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伊朗成年人营养模式及其与肥胖的关系:一项基于人群的研究

Association of Nutrient Patterns and Their Relation with Obesity in Iranian Adults: a Population Based Study.

作者信息

Amini Mohammad Reza, Djafari Farhang, Sheikhhossein Fatemeh, Yarizadeh Habib, Naghshi Sina, Shahavandi Mahshid, Payandeh Nastaran, Akbarzade Zahra, Djafarian Kurosh, Shab-Bidar Sakineh

机构信息

Department of Clinical Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 14167-53955, Iran.

出版信息

Clin Nutr Res. 2021 Jan 26;10(1):59-71. doi: 10.7762/cnr.2021.10.1.59. eCollection 2021 Jan.

Abstract

In the present research, we have evaluated the association between patterns of nutrient intake and obesity. The present cross-sectional study recruited 850 adults aged between 20-59 years old. Dietary intakes were assessed with three 24-hour recalls. As well, data on anthropometric measures were collected. General obesity was specified as body mass index ≥ 30 kg/m. Factor analysis was conducted, and followed by a varimax rotation, was performed to extract major nutrient patterns. Our analysis identified three major nutrient patterns: The first nutrient pattern was characterized by the high consumption of saturated fatty acids (SFAs), protein, vitamins B, B, B, B, B, B, Zinc, and iron. The second nutrient pattern was rich in total fat, polyunsaturated fatty acids, monounsaturated fatty acids, SFAs, oleic acid, linolenic acid, zinc, vitamin E, α-tocopherol, and β-carotene. The third one was greatly loaded with protein, carbohydrate, potassium, magnesium, phosphorus, calcium, vitamin C, and folate. Women in the third quintile of the first pattern were less likely to be generally obese in the fully adjusted model (odds ratio, 0.44; 95% confidence interval, 0.25-0.75). None of the other nutrient patterns had a significant association with obesity, even after adjusting for confounders. Adherence to a nutrient pattern rich in water-soluble vitamins was significantly associated with a greater chance of general obesity among women. Further studies in other populations, along with future prospective studies, are required to confirm these findings.

摘要

在本研究中,我们评估了营养摄入模式与肥胖之间的关联。本横断面研究招募了850名年龄在20至59岁之间的成年人。通过三次24小时膳食回顾来评估膳食摄入量。此外,还收集了人体测量数据。一般肥胖定义为体重指数≥30kg/m²。进行了因子分析,并采用方差最大化旋转来提取主要营养模式。我们的分析确定了三种主要营养模式:第一种营养模式的特点是饱和脂肪酸(SFA)、蛋白质、维生素B₁、B₂、B₆、B₁₂、锌和铁的高摄入量。第二种营养模式富含总脂肪、多不饱和脂肪酸、单不饱和脂肪酸、SFA、油酸、亚麻酸、锌、维生素E、α-生育酚和β-胡萝卜素。第三种营养模式的蛋白质、碳水化合物、钾、镁、磷、钙、维生素C和叶酸含量很高。在完全调整模型中,处于第一种模式第三个五分位数的女性一般肥胖的可能性较小(优势比,0.44;95%置信区间,0.25 - 0.75)。即使在调整混杂因素后,其他营养模式与肥胖均无显著关联。坚持富含水溶性维生素的营养模式与女性一般肥胖的可能性显著增加有关。需要在其他人群中进行进一步研究以及未来的前瞻性研究来证实这些发现。

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