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韩国女性体内核黄素摄入量低与心脏代谢风险相关。

Low riboflavin intake is associated with cardiometabolic risks in Korean women.

作者信息

Shin Woo-Young, Kim Jung-Ha

机构信息

Department of Family Medicine, Chung-ang University Medical Center, Chung-ang University College of Medicine, Seoul, Republic of Korea.

Department of Pathology, Chung-ang University College of Medicine, Seoul, Republic of Korea.

出版信息

Asia Pac J Clin Nutr. 2019;28(2):285-299. doi: 10.6133/apjcn.201906_28(2).0011.

Abstract

BACKGROUND AND OBJECTIVES

Metabolic syndrome is a leading global public health concern. Nutritional approaches are important for preventing and managing cardiometabolic risks, including metabolic syndrome. The aim of this study was to examine the potential association between riboflavin intake and cardiometabolic risks according to sex among Koreans.

METHODS AND STUDY DESIGN

We used data from the Korea National Health and Nutrition Examination Survey 2015-2016, a nationwide cross-sectional survey that assesses the health and nutritional status of the Korean population. A total of 6,062 individuals aged ≥19 years were included. The nutrition survey was performed using 24-h dietary recall.

RESULTS

A significant association was observed between low riboflavin intake with only increased HDL-cholesterol (OR 1.362, 95% CI 1.017-1.824, p=0.038) among metabolic syndrome and its components in men, whereas insufficient riboflavin intake was positively associated with hypertension (OR 1.352, 95% CI 1.085-1.685, p=0.007), diabetes (OR 1.493, 95% CI 1.137-1.959, p=0.004) and metabolic syndrome (OR 1.289, 95% CI 1.014-1.640, p=0.038) in women after adjusting for the other covariates. For post-menopausal women, central obesity was also correlated with insufficient riboflavin intake (OR 1.315, 95% CI 1.019-1.696, p=0.035).

CONCLUSIONS

Insufficient riboflavin intake may contribute to development of cardiometabolic disorder, particularly in women. It was also found that riboflavin may have different influences on its risks in women according to menopausal status. This study highlighted the importance of public policies targeted at these sex-specific groups for reducing cardiometabolic risks.

摘要

背景与目的

代谢综合征是全球主要的公共卫生问题。营养方法对于预防和管理包括代谢综合征在内的心脏代谢风险至关重要。本研究的目的是探讨韩国人按性别划分的核黄素摄入量与心脏代谢风险之间的潜在关联。

方法与研究设计

我们使用了2015 - 2016年韩国国家健康与营养检查调查的数据,这是一项评估韩国人群健康和营养状况的全国性横断面调查。共纳入6062名年龄≥19岁的个体。营养调查采用24小时膳食回顾法。

结果

在男性中,代谢综合征及其组分中仅低核黄素摄入量与高密度脂蛋白胆固醇升高显著相关(比值比1.362,95%置信区间1.017 - 1.824,p = 0.038),而在调整其他协变量后,女性核黄素摄入不足与高血压(比值比1.352,95%置信区间1.085 - 1.685,p = 0.007)、糖尿病(比值比1.493,95%置信区间1.137 - 1.959,p = 0.004)和代谢综合征(比值比1.289,95%置信区间1.014 - 1.640,p = 0.038)呈正相关。对于绝经后女性,中心性肥胖也与核黄素摄入不足相关(比值比1.315,95%置信区间1.019 - 1.696,p = 0.035)。

结论

核黄素摄入不足可能导致心脏代谢紊乱的发生,尤其是在女性中。还发现核黄素对女性风险的影响可能因绝经状态而异。本研究强调了针对这些特定性别人群制定公共政策以降低心脏代谢风险的重要性。

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