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[天津市吸烟成年人饮食平衡指数及其与血尿酸关系的研究]

[Study on the diet balance index and its relationship with blood uric acid of smoking adults in Tianjin].

作者信息

Xin P, Jiang G H, Zheng W L, Fan L L, Li C K, Wang D Z

机构信息

Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jun 10;42(6):1076-1079. doi: 10.3760/cma.j.cn112338-20200806-01029.

Abstract

Diet balance index (DBI_16) was used to evaluate the dietary status of smoking adults in Tianjin, and the relationship between DBI_16 and serum uric acid was analyzed. A total of 1 478 inhabitants aged 18 and above were enrolled. The dietary status was obtained with a 3-day dietary recall and condiment weighing method. And their fasting venous blood was collected to detect uric acid. Food intake and DBI_16 scores of smokers and non-smokers were described, and the relationship among smoking, diet quality distance (DQD-DBI), and serum uric acid was analyzed. The intake of vegetables, fruits, and milk of smokers in Tianjin was lower than while the salt, oil, cereals, and aquatic products were higher than that of non-smokers. The DBI_16 scores of vegetables and fruits, food types, milk, and beans of smokers were lower than those of non-smokers in Tianjin, and the scores of pure energy foods and condiments were higher than those of the non-smokers. The DQD-DBI, high bound score and low bound score of smokers in Tianjin were 42.0, 14.0, and 29.0 respectively, which were all higher than those of non-smokers. The main problems appeared as moderately inadequate intake (accounting for 67.0%), low, excessive intake (accounting for 70.9%), and moderate imbalance of intake (accounting for 67.2%). The serum uric acid of smokers was higher than in the non-smokers, and there the same result appeared under the conditions of "not suitable" in DQD-DBI. In Tianjin, the dietary imbalance was more evident in smokers than the non-smokers, and the serum uric acid was significantly higher than the non-smokers. Strategies as strengthening the nutrition education and intervention targeted for smokers were in urgent need.

摘要

采用膳食平衡指数(DBI_16)评估天津市吸烟成年人的膳食状况,并分析DBI_16与血清尿酸之间的关系。共纳入1478名18岁及以上居民。通过3天膳食回顾和调味品称重法获取膳食状况。采集其空腹静脉血检测尿酸。描述吸烟者和非吸烟者的食物摄入量及DBI_16得分,分析吸烟、膳食质量距离(DQD-DBI)与血清尿酸之间的关系。天津市吸烟者的蔬菜、水果和牛奶摄入量低于非吸烟者,而盐、油、谷物和水产品摄入量高于非吸烟者。天津市吸烟者蔬菜、水果、食物种类、牛奶和豆类的DBI_16得分低于非吸烟者,纯能量食物和调味品得分高于非吸烟者。天津市吸烟者的DQD-DBI、高界得分和低界得分分别为42.0、14.0和29.0,均高于非吸烟者。主要问题表现为摄入中度不足(占67.0%)、低摄入、过量摄入(占70.9%)和摄入中度失衡(占67.2%)。吸烟者的血清尿酸高于非吸烟者,在DQD-DBI“不适宜”条件下也出现同样结果。在天津市,吸烟者的膳食失衡比非吸烟者更明显,血清尿酸显著高于非吸烟者。迫切需要针对吸烟者加强营养教育和干预策略。

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