坚果摄入与美国青少年代谢综合征。
Nut consumption and metabolic syndrome in US adolescents.
机构信息
1Cleveland Clinic Children's Hospital,9500 Euclid Avenue/A120,Cleveland,OH 44195,USA.
2Children's Health,1935 Medical District,Dallas,TX,USA.
出版信息
Public Health Nutr. 2018 Dec;21(17):3245-3252. doi: 10.1017/S1368980018002070. Epub 2018 Sep 4.
OBJECTIVE
To determine whether nut intake is associated with the prevalence of metabolic syndrome in US adolescents.
DESIGN
A cross-sectional analysis of data from the National Health and Nutrition Examination Survey (NHANES) years 2003-2012. Anthropometric measurements, blood tests, 24 h diet recalls and demographic data were retrieved for participating adolescents. Metabolic syndrome was defined according to paediatric-modified Adult Treatment Panel III criteria. The exposure was defined as a nut intake ≥5 g/d.
SETTING
USA.
SUBJECTS
Individuals aged 12-19 years (n 2805).
RESULTS
Nut consumption was associated with lower odds for metabolic syndrome (crude OR=0·25; 95 % CI 0·11, 0·55; P≤0·001). This effect was independent of age, sex, race/ethnicity and family income:poverty ratio (adjusted OR=0·27; 95 % CI 0·12, 0·61; P=0·002), and was stable after controlling for nutritional covariates including intake of sugar and total energy consumption (OR=0·36; 95 % CI 0·16, 0·81; P=0·014).
CONCLUSION
Nut consumption of ≥5 g/d is independently associated with lower odds for metabolic syndrome in US adolescents.
目的
确定坚果摄入量是否与美国青少年代谢综合征的患病率有关。
设计
对 2003-2012 年全国健康和营养检查调查（NHANES）数据进行的横断面分析。检索了参与青少年的人体测量测量值、血液检查、24 小时饮食记录和人口统计学数据。代谢综合征根据儿科改良成人治疗小组 III 标准定义。暴露定义为每天摄入≥5 克坚果。
地点
美国。
研究对象
年龄在 12-19 岁的个体（n=2805）。
结果
坚果的消费与代谢综合征的几率较低相关（原始 OR=0·25；95 % CI 0·11，0·55；P≤0·001）。这种效果独立于年龄、性别、种族/民族和家庭收入与贫困率（调整 OR=0·27；95 % CI 0·12，0·61；P=0·002），并且在控制包括糖和总能量消耗在内的营养协变量后仍然稳定（OR=0·36；95 % CI 0·16，0·81；P=0·014）。
结论
每天摄入≥5 克的坚果与美国青少年代谢综合征的几率较低独立相关。
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