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植酸摄入与超重或肥胖人群 C 反应蛋白浓度的关系:利用 NHANES 2009/2010 的横断面研究。

Association between Phytate Intake and C-Reactive Protein Concentration among People with Overweight or Obesity: A Cross-Sectional Study Using NHANES 2009/2010.

机构信息

Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC 27412, USA.

出版信息

Int J Environ Res Public Health. 2019 May 2;16(9):1549. doi: 10.3390/ijerph16091549.

Abstract

Phytic acid has anti-oxidant properties, which are useful in addressing inflammation. This study investigated the relationship between dietary phytate intake and C-reactive protein (CRP) levels among individuals that are overweight or obese. The study used cross-sectional data from the 2009/2010 National Health and Nutrition Examination Survey (NHANES) for 3152 subjects. Phytate intake was estimated using phytate content of foods reported by the International Zinc Nutrition Consultative Group (IZiNCG). Logistic regression was used to determine the associations between phytate intake and odds of elevated CRP concentration (CRP >3 mg/L), adjusting for confounders. Medians (and 95% CIs) for phytate intake and CRP concentration were 0.66 (0.64, 0.68) g/d and 1.4 (1.2, 1.5) mg/L, respectively. Phytate intake was higher in males than females, higher in non-Hispanic Whites than non-Hispanic Blacks and Mexican Americans, and lower in current smokers than former smokers and nonsmokers. Higher phytate intake was associated with lower odds of elevated CRP (OR = 0.66; 95% CI = 0.52, 0.84). Women, as well as current and former smokers with overweight or obesity, had higher odds of elevated CRP concentration. These results imply that individuals with high phytate intake, particularly among those with overweight or obesity, have lower risk for inflammation-related chronic diseases such as cardiovascular diseases.

摘要

植酸具有抗氧化特性,可用于治疗炎症。本研究调查了饮食植酸摄入量与超重或肥胖个体 C 反应蛋白(CRP)水平之间的关系。该研究使用了 2009/2010 年全国健康和营养调查(NHANES)的横断面数据,共涉及 3152 名受试者。植酸摄入量是根据国际锌营养咨询组(IZiNCG)报告的食物中植酸含量来估计的。采用 logistic 回归来确定植酸摄入量与 CRP 浓度升高(CRP>3mg/L)之间的关联,同时调整混杂因素。植酸摄入量和 CRP 浓度的中位数(95%CI)分别为 0.66(0.64,0.68)g/d 和 1.4(1.2,1.5)mg/L。男性的植酸摄入量高于女性,非西班牙裔白种人高于非西班牙裔黑人和墨西哥裔美国人,而当前吸烟者的植酸摄入量低于前吸烟者和不吸烟者。较高的植酸摄入量与较低的 CRP 升高几率相关(OR=0.66;95%CI=0.52,0.84)。超重或肥胖的女性以及当前和前吸烟者的 CRP 浓度升高几率更高。这些结果表明,高植酸摄入量的个体,尤其是超重或肥胖的个体,患与炎症相关的慢性疾病(如心血管疾病)的风险较低。

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