高心血管风险的老年地中海人群的液体和总水分摄入：PREDIMED-Plus 研究中的人口统计学和生活方式决定因素。

Fluid and total water intake in a senior mediterranean population at high cardiovascular risk: demographic and lifestyle determinants in the PREDIMED-Plus study.

机构信息

Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain.

Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.

出版信息

Eur J Nutr. 2020 Jun;59(4):1595-1606. doi: 10.1007/s00394-019-02015-3. Epub 2019 Jun 1.

DOI:10.1007/s00394-019-02015-3

PMID:31154492

Abstract

PURPOSE

We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk.

METHODS

Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate-vigorous physical activity (MVPA).

RESULTS

The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32).

CONCLUSIONS

High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.

摘要

目的

我们旨在评估总水分摄入（TWI）和液体总水分摄入（TWIF）建议的依从性与高心血管风险的老年地中海人群的一些社会人口学和生活方式因素之间的关系。

方法

对 PREDIMED-Plus 研究的 1902 名参与者进行横断面分析。使用经过验证的 32 项西班牙液体摄入问卷评估饮料消费和水分摄入。使用多变量逻辑回归模型，根据各种社会人口学和生活方式因素，评估 TWI 和 TWIF 建议的依从性的比值比（OR）和 95%置信区间（CI），以及地中海饮食（MedDiet）依从性和中等强度至高强度体力活动（MVPA）的联合关联性。

结果

研究人群的平均总液体摄入量为 1934±617ml/天。水是最常饮用的饮料。仅在酒精和热饮消费方面观察到性别之间的显著差异。TWIF 的依从性与女性（OR 3.02；2.40，3.80）、高 MedDiet 依从性（OR 1.07；1.02，1.12）和更多参与体力活动（PA）的参与者（OR 1.07；1.02，1.13）相关。年龄呈负相关（OR 0.96；0.94，0.98）。与 TWI 建议依从性相关的类似结果与女性（OR 5.34；3.85，7.42）、MedDiet 依从性（OR 1.16；1.02，1.31）和 PA（OR 1.07；1.00，1.15）有关。PA 和 MedDiet 的联合关联性表明，更高 MedDiet 依从性和符合世界卫生组织 MVPA 建议的参与者更好地遵守 TWI 建议（OR 1.66；1.19，2.32）。