Department of Public Health, China Medical University, Taichung City 406040, Taiwan.
Center for Teaching Excellence, Changhua Christian Hospital, Changhua 50006, Taiwan.
Nutrients. 2020 Oct 29;12(11):3332. doi: 10.3390/nu12113332.
This study aims to investigate spousal concordance in dietary behaviors, spousal concordance in metabolic components (MCs), and their association. A cross-sectional survey was conducted in Taiwan from November 2014 to May 2015. Matched-pair analysis, McNemar's test, logistic regression analysis, and stratified analysis were performed. A total of 901 pairs of spouses (1802 participants) were analyzed. Husbands were less likely to report intakes of high-fiber food (OR matched pairs odds ratio) = 0.30, < 0.0001), fish (OR = 0.74, = 0.0128), biscuits or cakes (OR = 0.60, < 0.0001), and fast food (OR = 0.65, = 0.01) compared with their wives. Husbands had significantly higher odds of being overweight (OR = 2.34, < 0.0001); and of having hypertension (OR = 2.14, < 0.0001), hypercholesterolemia (OR = 1.75, = 0.0007), hyperlipidemia (OR = 2.96, < 0.0001), and one or more metabolic components (composite MCs) (OR = 2.50, < 0.0001) compared with their wives. After adjusting for age and education, the spousal concordance in high-fiber food intake was inversely associated with the spousal concordance in composite MCs (aOR = 0.62, 95% CI = 0.44-0.88, = 0.0074), whereas the spousal concordance in processed food intake was positively associated with the concordance in composite MCs (aOR (adjusted odds ratio) = 1.56, 95% CI (Confidence Interval) = 1.03-2.36, = 0.034). An intervention study for couples with intakes of different fiber foods and/or processed foods is critical for future study, in order to test what kinds of fiber foods/processed foods are associated with the development of the spousal concordance of metabolic components.
本研究旨在探讨配偶间饮食行为的一致性、代谢成分（MCs）的一致性及其相关性。本研究于 2014 年 11 月至 2015 年 5 月在台湾进行了一项横断面调查。采用配对分析、 McNemar 检验、逻辑回归分析和分层分析。共分析了 901 对配偶（1802 名参与者）。与妻子相比，丈夫报告摄入高纤维食物（OR 匹配对比值比）的可能性较低=0.30，<0.0001）、鱼类（OR=0.74，=0.0128）、饼干或蛋糕（OR=0.60，<0.0001）和快餐（OR=0.65，=0.01）。丈夫超重（OR=2.34，<0.0001）、高血压（OR=2.14，<0.0001）、高胆固醇血症（OR=1.75，=0.0007）、高脂血症（OR=2.96，<0.0001）和一个或多个代谢成分（复合 MCs）（OR=2.50，<0.0001）的可能性明显高于妻子。调整年龄和教育因素后，高纤维食物摄入量的配偶间一致性与复合 MCs 之间呈负相关（aOR=0.62，95%CI=0.44-0.88，=0.0074），而加工食品摄入量的配偶间一致性与复合 MCs 呈正相关（aOR（调整比值比）=1.56，95%CI（置信区间）=1.03-2.36，=0.034）。对于不同纤维食物和/或加工食物摄入的夫妇进行干预研究对于未来的研究至关重要，以便检验哪些纤维食物/加工食物与代谢成分的配偶间一致性的发展有关。
