Liang M B, Wang H, Zhang J, He Q F, Fang L, Wang L X, Su D T, Zhao M, Zhang X W, Hu R Y, Cong L M, Ding G G, Ye Z, Yu M
Department of Non-communicable Diseases Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Dec 10;38(12):1694-1698. doi: 10.3760/cma.j.issn.0254-6450.2017.12.022.
To study the influence of diet and behavior related factors on the peripheral blood triglyceride levels in adults, through a cross-sectional survey. The current study included 13 434 subjects without histories of major chronic diseases from a population-based cross-sectional survey: the 2010 Metabolic Syndrome Survey in Zhejiang Province. A generalized linear model was used to investigate the influence of diet/behavior-related factors on the peripheral blood triglyceride levels. Mean TG of the sample population appeared as (1.36±1.18) mmol/L. The proportions of elevated TG and marginally elevated TG were 10.3% and 11.0% respectively, with statistically significant difference seen between males and females ((2)=44.135, <0.001). In this sampled population, the daily intake of cooking oil was exceeding the recommendation levels by over 50% while the intake of fruit, milk, nuts and physical exercise were much below the recommendation. There were statistically significant differences between smoking, alcohol-intake, meat, fruit and water intake in male population from this study. However, in females, the intake of aquatic product and physical exercise showed statistically significant differences. After controlling for other variables, factors as age, drinking, staple food and aquatic products showed positive influence on TG, while milk presented negative influence on TG. Through interaction analysis, fruit and meat intake in males and staple food in females showed positive influence on TG, when compared to the reference group. Hyperglyceridemia appeared as one of the major metabolic abnormities in Zhejiang province. Programs on monitoring the alcohol, staple food and meat intake should be priority on intervention, in the communities.
通过横断面调查研究饮食和行为相关因素对成年人外周血甘油三酯水平的影响。本研究纳入了基于人群的横断面调查——2010年浙江省代谢综合征调查中的13434名无重大慢性病病史的受试者。采用广义线性模型研究饮食/行为相关因素对外周血甘油三酯水平的影响。样本人群的甘油三酯均值为（1.36±1.18）mmol/L。甘油三酯升高和边缘升高的比例分别为10.3%和11.0%，男性和女性之间存在统计学显著差异（χ²=44.135，P<0.001）。在这个抽样人群中，食用油的每日摄入量超过推荐水平50%以上，而水果、牛奶、坚果的摄入量和体育锻炼量远低于推荐水平。本研究中男性人群在吸烟、饮酒、肉类、水果和水的摄入量方面存在统计学显著差异。然而，在女性中，水产品的摄入量和体育锻炼量存在统计学显著差异。在控制其他变量后，年龄、饮酒、主食和水产品等因素对甘油三酯呈正向影响，而牛奶对甘油三酯呈负向影响。通过交互分析，与参照组相比，男性的水果和肉类摄入量以及女性的主食摄入量对甘油三酯呈正向影响。高甘油三酯血症是浙江省主要的代谢异常之一。在社区中，应优先干预监测酒精、主食和肉类摄入量的项目。
