Liu Ruru, Zhao Yaling, Li Qiang, Dang Shaonong, Yan Hong
Department of Disinfection, Xi'an Center for Disease Control and Prevention, Xi'an, Shaanxi Province, China.
Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China.
J Am Coll Nutr. 2020 Aug;39(6):528-536. doi: 10.1080/07315724.2019.1700200. Epub 2020 Jan 10.
Egg is the vital source for many nutrients. The present study aimed to evaluate how egg consumption contributes to body fat mass and fat distribution in general Chinese adults. In a representative study of Chinese adults, 2241 rural adults aged 18-80 years completed physical measurements and semi quantitative food frequency questionnaire (FFQ). Body fat percentage (BF%) was estimated through validated Chinese-specific equations including age, body mass index (BMI), waist circumference (WC), gender and their interaction. The prevalence of excessive body fat and central obesity in males were 44.2% and 31.3%, lower than that in females (60.7% and 36.1%, < 0.05). 37.3% of lean or normal-weight individuals by BMI experienced excessive body fat given their BF% and 43.5% were central obesity according to WC. In females, egg consumption was associated with better body fat mass and its distribution. Compared with non-consumers, individuals consumed egg >50 g/d had a 34% lower risk of central obesity (OR:0.66, 0.39-0.99) and 38% lower risk of excessive body fat (OR:0.62, 0.37-1.00). There were significant dose-response relationships between egg consumption and overweight with excessive body fat/central obesity ( for linear trend <0.05). However, these associations were not significant in males. Our findings underscore the necessity for future public health guidelines to assess body fat mass and distribution simultaneously in Chinese adults. Egg consumption might be beneficial for weight regulation, especially for overweight with excessive body fat/central obesity in females. Further research is warrant to establish the causal inference.
鸡蛋是多种营养物质的重要来源。本研究旨在评估食用鸡蛋对中国成年人群体脂肪量和脂肪分布的影响。在一项针对中国成年人的代表性研究中,2241名年龄在18 - 80岁的农村成年人完成了身体测量和半定量食物频率问卷(FFQ)。通过包含年龄、体重指数(BMI)、腰围(WC)、性别及其相互作用的经过验证的中国特定方程来估算体脂百分比(BF%)。男性中超重和中心性肥胖的患病率分别为44.2%和31.3%,低于女性(60.7%和36.1%,P < 0.05)。根据BMI属于瘦或正常体重的个体中,有37.3%的人根据其BF%存在超重,43.5%的人根据WC存在中心性肥胖。在女性中,食用鸡蛋与更好的体脂量及其分布相关。与不食用者相比,每天食用鸡蛋>50克的个体中心性肥胖风险降低34%(OR:0.66,0.39 - 0.99),超重风险降低38%(OR:0.62,0.37 - 1.00)。鸡蛋摄入量与超重伴超重/中心性肥胖之间存在显著的剂量反应关系(线性趋势P < 0.05)。然而,这些关联在男性中不显著。我们的研究结果强调了未来公共卫生指南同时评估中国成年人身体脂肪量和分布的必要性。食用鸡蛋可能对体重调节有益,尤其是对于女性中超重伴超重/中心性肥胖的情况。有必要进行进一步研究以建立因果推断。