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口服避孕药和外源性雌激素使用者与非使用者的饮食和体重对比:脂质研究临床项目患病率研究

Contrasting diet and body mass among users and nonusers of oral contraceptives and exogenous estrogens: the Lipid Research Clinics Program Prevalence Study.

作者信息

Wallace R B, Heiss G, Burrows B, Graves K

出版信息

Am J Epidemiol. 1987 May;125(5):854-9. doi: 10.1093/oxfordjournals.aje.a114601.

Abstract

Mean dietary constituent levels using the 24-hour recall method and body mass measures were examined among oral contraceptive and exogenous estrogen users and nonusers in the Lipid Research Clinics Program Prevalence Study. Among women aged 20-44 years, oral contraceptive users had a significantly lower mean Quetelet index of body mass and triceps skinfold thickness and a significantly higher total caloric intake. Among women aged 45-69 years, those taking exogenous estrogens had a significantly lower mean Quetelet index. No significant differences between hormone users and nonusers were seen for per cent of calories from fat (saturated or unsaturated), protein, carbohydrates, starch, sucrose, or alcohol. The higher total caloric intake in oral contraceptive users in contrast to nonusers and the lower body mass in both groups of gonadal hormone users may in part be indicative of other differences in life-style and behavior between the study groups. Further documentation of specific eating patterns, nutrient intake, and energy metabolism in women consuming gonadal hormones and in suitable control subjects seems to be indicated.

摘要

在脂质研究临床项目患病率研究中,对口服避孕药和外源性雌激素使用者及非使用者,采用24小时回忆法检查了膳食成分平均水平,并测量了体重。在20 - 44岁的女性中,口服避孕药使用者的平均体重克托莱指数和肱三头肌皮褶厚度显著较低,而总热量摄入显著较高。在45 - 69岁的女性中,服用外源性雌激素的女性平均体重克托莱指数显著较低。在脂肪(饱和或不饱和)、蛋白质、碳水化合物、淀粉、蔗糖或酒精的热量百分比方面,激素使用者和非使用者之间未观察到显著差异。与非使用者相比,口服避孕药使用者总热量摄入较高,而两组性腺激素使用者体重较低,这可能部分表明研究组之间在生活方式和行为上存在其他差异。似乎有必要进一步记录服用性腺激素的女性和合适对照人群的具体饮食模式、营养摄入及能量代谢情况。

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