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同龄日本年轻老年人群的食物组摄入量与全因死亡率:新综合郊区老年调查项目

Food group intakes and all-cause mortality among a young older Japanese population of the same age: the New Integrated Suburban Seniority Investigation Project.

作者信息

Sasakabe Tae, Wakai Kenji, Ukawa Shigekazu, Ando Masahiko, Kawamura Takashi, Okabayashi Satoe, Tsushita Kazuyo, Ohira Hideki, Tamakoshi Akiko

机构信息

Department of Public Health, Aichi Medical University School of Medicine, Nagakute, Japan.

Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.

出版信息

Nagoya J Med Sci. 2021 Feb;83(1):169-182. doi: 10.18999/nagjms.83.1.169.

Abstract

Evaluating the effects of dietary intake on mortality in older populations has become increasingly important in modern aging societies. The objective of the present study was to investigate the associations between food group intakes and all-cause mortality among a young older population. We conducted a prospective study on 1,324 men and 1,338 women aged 64-65 years at baseline who were living in a suburban city from 1996 to 2005. The participants were followed for all-cause mortality from 1996 through 2015 to assess the effects of 17 food group intakes (g) per 1,000 kcal after multivariable adjustments in proportional hazard models. During follow-up (mean: 13.2 years), 339 deaths were registered. In women, total mortality was significantly and inversely associated with the consumption of milk and dairy products and vegetables. The hazard ratios across intake quartiles after multivariable adjustment were 1, 0.70 (95% confidence interval: 0.42-1.17), 0.66 (0.40-1.10), and 0.40 (0.22-0.75) ( for trend = 0.003) for milk and dairy products, and 1, 0.77 (0.46-1.28), 0.83 (0.50-1.38), and 0.42 (0.23-0.78) ( for trend = 0.008) for vegetables. In men, a positive association was found between total mortality and sugar and sweetener consumption ( for trend = 0.038). Higher consumption of milk and dairy products and vegetables was suggested to reduce all-cause mortality in young older women.

摘要

在现代老龄化社会中,评估饮食摄入对老年人群死亡率的影响变得越来越重要。本研究的目的是调查年轻老年人群中食物组摄入量与全因死亡率之间的关联。我们对1996年至2005年居住在郊区城市、基线年龄为64 - 65岁的1324名男性和1338名女性进行了一项前瞻性研究。对参与者从1996年至2015年进行全因死亡率随访,以评估在比例风险模型中进行多变量调整后每1000千卡17种食物组摄入量(克)的影响。在随访期间(平均:13.2年),登记了339例死亡。在女性中,总死亡率与牛奶及乳制品和蔬菜的摄入量呈显著负相关。多变量调整后,牛奶及乳制品摄入量四分位数的风险比分别为1、0.70(95%置信区间:0.42 - 1.17)、0.66(0.40 - 1.10)和0.40(0.22 - 0.75)(趋势P = 0.003),蔬菜摄入量四分位数的风险比分别为1、0.77(0.46 - 1.28)、0.83(0.50 - 1.38)和0.42(0.23 - 0.78)(趋势P = 0.008)。在男性中,发现总死亡率与糖和甜味剂的摄入量呈正相关(趋势P = 0.038)。较高的牛奶及乳制品和蔬菜摄入量被认为可降低年轻老年女性的全因死亡率。

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