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中国南方外出就餐与高血清尿酸风险之间关联的性别差异

Sex Difference in the Association Between Eating Away From Home and the Risk of High Serum Uric Acid in South China.

作者信息

Chen Shao-Wei, Wang Ping, Ji Gui-Yuan, Jiang Qi, Hong Xiao-Min, Ma Wen-Jun, Huang Rui, Chen Zi-Hui, Peng Jie-Wen

机构信息

Guangdong Provincial Center for Disease Control and Prevention, Guangdong Provincial Institute of Public Health, Guangzhou, China.

出版信息

Front Nutr. 2021 Oct 18;8:647287. doi: 10.3389/fnut.2021.647287. eCollection 2021.

Abstract

The prevalence of high serum uric acid is increasingly rising in recent years, and diet behavior is perceived to be associated with it. This study aimed to explore the relationship between eating away from home (EAFH) and the risk of high serum uric acid in adults in South China. The data utilized in this study were from Guangdong Nutrition and Health Survey (NHS) 2015. Serum uric acid concentration was detected. EAFH in the past week was investigated. We defined EAFH as food consumption away from home. Dietary data were collected by 24-h recalls on 3 consecutive days. A generalized linear mixed-effects model was applied to compute the odds ratio (OR) and its corresponding 95% CI. A total of 3,489 individuals were included in this study. A 1.27-fold OR (95% CI: 1.05-1.52, = 0.012) of high serum uric acid was identified in adults with EAFH in comparison with those without EAFH. With respect to men, a 1.66-fold OR (95% CI: 1.3-2.1, < 0.001) of high serum uric acid was observed. We also observed that men with EAFH had higher intakes of red meat, poultry, vegetable, carbohydrate, protein, fat, and total energy, while a lower grain intake than those without EAFH. However, there was a lack of significant association between EAFH and the odds ratio of high serum uric acid in women. Women with EAFH did not have higher consumptions of red meat, vegetable, fish, fat, and water than those without EAFH. This study found that EAFH was associated with an increased odds ratio of high serum uric acid in men, but not in women.

摘要

近年来,高血清尿酸的患病率日益上升,饮食行为被认为与之相关。本研究旨在探讨外出就餐与中国南方成年人高血清尿酸风险之间的关系。本研究使用的数据来自2015年广东营养与健康调查(NHS)。检测血清尿酸浓度。调查过去一周的外出就餐情况。我们将外出就餐定义为在家庭以外的地方消费食物。通过连续3天的24小时回顾法收集饮食数据。应用广义线性混合效应模型计算比值比(OR)及其相应的95%置信区间(CI)。本研究共纳入3489名个体。与未外出就餐的成年人相比,外出就餐的成年人高血清尿酸的OR值为1.27倍(95%CI:1.05 - 1.52,P = 0.012)。对于男性,观察到高血清尿酸的OR值为1.66倍(95%CI:1.3 - 2.1,P < 0.001)。我们还观察到,外出就餐的男性红肉、家禽、蔬菜、碳水化合物、蛋白质、脂肪和总能量的摄入量较高,而谷物摄入量低于未外出就餐的男性。然而,外出就餐与女性高血清尿酸的比值比之间缺乏显著关联。外出就餐的女性与未外出就餐的女性相比,红肉、蔬菜、鱼类、脂肪和水的消费量并未更高。本研究发现,外出就餐与男性高血清尿酸的比值比增加有关,但与女性无关。

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