多民族人群中慢性病患者的饮食模式：新加坡全国糖尿病知识、态度和实践调查结果

Dietary patterns of persons with chronic conditions within a multi-ethnic population: results from the nationwide Knowledge, Attitudes and Practices survey on diabetes in Singapore.

作者信息

Tan Yeow Wee Brian, Lau Jue Hua, AshaRani P V, Roystonn Kumarasan, Devi Fiona, Lee Ying Ying, Whitton Clare, Wang Peizhi, Shafie Saleha, Chang Sherilyn, Jeyagurunathan Anitha, Chua Boon Yiang, Abdin Edimansyah, Sum Chee Fang, Lee Eng Sing, Subramaniam Mythily

机构信息

Research Division, Institute of Mental Health, 10 Buangkok View, Buangkok Green Medical Park, 539747, Singapore, Singapore.

School of Public Health, Faculty of Health Sciences, Curtin University, Kent Street, Western Australia, 6102, Bentley, Australia.

出版信息

Arch Public Health. 2022 Feb 21;80(1):62. doi: 10.1186/s13690-022-00817-2.

DOI:10.1186/s13690-022-00817-2

PMID:35189947

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8862351/

Abstract

BACKGROUND

Chronic conditions are a leading cause of death and disability worldwide and respective data on dietary patterns remain scant. The present study aimed to investigate dietary patterns and identify sociodemographic factors associated with Dietary Approaches to Stop Hypertension (DASH) scores within a multi-ethnic population with various chronic conditions.

METHODS

The present study utilised data from the 2019-2020 Knowledge, Attitudes, and Practices study on diabetes in Singapore - a nationwide survey conducted to track the knowledge, attitudes, and practices pertaining to diabetes. The study analysed data collected from a sample of 2,895 Singapore residents, with information from the sociodemographic section, DASH diet screener, and the modified version of the World Mental Health Composite International Diagnostic Interview (CIDI) version 3.0 checklist of chronic physical conditions.

RESULTS

Respondents with no chronic condition had a mean DASH score of 18.5 (±4.6), those with one chronic condition had a mean DASH score of 19.2 (±4.8), and those with two or more chronic conditions had a mean DASH score of 19.8 (±5.2). Overall, the older age groups [35- 49 years (B = 1.78, 95% CI: 1.23 - 2.33, p <0.001), 50-64 years (B = 2.86, 95% CI: 22.24 - 3.47, p <0.001) and 65 years and above (B = 3.45, 95% CI: 2.73 - 4.17, p <0.001)], Indians (B = 2.54, 95% CI: 2.09 - 2.98, p <0.001) reported better diet quality, while males (B = -1.50, 95% CI: -1.87 - -1.14, p <0.001) reported poorer diet quality versus females.

CONCLUSION

Overall, respondents with two or more chronic conditions reported better quality of diet while the sociodemographic factors of age, gender and ethnicity demonstrated a consistent pattern in correlating with diet quality, consistent with the extant literature. Results provide further insights for policymakers to refine ongoing efforts in relation to healthy dietary practices for Singapore.

摘要

背景

慢性病是全球死亡和残疾的主要原因，而关于饮食模式的相关数据仍然匮乏。本研究旨在调查多民族慢性病患者群体的饮食模式，并确定与终止高血压膳食疗法（DASH）评分相关的社会人口学因素。

方法

本研究利用了2019 - 2020年新加坡糖尿病知识、态度和行为研究的数据——这是一项全国性调查，旨在追踪与糖尿病相关的知识、态度和行为。该研究分析了从2895名新加坡居民样本中收集的数据，这些数据来自社会人口学部分、DASH饮食筛查器以及世界心理健康综合国际诊断访谈（CIDI）3.0版慢性病清单的修改版。

结果

无慢性病的受访者DASH评分均值为18.5（±4.6），患有一种慢性病的受访者DASH评分均值为19.2（±4.8），患有两种或更多慢性病的受访者DASH评分均值为19.8（±5.2）。总体而言，年龄较大的群体[35 - 49岁（B = 1.78，95%置信区间：1.23 - 2.33，p <0.001）、50 - 64岁（B = 2.86，95%置信区间：2.24 - 3.47，p <0.001）以及65岁及以上（B = 3.45，95%置信区间：2.73 - 4.17，p <0.001）]、印度人（B = 2.54，95%置信区间：2.09 - 2.98，p <0.001）的饮食质量较好，而男性（B = -1.50，95%置信区间：-1.87 - -1.14，p <0.001）的饮食质量相较于女性较差。