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营养标签使用与墨西哥慢性病相关:来自 2016 年墨西哥国家健康和营养调查的数据。

Nutrition Label Use Is Related to Chronic Conditions among Mexicans: Data from the Mexican National Health and Nutrition Survey 2016.

出版信息

J Acad Nutr Diet. 2020 May;120(5):804-814. doi: 10.1016/j.jand.2019.07.016. Epub 2019 Oct 1.

DOI:10.1016/j.jand.2019.07.016
PMID:31585829
Abstract

BACKGROUND

Non-communicable diseases, such as obesity, diabetes, and hypertension, can be prevented and treated through a balanced nutrient-rich diet. Nutrition labels have been recognized as crucial to preventing obesity and non-communicable diseases through a healthier diet.

OBJECTIVE

Our aim was to examine the association between nutrition label use and chronic conditions (overweight, obesity, previously diagnosed diabetes, and hypertension) among an adult Mexican population.

DESIGN

This was a cross-sectional study that used data from the Mexican National Health and Nutrition Survey of 2016 (ENSANUT MC 2016).

PARTICIPANTS/SETTING: The participants were 5,013 adults aged 20 to 70 years old. Older adults (>70 years), illiterate participants, pregnant women, and participants with implausible blood pressure data were excluded from the sample. The survey was conducted from May to August 2016 in the participants' households.

MAIN OUTCOME MEASURES

We measured chronic conditions (overweight, obesity, previously diagnosed diabetes, and hypertension).

STATISTICAL ANALYSES PERFORMED

Pearson χ test was used to examine the associations among the use of nutrition labels and sociodemographic characteristics and chronic conditions. Multiple logistic regression was used to determine the association between nutrition label use and chronic conditions adjusting for the effect of confounding variables like sex, age, body mass index, education level, marital status, ethnicity, residence area, region, and socioeconomic status.

RESULTS

From the total sample, 40.9% (95% CI 38.4% to 43.8%) reported using nutrition labeling. Respondents with overweight or obesity were less likely to use nutrition labels (odds ratio 0.74; P<0.05). Participants who self-reported diabetes had significantly lower odds of nutrition label use than participants who did not report to have diabetes (odds ratio 0.66; P<0.05). Participants having 3 chronic conditions had lower odds of nutrition label use (odds ratio 0.34; P<0.01) relative to having zero chronic conditions.

CONCLUSIONS

This study suggests an association between nutrition label use and chronic conditions (obesity and diabetes). These findings demonstrate that people with obesity, diabetes, and a combination of chronic conditions were less likely to use nutrition labels than people without these conditions.

摘要

背景

非传染性疾病,如肥胖、糖尿病和高血压,可以通过均衡的富含营养的饮食来预防和治疗。营养标签已被公认为通过更健康的饮食来预防肥胖和非传染性疾病的关键。

目的

我们旨在研究墨西哥成年人中营养标签使用与慢性疾病(超重、肥胖、先前诊断的糖尿病和高血压)之间的关系。

设计

这是一项横断面研究,使用了 2016 年墨西哥国家健康和营养调查(ENSANUT MC 2016)的数据。

参与者/设置:参与者为 5013 名 20 至 70 岁的成年人。从样本中排除了年龄较大的(>70 岁)、文盲参与者、孕妇和血压数据不可信的参与者。调查于 2016 年 5 月至 8 月在参与者的家中进行。

主要结果测量

我们测量了慢性疾病(超重、肥胖、先前诊断的糖尿病和高血压)。

进行的统计分析

使用 Pearson χ 检验来检查营养标签使用与社会人口特征和慢性疾病之间的关联。使用多变量逻辑回归来确定营养标签使用与慢性疾病之间的关联,调整性别、年龄、体重指数、教育水平、婚姻状况、种族、居住区域、地区和社会经济地位等混杂变量的影响。

结果

在总样本中,有 40.9%(95%CI 38.4%至 43.8%)的人报告使用营养标签。超重或肥胖的受访者不太可能使用营养标签(优势比 0.74;P<0.05)。自我报告患有糖尿病的参与者使用营养标签的可能性明显低于未报告患有糖尿病的参与者(优势比 0.66;P<0.05)。与没有慢性疾病的参与者相比,患有 3 种慢性疾病的参与者使用营养标签的可能性较低(优势比 0.34;P<0.01)。

结论

本研究表明营养标签使用与慢性疾病(肥胖和糖尿病)之间存在关联。这些发现表明,肥胖、糖尿病和多种慢性疾病患者使用营养标签的可能性低于没有这些疾病的患者。

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