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饮食习惯和地中海饮食依从性对绝经症状的影响。FLAMENCO 项目。

Influence of dietary habits and Mediterranean diet adherence on menopausal symptoms. The FLAMENCO project.

机构信息

Department of Physiology, "José Mataix Verdú" Institute of Nutrition and Food Technology (INYTA), Biomedical Research Centre (CIBM), University of Granada, Granada, Spain.

Sport and Health University Research Institute (iMUDS), Granada, Granada, Spain.

出版信息

Menopause. 2020 Sep;27(9):1015-1021. doi: 10.1097/GME.0000000000001574.

Abstract

OBJECTIVE

To explore the association of dietary habits and Mediterranean diet adherence with menopausal symptoms.

METHODS

The present study included 172 women recruited from the FLAMENCO project. Menopausal symptoms were assessed with the Kupperman Menopausal Index and the Cervantes Menopause and Health Subscale from the validated Cervantes Scale. A food frequency questionnaire was employed to evaluate dietary habits. Adherence to the Mediterranean diet was assessed with the Mediterranean diet score.

RESULTS

Intake of poultry and skimmed dairy products was associated with a worse Kupperman Menopausal Index score (β: 0.17, P = 0.03 and β: 0.18, P = 0.01, respectively). On the contrary, soy milk consumption was associated with a better Kupperman Menopausal Index score (β: -0.17, P = 0.02). Poultry and skimmed dairy were associated with worse scores in the total Cervantes Menopause and Health Subscale score (β: 0.22, P = <0.01 and β: 0.19, P = 0.01, respectively), whereas soy milk and vegetables were associated with a better total Cervantes Menopause and Health Subscale score (β: -0.20, P = 0.01 and β: -0.17, P = 0.03, respectively). Regarding vasomotor symptoms, a greater consumption of poultry was associated with worse symptomatology (β: 0.18, P = 0.02), and soy milk consumption was associated with fewer vasomotor symptoms (β: -0.15, P = 0.04). In addition, women with numerous or severe vasomotor symptoms showed a greater consumption of skimmed dairy products (P < 0.05).

CONCLUSIONS

This study seems to indicate that some women with mild menopausal symptoms may derive benefit from lower consumption of poultry and skimmed dairy products and a greater consumption of vegetables and soy milk.

摘要

目的

探讨饮食习惯和地中海饮食依从性与绝经症状的关系。

方法

本研究纳入了来自 FLAMENCO 项目的 172 名女性。采用 Kupperman 绝经指数和 Cervantes 绝经和健康量表的 Cervantes 量表评估绝经症状。采用食物频率问卷评估饮食习惯。采用地中海饮食评分评估地中海饮食依从性。

结果

摄入家禽和脱脂乳制品与 Kupperman 绝经指数评分更差相关(β:0.17,P=0.03 和 β:0.18,P=0.01)。相反,饮用豆浆与 Kupperman 绝经指数评分更好相关(β:-0.17,P=0.02)。家禽和脱脂乳制品与 Cervantes 绝经和健康量表总分评分更差相关(β:0.22,P<0.01 和 β:0.19,P=0.01),而豆浆和蔬菜与 Cervantes 绝经和健康量表总分评分更好相关(β:-0.20,P=0.01 和 β:-0.17,P=0.03)。关于血管舒缩症状,家禽摄入较多与症状更严重相关(β:0.18,P=0.02),豆浆摄入与较少的血管舒缩症状相关(β:-0.15,P=0.04)。此外,有较多或严重血管舒缩症状的女性摄入更多的脱脂乳制品(P<0.05)。

结论

本研究似乎表明,一些有轻度绝经症状的女性可能受益于减少家禽和脱脂乳制品的摄入,增加蔬菜和豆浆的摄入。

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