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碳水化合物质量指数较高与巴西女性充足微量营养素摄入有关。

Higher carbohydrate quality index is associated with better adequate micronutrient consumption in Brazilian women.

机构信息

Faculdade de Saúde Pública, Universidade de São Paulo.

Centro de Ciências da Saúde. Universidade Estadual do Ceará.

出版信息

Nutr Hosp. 2022 Jun 24;39(3):594-602. doi: 10.20960/nh.03662.

Abstract

Introduction: inadequate consumption of micronutrients is an emerging public health problem that can compromise health. Objectives: to assess whether the quality of dietary carbohydrates is associated with the consumption of 13 micronutrients in a sample of women monitored by the Brazilian Unified Health System. Methods: this cross-sectional study included 648 women monitored by the Brazilian Unified Health System. The association between quality of dietary carbohydrates and adequacy of consumption of 13 micronutrients was investigated using logistic regression models adjusted for potential confounding variables. Results: the consumption of micronutrients increased as the quality of carbohydrates improved. The micronutrients with the highest prevalence of inadequate intake were vitamin A, magnesium, manganese, and thiamine. After adjustments using logistic regression models, women in the third tertile of the carbohydrate quality index were less likely to have an inadequate consumption of magnesium (odds ratio (OR), 0.29; 95 % confidence interval (CI), 0.14-0.59), manganese (OR, 0.32; 95% CI, 0.21-0.49), and copper (OR, 0.22; 95% CI, 0.12-0.37). Conclusions: intake of a higher quality of dietary carbohydrates is associated with improved adequacy in consumption of most micronutrients in women monitored by the Brazilian Unified Health System, especially magnesium, manganese, and copper, after adjustment using regression models.

摘要

简介

微量营养素摄入不足是一个新出现的公共卫生问题,可能会影响健康。目的:评估巴西统一卫生系统监测的女性样本中,饮食碳水化合物的质量与 13 种微量营养素摄入的关系。方法:本横断面研究纳入了 648 名接受巴西统一卫生系统监测的女性。使用逻辑回归模型调整潜在混杂变量,调查饮食碳水化合物质量与 13 种微量营养素摄入充足性之间的关系。结果:随着碳水化合物质量的提高,微量营养素的摄入量也增加。摄入不足最普遍的微量营养素是维生素 A、镁、锰和硫胺素。使用逻辑回归模型调整后,碳水化合物质量指数处于第三 tertile 的女性,镁(比值比(OR),0.29;95%置信区间(CI),0.14-0.59)、锰(OR,0.32;95% CI,0.21-0.49)和铜(OR,0.22;95% CI,0.12-0.37)摄入不足的可能性较小。结论:调整回归模型后,巴西统一卫生系统监测的女性饮食中摄入更高质量的碳水化合物与大多数微量营养素摄入充足性有关,尤其是镁、锰和铜。

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