, Ortega Rosa M

机构信息

Department of Nutrition and Dietetics, Faculty of Health Sciences, University Alfonso X El Sabio, Madrid 28691, Spain.

VALORNUT Research Group, Department of Nutrition, Faculty of Pharmacy, Complutense University, Madrid 28040, Spain.

出版信息

Nutrients. 2017 Mar 25;9(4):326. doi: 10.3390/nu9040326.

Abstract

The aim was to study the intake and food sources of fibre in a representative sample of Spanish adults and to analyse its association with excess body weight and abdominal obesity. A sample of 1655 adults (18-64 years) from the ANIBES ("Anthropometric data, macronutrients and micronutrients intake, practice of physical activity, socioeconomic data and lifestyles") cross-sectional study was analysed. Fibre intake and dietary food sources were determined by using a three-day dietary record. Misreporters were identified using the protocol of the European Food Safety Authority. Mean (standard deviation) fibre intake was 12.59 (5.66) g/day in the whole sample and 15.88 (6.29) g/day in the plausible reporters. Mean fibre intake, both in the whole sample and the plausible reporters, was below the adequate intake established by European Food Safety Authority (EFSA) and the Institute of Medicine of the United States (IOM). Main fibre dietary food sources were grains, followed by vegetables, fruits, and pulses. In the whole sample, considering sex, and after adjusting for age and physical activity, mean (standard error) fibre intake (adjusted by energy intake) was higher in subjects who had normal weight (NW) 13.40 (0.184) g/day, without abdominal obesity 13.56 (0.192) g/day or without excess body weight and/or abdominal obesity 13.56 (0.207) g/day compared to those who were overweight (OW) 12.31 (0.195) g/day, < 0.001 or obese (OB) 11.83 (0.266) g/day, < 0.001, with abdominal obesity 12.09 (0.157) g/day, < 0.001 or with excess body weight and/or abdominal obesity 12.22 (0.148) g/day, < 0.001. There were no significant differences in relation with the fibre intake according to the body mass index (BMI), presence or absence of abdominal obesity or excess body weight and/or abdominal obesity in the plausible reporters. Fibre from afternoon snacks was higher in subjects with NW (6.92%) and without abdominal obesity (6.97%) or without excess body weight and/or abdominal obesity (7.20%), than those with OW (5.30%), < 0.05 or OB (4.79%), < 0.05, with abdominal obesity (5.18%), < 0.01, or with excess body weight and/or abdominal obesity (5.21%), < 0.01, in the whole sample. Conversely, these differences were not observed in the plausible reporters. The present study demonstrates an insufficient fibre intake both in the whole sample and in the plausible reporters and confirms its association with excess body weight and abdominal obesity only when the whole sample was considered.

摘要

本研究旨在对西班牙成年人的代表性样本进行膳食纤维摄入量及食物来源的研究,并分析其与超重和腹部肥胖的关系。我们对来自ANIBES(“人体测量数据、常量营养素和微量营养素摄入量、体育活动习惯、社会经济数据和生活方式”)横断面研究中的1655名成年人(18 - 64岁)样本进行了分析。通过连续三天的饮食记录来确定膳食纤维摄入量和饮食食物来源。使用欧洲食品安全局的方案识别误报者。整个样本的平均(标准差)膳食纤维摄入量为12.59(5.66)克/天,合理报告者为15.88(6.29)克/天。整个样本和合理报告者的平均膳食纤维摄入量均低于欧洲食品安全局(EFSA)和美国医学研究所(IOM)确定的适宜摄入量。主要的膳食纤维饮食食物来源是谷物,其次是蔬菜、水果和豆类。在整个样本中,考虑性别,并在调整年龄和体育活动后,体重正常(NW)者的平均(标准误)膳食纤维摄入量(经能量摄入调整)为13.40(±0.184)克/天,无腹部肥胖者为13.56(±0.192)克/天,无超重和/或腹部肥胖者为13.56(±0.207)克/天,均高于超重(OW)者的12.31(±0.195)克/天,P < 0.001;肥胖(OB)者的11.83(±0.266)克/天,P < 0.001;有腹部肥胖者的12.09(±0.157)克/天,P < 0.001;有超重和/或腹部肥胖者的12.22(±0.148)克/天,P < 0.001。在合理报告者中,根据体重指数(BMI)、有无腹部肥胖或超重和/或腹部肥胖情况,膳食纤维摄入量无显著差异。在整个样本中,NW者(6.92%)、无腹部肥胖者(6.97%)或无超重和/或腹部肥胖者(7.20%)下午零食中的膳食纤维含量高于OW者(5.30%),P < 0.05;高于OB者(4.79%),P < 0.05;高于有腹部肥胖者(5.18%),P < 0.01;高于有超重和/或腹部肥胖者(5.21%),P < 0.01。相反,在合理报告者中未观察到这些差异。本研究表明,整个样本和合理报告者的膳食纤维摄入量均不足,且仅在考虑整个样本时才证实其与超重和腹部肥胖有关。

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