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瑞典成年人群体中的叶酸摄入量:食物来源及预测因素。

Folate intake in a Swedish adult population: Food sources and predictive factors.

作者信息

Monteagudo Celia, Scander Henrik, Nilsen Bente, Yngve Agneta

机构信息

Department of Food, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden.

Research Group on Nutrition, Diet and Risk Assessment-AGR255, Department of Nutrition and Food Science, University of Granada, Granada, Spain.

出版信息

Food Nutr Res. 2017 Jun 7;61(1):1328960. doi: 10.1080/16546628.2017.1328960. eCollection 2017.

Abstract

: Folate plays an important role in cell metabolism, but international studies show that intake is currently below recommendations, especially among women. The study objective was to identify folate food sources by food group, gender, and age group, and to identify factors influencing folate intake, based on food consumption data for Swedish adults in the 2010-11 Riksmaten study. : The sample included a representative Swedish population aged 18-80 years ( = 1657; 56.3% female). Food and nutrient intakes were estimated from self-reported food records during 4 consecutive days. Food consumption was categorized into 26 food groups. Stepwise regression was used to analyze food groups as folate sources for participants. Factors predicting the highest folate intake (third tertile) were determined by logistic regression analysis. : Vegetables and pulses represented the most important folate source for all age groups and both genders, especially in women aged 45-64 years (49.7% of total folate intake). The next folate source in importance was dairy products for the youngest group (18-30 years), bread for men, and fruit and berries for women. The likelihood of being in the highest tertile of folate intake (odds ratio = 1.69, 95% confidence interval 1.354-2.104) was higher for men. Influencing factors for folate intake in the highest tertile were low body mass index and high educational level in the men, and high educational level, vegetarian diet, organic product consumption, non-smoking, and alcohol consumption within recommendations in the women. : This study describes the folate intake per food group of Swedish adults according to the 2010-11 Riksmaten survey, identifying vegetables and pulses as the most important source. Data obtained on factors related to folate consumption may be useful for the development of specific nutrition education programs to increase the intake of this vitamin in high-risk groups.

摘要

叶酸在细胞代谢中起着重要作用,但国际研究表明,目前叶酸摄入量低于建议水平,尤其是在女性群体中。本研究的目的是根据2010 - 2011年瑞典国家食品消费调查(Riksmaten study)中瑞典成年人的食物消费数据,按食物类别、性别和年龄组确定叶酸的食物来源,并找出影响叶酸摄入量的因素。

样本包括18至80岁具有代表性的瑞典人群(n = 1657;56.3%为女性)。通过连续4天的自我报告食物记录来估算食物和营养素摄入量。食物消费被分为26个食物类别。采用逐步回归分析参与者各食物类别作为叶酸来源的情况。通过逻辑回归分析确定预测最高叶酸摄入量(第三四分位数)的因素。

蔬菜和豆类是所有年龄组和两性最重要的叶酸来源,尤其是45至64岁的女性(占总叶酸摄入量的49.7%)。其次重要的叶酸来源,对于最年轻的年龄组(18至30岁)是乳制品,对男性是面包,对女性是水果和浆果。男性处于叶酸摄入量最高三分位数的可能性更高(优势比 = 1.69,95%置信区间1.354 - 2.104)。处于最高三分位数的叶酸摄入量的影响因素,对男性而言是低体重指数和高教育水平,对女性而言是高教育水平、素食饮食、有机产品消费、不吸烟以及在建议范围内饮酒。

本研究根据2010 - 2011年瑞典国家食品消费调查描述了瑞典成年人各食物类别的叶酸摄入量,确定蔬菜和豆类是最重要的来源。所获得的与叶酸消费相关因素的数据可能有助于制定特定的营养教育计划,以增加高危人群中这种维生素的摄入量。

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