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澳大利亚女性健康纵向研究中年队列中的早餐谷物消费与肥胖风险

Breakfast Cereal Consumption and Obesity Risk amongst the Mid-Age Cohort of the Australian Longitudinal Study on Women's Health.

作者信息

Quatela Angelica, Callister Robin, Patterson Amanda J, McEvoy Mark, MacDonald-Wicks Lesley K

机构信息

Discipline of Nutrition and Dietetics, School of Health Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia.

Priority Research Centre for Physical Activity and Nutrition, School of Biomedical Sciences and Pharmacy, The University of Newcastle, Callaghan, NSW 2308, Australia.

出版信息

Healthcare (Basel). 2017 Aug 30;5(3):49. doi: 10.3390/healthcare5030049.

Abstract

Obesity affects 27.5% of Australian women. Breakfast cereal consumption has been proposed to be protective against obesity. This study investigated the association of breakfast cereal consumption with the risk of developing obesity (Body Mass Index (BMI) ≥ 30 kg/m²) over 12 years among mid-age participants in the Australian Longitudinal Study on Women's Health (ALSWH). Dietary data were obtained at S3 and obesity incidence at S4-S7. Women were excluded if: dietary data were incomplete, energy intake was <4500 or >20,000 kJ/day, or they reported being overweight or obese at S3. Logistic regressions with discrete time survival analysis investigated the association between breakfast cereal intake and incident obesity and were adjusted for: area of residency, income, smoking, physical activity, hypertension, dietary intakes and a discrete measure of time. There were 308 incident cases of obesity. Any breakfast cereal intake was not associated with incident obesity (Odds Ratio (OR): 0.92; = 0.68). Oat-based cereal (OR: 0.71; = 0.01), muesli (OR: 0.57; = 0.00) and All-Bran (OR: 0.62; = 0.01) intakes were associated with a significant reduction in obesity risk. Among this cohort, muesli on its own, or as part of oat-based cereals, and All-Bran, were associated with a reduction in obesity. This effect may be due to particular characteristics of these cereal eaters, but the relationship warrants further investigation.

摘要

肥胖影响着27.5%的澳大利亚女性。食用早餐谷物被认为有助于预防肥胖。本研究在澳大利亚女性健康纵向研究(ALSWH)的中年参与者中,调查了食用早餐谷物与12年内发生肥胖(体重指数(BMI)≥30 kg/m²)风险之间的关联。在第三阶段获取饮食数据,在第四至七阶段获取肥胖发病率。若女性符合以下情况则被排除:饮食数据不完整、能量摄入量<4500或>20000千焦/天,或她们在第三阶段报告超重或肥胖。采用离散时间生存分析的逻辑回归研究了早餐谷物摄入量与肥胖发生率之间的关联,并对以下因素进行了调整:居住地区、收入、吸烟、身体活动、高血压、饮食摄入量以及时间的离散度量。共有308例肥胖病例。食用任何早餐谷物与肥胖发生率均无关联(优势比(OR):0.92;P = 0.68)。食用燕麦类谷物(OR:0.71;P = 0.01)、什锦早餐(OR:0.57;P = 0.00)和全麦麸(OR:0.62;P = 0.01)与肥胖风险显著降低相关。在这一队列中,单独食用什锦早餐,或作为燕麦类谷物的一部分食用,以及食用全麦麸,都与肥胖风险降低相关。这种影响可能归因于这些食用谷物者的特定特征,但这种关系值得进一步研究。

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