International Healthcare Center, Asan Medical Center, Seoul 05505, Korea.
Department of Family Medicine, Central Veterans Hospital, Seoul 05368, Korea.
Nutrients. 2021 Oct 25;13(11):3784. doi: 10.3390/nu13113784.
We investigated the association between dietary habits, evaluated using the modified Mini Dietary Assessment Index for Koreans (MDA), and lipid control among patients aged ≥20 years who had used pravastatin for dyslipidemia for 6 months. Participants were administered questionnaires regarding sociodemographic characteristics and lifestyle factors. Odds ratios and 95% confidence intervals for the control of low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and total cholesterol (TC) at 6 months for each category of the modified MDA items were calculated through multivariate logistic regression analysis. The odds for controlled LDL-C was higher among those who consumed cholesterol-rich foods <1 time/week (3.27, 1.25-8.57) than for those who did so ≥4 times/week. The odds for controlled TG was higher among those who always consumed dairy products (2.96, 1.36-6.44), ate protein-rich foods three times/day (2.94, 1.06-8.10), and had a regular eating schedule (3.02, 1.30-7.00) than among those who did not have any of these. The odds for controlled TC was higher among those with a regular eating schedule (3.47, 1.55-7.76) than among their counterparts. Patients with dyslipidemia should consume less cholesterols, consume more dairy and protein-rich foods, and follow a regular eating schedule to control lipid profiles.
我们调查了饮食习惯（采用改良后的韩国迷你饮食评估指数（MDA）进行评估）与使用普伐他汀治疗血脂异常 6 个月的≥20 岁患者血脂控制之间的关联。参与者接受了关于社会人口统计学特征和生活方式因素的问卷调查。通过多变量逻辑回归分析，计算了改良 MDA 项目各分类的 LDL-C、TG 和 TC 控制的 6 个月时的比值比和 95%置信区间。与每周食用胆固醇丰富的食物≥4 次的人相比，每周食用胆固醇丰富的食物<1 次的人 LDL-C 控制的几率更高（3.27，1.25-8.57）。与从不食用这些食物的人相比，始终食用乳制品（2.96，1.36-6.44）、每天食用 3 次富含蛋白质的食物（2.94，1.06-8.10）和有规律的进食时间（3.02，1.30-7.00）的人 TG 控制的几率更高。与没有规律进食时间的人相比，有规律进食时间的人 TC 控制的几率更高（3.47，1.55-7.76）。血脂异常患者应减少胆固醇摄入，增加乳制品和富含蛋白质的食物摄入，并遵循规律的进食时间来控制血脂谱。
