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根据饮酒模式,评估新西兰育龄妇女的饮食质量、营养素摄入量和生化状况。

Diet quality, nutrient intakes and biochemical status of New Zealand women of childbearing age according to alcohol consumption patterns.

机构信息

Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, New Zealand.

Department of Women's & Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

出版信息

Public Health Nutr. 2020 Nov;23(16):2952-2962. doi: 10.1017/S1368980019003781. Epub 2020 Feb 4.

Abstract

OBJECTIVE

To investigate associations between alcohol consumption patterns and diet quality, nutrient intakes and biochemical profile of women of childbearing age.

DESIGN

Nutrient intake data from 24 h diet recalls, alcohol consumption data and diet quality from the Dietary Habits Questionnaire, and biochemical analyses from the cross-sectional 2008/09 Adult Nutrition Survey in New Zealand.

SETTING

New Zealand households.

PARTICIPANTS

New Zealand women aged 18-45 years (n 1124).

RESULTS

All analyses were completed using Stata and survey weights were used to allow for the complex survey design to produce population estimates. Multinomial logistic regression models were used to examine the associations between drinking patterns and the variables of interest, with 'infrequent moderate/light' drinkers being the reference category. The findings indicate that alcohol-consuming women of childbearing age tend to replace food energy with alcohol energy (P = 0·022). 'More frequent heavy' and 'more frequent moderate/light' drinkers had higher intakes of total, mono- and polyunsaturated fats with the latter group also consuming higher levels of saturated fats (P < 0·05). Women who were 'infrequent moderate/light' drinkers had relatively better diet quality, nutrient intakes and adequate biochemical status in comparison to other drinkers and abstainers. 'Infrequent heavy' drinkers, who were predominantly younger in age, had lower serum vitamin B12 levels (P = 0·01) with a higher proportion of women in this category having below-recommended levels of serum folate (P < 0·05).

CONCLUSIONS

Alcohol consumption, especially heavy drinking patterns, may compromise nutritional status of women of childbearing age.

摘要

目的

研究饮酒模式与育龄妇女饮食质量、营养素摄入和生化指标之间的关系。

设计

24 小时饮食回忆的营养素摄入数据、饮食习惯问卷的酒精摄入数据和饮食质量数据,以及新西兰 2008/09 年成人营养调查的生化分析。

地点

新西兰家庭。

参与者

新西兰 18-45 岁的女性(n 1124)。

结果

所有分析均使用 Stata 完成,并使用调查权重来考虑复杂的调查设计,以产生人口估计值。使用多项逻辑回归模型来检查饮酒模式与感兴趣变量之间的关系,以“不频繁的中度/轻度饮酒者”为参考类别。研究结果表明,有生育能力的饮酒女性倾向于用酒精能量代替食物能量(P = 0·022)。“更频繁的重度”和“更频繁的中度/轻度”饮酒者的总脂肪、单不饱和脂肪和多不饱和脂肪摄入量较高,后者组的饱和脂肪摄入量也较高(P < 0·05)。与其他饮酒者和不饮酒者相比,“不频繁的中度/轻度”饮酒者的饮食质量、营养素摄入和生化指标更为理想。“不频繁的重度”饮酒者主要是年龄较小的人群,其血清维生素 B12 水平较低(P = 0·01),且该组中血清叶酸水平低于推荐水平的女性比例较高(P < 0·05)。

结论

饮酒,尤其是重度饮酒模式,可能会影响育龄妇女的营养状况。

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