School of Public Health, Inner Mongolia Medical University, Hohhot, China.
National Center for Chronic and Non-Communicable Diseases Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Int J Public Health. 2021 Nov 8;66:1604107. doi: 10.3389/ijph.2021.1604107. eCollection 2021.
This study investigated the relationship of socioeconomic status (SES), diet quality and overweight and obesity in adults aged 40-59 years in Inner Mongolia. This cross-sectional study was based on the survey of Chronic Disease and Nutrition Monitoring in Adults in Inner Mongolia in 2015. Diet quality was evaluated by the Alternate Mediterranean Diet score (aMeds). SES was measured by household annual income. Generalized estimating equations and path analysis were performed to determine the association of SES, diet quality and overweight and obesity. Among participants, 63.0% had overweight and obesity. In high SES group, 66.4% had overweight and obesity. Higher SES was associated with a higher risk of overweight and obesity (OR = 1.352, 95%CI: 1.020-1.793). And higher aMeds was associated with a lower risk of overweight and obesity (OR = 0.597, 95%CI: 0.419-0.851). There was a positive correlation between SES and the intake of red and processed meat ( = 0.132, < 0.05). Higher intake of red and processed meat was associated with lower diet quality ( = -0.34). And lower diet quality was associated with a higher risk of overweight and obesity ( = -0.10). In Inner Mongolia, during the period of economic transition, people aged 40-59 years in high SES had poor diet quality, which was related to a higher risk of overweight and obesity.
本研究调查了 40-59 岁成年人的社会经济地位（SES）、饮食质量与超重和肥胖之间的关系。这项横断面研究基于 2015 年内蒙古成年人慢性病和营养监测调查。饮食质量通过替代地中海饮食评分（aMeds）来评估。SES 用家庭年收入来衡量。采用广义估计方程和路径分析来确定 SES、饮食质量与超重和肥胖之间的关联。在参与者中，63.0%有超重和肥胖。在高 SES 组中，66.4%有超重和肥胖。较高的 SES 与超重和肥胖的风险增加相关（OR = 1.352，95%CI：1.020-1.793）。较高的 aMeds 与超重和肥胖的风险降低相关（OR = 0.597，95%CI：0.419-0.851）。SES 与红肉类和加工肉类的摄入量呈正相关（ = 0.132， < 0.05）。较高的红肉类和加工肉类摄入量与较低的饮食质量相关（ = -0.34）。较低的饮食质量与超重和肥胖的风险增加相关（ = -0.10）。在经济转型时期，内蒙古 40-59 岁的高 SES 人群饮食质量较差，这与超重和肥胖的风险增加有关。
