Sadeghi Omid, Keshteli Ammar Hassanzadeh, Doostan Farideh, Esmaillzadeh Ahmad, Adibi Peyman
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Diabetes Metab Syndr. 2018 Sep;12(5):769-775. doi: 10.1016/j.dsx.2018.04.040. Epub 2018 Apr 25.
To assess the association of dairy consumption and dietary calcium intake with general and abdominal obesity in a large sample of Iranian adults.
In this cross-sectional study, dairy consumption and dietary calcium intake were assessed using a validated dish-based 106-item semi-quantitative food frequency questionnaire in 6582 Iranian adults aged 18-55 years living in Isfahan. A self-administered validated questionnaire was used to collect data on anthropometric measures. Overweight or obesity was considered as body mass index ≥25 kg/m, and abdominal obesity as waist circumference ≥88 cm for women and ≥102 cm for men.
Mean age of study participants was 36.8 ± 8.1 years. Compared with the lowest quartile, men in the highest quartile of dietary calcium intake had greater odds for general obesity (OR: 1.29, 95% CI: 1.03-1.60). This relationship was significant even after adjustment for age and energy intake (OR: 1.28, 95% CI: 1.03-1.60). However, such relationship was not seen in women. No other significant associations were observed between dairy and dietary calcium intake with general or abdominal obesity.
Dietary calcium intake was positively associated with general obesity in men, but not in women. No significant association was seen between dairy consumption and general or central adiposity.
在大量伊朗成年人样本中评估乳制品摄入量和膳食钙摄入量与总体肥胖及腹型肥胖之间的关联。
在这项横断面研究中,通过一份经过验证的基于菜肴的106项半定量食物频率问卷,对居住在伊斯法罕的6582名18 - 55岁伊朗成年人的乳制品摄入量和膳食钙摄入量进行评估。使用一份自行填写的经过验证的问卷收集人体测量数据。超重或肥胖定义为体重指数≥25kg/m²,腹型肥胖定义为女性腰围≥88cm,男性腰围≥102cm。
研究参与者的平均年龄为36.8±8.1岁。与膳食钙摄入量最低四分位数组相比,膳食钙摄入量最高四分位数组的男性总体肥胖几率更高(比值比:1.29,95%置信区间:1.03 - 1.60)。即使在调整年龄和能量摄入后,这种关系仍然显著(比值比:1.28,95%置信区间:1.03 - 1.60)。然而,在女性中未观察到这种关系。在乳制品和膳食钙摄入量与总体或腹型肥胖之间未观察到其他显著关联。
膳食钙摄入量与男性总体肥胖呈正相关,但与女性无关。在乳制品摄入量与总体或中心性肥胖之间未观察到显著关联。