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加拿大东部人群的水果和蔬菜摄入量与身体肥胖状况:明日健康大西洋伙伴关系研究

Fruit and vegetable intake and body adiposity among populations in Eastern Canada: the Atlantic Partnership for Tomorrow's Health Study.

作者信息

Yu Zhijie Michael, DeClercq Vanessa, Cui Yunsong, Forbes Cynthia, Grandy Scott, Keats Melanie, Parker Louise, Sweeney Ellen, Dummer Trevor J B

机构信息

Population Cancer Research Program, Department of Paediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.

School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

BMJ Open. 2018 Apr 10;8(4):e018060. doi: 10.1136/bmjopen-2017-018060.

Abstract

OBJECTIVES

The prevalence of obesity among populations in the Atlantic provinces is the highest in Canada. Some studies suggest that adequate fruit and vegetable consumption may help body weight management. We assessed the associations between fruit and vegetable intake with body adiposity among individuals who participated in the baseline survey of the Atlantic Partnership for Tomorrow's Health (Atlantic PATH) cohort study.

METHODS

We carried out a cross-sectional analysis among 26 340 individuals (7979 men and 18 361 women) aged 35-69 years who were recruited in the baseline survey of the Atlantic PATH study. Data on fruit and vegetable intake, sociodemographic and behavioural factors, chronic disease, anthropometric measurements and body composition were included in the analysis.

RESULTS

In the multivariable regression analyses, 1 SD increment of total fruit and vegetable intake was inversely associated with body mass index (-0.12 kg/m; 95% CI -0.19 to -0.05), waist circumference (-0.40 cm; 95% CI -0.58 to -0.23), percentage fat mass (-0.30%; 95% CI -0.44 to -0.17) and fat mass index (-0.14 kg/m; 95% CI -0.19 to -0.08). Fruit intake, but not vegetable intake, was consistently inversely associated with anthropometric indices, fat mass, obesity and abdominal obesity.

CONCLUSIONS

Fruit and vegetable consumption was inversely associated with body adiposity among the participant population in Atlantic Canada. This association was primarily attributable to fruit intake. Longitudinal studies and randomised trials are warranted to confirm these observations and investigate the underlying mechanisms.

摘要

目的

加拿大大西洋省份人群的肥胖患病率在全国最高。一些研究表明,摄入充足的水果和蔬菜可能有助于体重管理。我们评估了参与“大西洋明日健康伙伴关系”(Atlantic PATH)队列研究基线调查的个体中,水果和蔬菜摄入量与身体肥胖之间的关联。

方法

我们对在Atlantic PATH研究基线调查中招募的26340名年龄在35至69岁之间的个体(7979名男性和18361名女性)进行了横断面分析。分析纳入了水果和蔬菜摄入量、社会人口学和行为因素、慢性病、人体测量指标以及身体成分的数据。

结果

在多变量回归分析中,水果和蔬菜总摄入量每增加1个标准差,与体重指数呈负相关(-0.12kg/m²;95%置信区间-0.19至-0.05)、腰围呈负相关(-0.40cm;95%置信区间-0.58至-0.23)、体脂百分比呈负相关(-0.30%;95%置信区间-0.44至-0.17)以及脂肪量指数呈负相关(-0.14kg/m²;95%置信区间-0.19至-0.08)。水果摄入量而非蔬菜摄入量,始终与人体测量指标、脂肪量、肥胖及腹型肥胖呈负相关。

结论

加拿大大西洋地区参与研究的人群中,水果和蔬菜的摄入量与身体肥胖呈负相关。这种关联主要归因于水果摄入量。有必要进行纵向研究和随机试验以证实这些观察结果并探究潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4657/5898328/a64dff91c13f/bmjopen-2017-018060f01.jpg

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