2009 - 2018年美国国家健康与营养检查调查：成年人膳食纤维摄入量与心力衰竭之间的关联
Association Between Dietary Fiber Intake and Heart Failure Among Adults: National Health and Nutrition Examination Survey 2009-2018.
作者信息
Zhang Hao, Lin Zhibin, Chen Jun, Gan Daojing, Zhou Haobin, Ma Zhuang, Zeng Xianghui, Xue Yuting, Wang Xiao, Zhan Qiong, Zeng Qingchun, Xu Dingli
机构信息
State Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
出版信息
Front Cardiovasc Med. 2022 May 17;9:893436. doi: 10.3389/fcvm.2022.893436. eCollection 2022.
OBJECTIVE
To explore the association between dietary fiber and heart failure (HF).
METHODS
Data were collected from the 2009-2018 National Health and Nutrition Examination Survey. Dietary fiber intake data were obtained from two 24-h dietary recall interviews. Logistic regression and restricted cubic spline models were used to explore the association of dietary intakes of total, cereal, fruit, and vegetable fiber with HF prevalence.
RESULTS
A total of 21869 adults were included in this study. After adjusting for multiple confounding factors, the odds ratios (OR) and 95% confidence intervals (CI) for HF was 0.49 (0.28 to 0.87, P for trend = 0.016) for the highest tertile versus lowest tertile of total fiber intake. Similar results were observed for cereal but not fruit and vegetable fiber intake. Dose-response analysis indicated that dietary intake of total and cereal fiber were inversely associated with HF in a linear manner.
CONCLUSION
Intakes of total and cereal fiber were inversely associated with HF in adults.
目的
探讨膳食纤维与心力衰竭（HF）之间的关联。
方法
数据收集自2009 - 2018年国家健康与营养检查调查。膳食纤维摄入量数据通过两次24小时饮食回顾访谈获得。采用逻辑回归和受限立方样条模型来探讨总膳食纤维、谷物纤维、水果纤维和蔬菜纤维的饮食摄入量与HF患病率之间的关联。
结果
本研究共纳入21869名成年人。在调整多个混杂因素后，总纤维摄入量最高三分位数与最低三分位数相比，HF的比值比（OR）及95%置信区间（CI）为0.49（0.28至0.87，趋势P值 = 0.016）。谷物纤维摄入量观察到类似结果，但水果和蔬菜纤维摄入量未观察到类似结果。剂量反应分析表明，总膳食纤维和谷物纤维的饮食摄入量与HF呈线性负相关。
结论
成年人总膳食纤维和谷物纤维摄入量与HF呈负相关。
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