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[俄罗斯人口基本健康饮食指数的编制与可靠性评估]

[Development and assessment of the reliability of the basic healthy eating index for the Russian population].

作者信息

Martinchik A N, Baturin A K, Mikhaylov N A, Keshabyants E E, Kambarov A O

机构信息

Federal Research Centre of Nutrition, Biotechnology and Food Safety, Moscow, Russia.

出版信息

Vopr Pitan. 2019;88(6):34-44. doi: 10.24411/0042-8833-2019-10062. Epub 2019 Nov 19.

Abstract

The conventional presentation of data on the actual average daily consumption of energy, nutrients, food products, as well as critically important risk factors complicates a holistic dietary assessment, consisting of at least a dozen indicators only for nutrients. of the study was to develop a healthy eating index (HEI), based on epidemiological data on the actual nutrition of the Russian population and the criteria and principles of healthy nutrition adopted in the country. . We used the data on the dietary intake of nutrients, energy and the main food groups obtained from the cross-sectional nutritional survey of members of 45 000 households over the age of 3 years conducted by Federal Statistics Service (Rosstat) in all regions of the Russian Federation in 2013. The criteria for scoring the indicator-components of the HEI were developed taking into account modern recommendations about the magnitudes of consumption of the most important food groups, as well as the levels of consumption of critical risk factors for chronic non-communicable diseases. . The HEI design included 5 indicators characterizing the adequacy of consumption of the main food groups, as well as 5 indicators of nutritional risk factors for chronic non-communicable diseases. Consumption of food groups (cereals, dairy, meat products, excluding sausages, vegetables, fruits) and added salt was calculated in g per 1000 kcal, and critical risk factors (total fat, saturated fat, added sugars) were estimated as a percentage of total energy. As a result of transformations of quantitative variables of consumption of macronutrients (risk factors) and food products, quantitative scores were obtained (0-10 points) for all 10 indicator-components of the HEI. The assessment of the reliability of the HEI (validation) showed that a statistically significant positive correlation can be traced between the integral HEI and the indicators. This is a sign of reliability and objectivity of the HEI design. At the same time, a negative correlation was found between the value of the HEI and the scores of meat products, including sausages, that was the basis for excluding sausages from calculating the amount of meat products. It has been shown that HEI is significantly higher in females in age groups older than 11 years. A pronounced dependence of HEI on the age of people of both sexes has been established, that may be an indicator of the high sensitivity of HEI to changes in dietary patterns. The maximum HEI values were noted in children, the minimum - in adults 19-60 years, with a subsequent increase in the age group over 60 years. There were no changes in HEI in obese men, but HEI in women with body mass index (BMI) above 30.0 was significantly higher than in those with normal body weight (BMI 18.5-24.9). . Further research is needed on the sensitivity of the HEI in terms of assessing the dietary patterns and dependence on socio-economic and other variables, including a wide range of dietary modifications.

摘要

关于能量、营养素、食品的实际平均每日摄入量以及至关重要的风险因素的数据传统呈现方式,使得包含至少十几种仅针对营养素的指标的整体饮食评估变得复杂。该研究的目的是基于俄罗斯人口实际营养状况的流行病学数据以及该国采用的健康营养标准和原则,制定一个健康饮食指数(HEI)。我们使用了2013年俄罗斯联邦统计局(Rosstat)在俄罗斯所有地区对45000户3岁以上家庭的成员进行横断面营养调查所获得的营养素、能量和主要食物组的膳食摄入量数据。在制定HEI指标成分的评分标准时,考虑了关于最重要食物组消费量的现代建议以及慢性非传染性疾病关键风险因素的消费水平。HEI设计包括5个表征主要食物组消费充足性的指标,以及5个慢性非传染性疾病营养风险因素指标。食物组(谷物、乳制品、肉类产品,不包括香肠、蔬菜、水果)和添加盐的消费量按每1000千卡克数计算,关键风险因素(总脂肪、饱和脂肪、添加糖)按占总能量的百分比估算。通过对常量营养素(风险因素)和食品消费量的定量变量进行转换,为HEI的所有10个指标成分获得了定量分数(0 - 10分)。对HEI可靠性的评估(验证)表明,在整体HEI与各指标之间可以追溯到具有统计学意义的正相关。这是HEI设计可靠性和客观性的一个标志。同时,发现HEI的值与包括香肠在内的肉类产品得分之间存在负相关,这是将香肠排除在肉类产品量计算之外的依据。结果表明,11岁以上年龄组女性的HEI显著更高。已确定HEI对男女两性的年龄有明显依赖性,这可能是HEI对饮食模式变化高度敏感的一个指标。儿童的HEI值最高,19 - 60岁成年人的HEI值最低,60岁以上年龄组随后有所增加。肥胖男性的HEI没有变化,但体重指数(BMI)高于30.0的女性HEI显著高于体重正常(BMI 18.5 - 24.9)的女性。需要进一步研究HEI在评估饮食模式方面的敏感性以及对社会经济和其他变量的依赖性,包括广泛的饮食调整情况。

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