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中国成年人习惯性摄入红肉与血清铁蛋白及代谢综合征风险的关系:来自中国健康与营养调查的一项纵向研究。

Association of Red Meat Usual Intake with Serum Ferritin and the Risk of Metabolic Syndrome in Chinese Adults: A Longitudinal Study from the China Health and Nutrition Survey.

机构信息

National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Biomed Environ Sci. 2020 Jan 20;33(1):19-29. doi: 10.3967/bes2020.003.

DOI:10.3967/bes2020.003
PMID:32029055
Abstract

OBJECTIVE

The present study aimed to investigate the association of red meat usual intake with metabolic syndrome (MetS), and explore the contribution of red meat usual intake to serum ferritin.

METHODS

Based on the data from the longitudinal China Health and Nutrition Survey (CHNS), 2,797 healthy adults aged 18-75 years without hypertension, diabetes, and MetS were selected in 2009 as subjects and follow-up studies were carried out till 2015. We used the National Cancer Institute (NCI) method to estimate the usual intake of foods. Multivariable logistic regressions were performed to evaluate the association between red meat usual intake and the risk of MetS. Quantile regression analysis was used to study the relationship between red meat consumption and serum ferritin levels.

RESULTS

After adjusting for potential confounders, red meat, and fresh red meat were positively associated with the risk of MetS ( = 1.41, 95% : 1.05-1.90 and = 1.37, 95% : 1.02-1.85, respectively). These relationships showed increasing trend ( < 0.05). The level of serum ferritin increased significantly with the number of MetS components ( < 0.05). The quantile regression analysis showed that red meat and fresh red meat usual intake had a significant positive association with serum ferritin levels across the entire conditional serum ferritin distribution ( < 0.05). Processed red meat did not exhibit a similar association.

CONCLUSION

Higher red meat usual intake was associated with an increased risk of MetS and elevated serum ferritin levels.

摘要

目的

本研究旨在探讨习惯性摄入红肉与代谢综合征(MetS)的关系,并探讨习惯性摄入红肉对血清铁蛋白的影响。

方法

基于中国健康与营养调查(CHNS)的纵向数据,选取 2009 年无高血压、糖尿病和 MetS 的 18-75 岁健康成年人 2797 名为研究对象,并进行随访研究至 2015 年。采用美国国家癌症研究所(NCI)的方法估计食物的习惯性摄入量。采用多变量逻辑回归评估习惯性红肉摄入与 MetS 风险的关系。采用分位数回归分析研究红肉消费与血清铁蛋白水平的关系。

结果

在调整了潜在混杂因素后,红肉和新鲜红肉与 MetS 的风险呈正相关( = 1.41,95%置信区间:1.05-1.90 和 = 1.37,95%置信区间:1.02-1.85)。这些关系呈递增趋势( < 0.05)。随着 MetS 成分数的增加,血清铁蛋白水平显著升高( < 0.05)。分位数回归分析显示,红肉和新鲜红肉的习惯性摄入与整个条件血清铁蛋白分布范围内的血清铁蛋白水平呈显著正相关( < 0.05)。加工红肉则没有类似的关联。

结论

较高的红肉习惯性摄入与 MetS 风险增加和血清铁蛋白水平升高有关。

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