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反映 C 反应蛋白的膳食模式与中国人群代谢综合征的关系。

Association between Dietary Patterns Reflecting C-Reactive Protein and Metabolic Syndrome in the Chinese Population.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing 100191, China.

Peking University Center for Public Health and Epidemic Preparedness and Response, Peking University, Beijing 100191, China.

出版信息

Nutrients. 2022 Jun 21;14(13):2566. doi: 10.3390/nu14132566.

Abstract

It is unclear how the dietary patterns reflecting C-reactive protein (CRP) affect metabolic syndrome (MetS) in the Chinese population. To examine the effect of the dietary pattern reflecting CRP with MetS, a cross-sectional study was based on the health checkup data from the Beijing MJ Health Screening Centers between 2008 and 2018. The CRP-related dietary pattern was derived from 17 food groups using reduced-rank regression. Participants were divided into five groups according to the quintiles of dietary pattern score. Multivariate logistic regression was then applied to estimate the odds ratios (OR) and 95% confidence intervals (CIs) for the quintiles of diet pattern score related to MetS and its four components. Of the 90,130 participants included in this study, 11,209 had MetS. A CRP-related dietary pattern was derived, characterized by a higher consumption of staple food, fresh meat, processed products, and sugar-sweetened beverages but a lower intake of honey and jam, fruits, and dairy products. Compared with participants in the lowest quintile (Q1), participants in the higher quintiles were associated with increased risks of MetS in a dose−response manner after adjustment for potential confounders (p for linear trend < 0.001), the ORs for Q2 to Q5 were 1.10 (95% CI: 1.02−1.19), 1.14 (95% CI: 1.05−1.22), 1.23 (95% CI: 1.15−1.33), and 1.49 (95% CI: 1.38−1.61), respectively. Moreover, the effects were stronger among individuals aged 50 years or older. A CRP-related dietary pattern was associated with the risk of MetS. It provides new insights that dietary intervention to achieve a lower inflammatory level could potentially prevent MetS.

摘要

尚不清楚反映 C 反应蛋白(CRP)的饮食模式如何影响中国人群的代谢综合征(MetS)。为了研究反映 CRP 的饮食模式与 MetS 的关系,我们进行了一项基于 2008 年至 2018 年北京美兆健康体检中心体检数据的横断面研究。使用降秩回归从 17 种食物组中得出反映 CRP 的饮食模式。根据饮食模式评分的五分位将参与者分为五组。然后应用多变量 logistic 回归估计与 MetS 及其四个成分相关的饮食模式评分五分位的比值比(OR)和 95%置信区间(CI)。在这项研究中,共纳入了 90130 名参与者,其中 11209 名患有 MetS。得出了一个反映 CRP 的饮食模式,其特点是主食、新鲜肉类、加工产品和含糖饮料的摄入量较高,而蜂蜜和果酱、水果和乳制品的摄入量较低。与最低五分位组(Q1)相比,在调整了潜在混杂因素后,较高五分位组与 MetS 的风险呈剂量-反应关系(p 趋势<0.001),Q2 至 Q5 的 OR 分别为 1.10(95%CI:1.02-1.19)、1.14(95%CI:1.05-1.22)、1.23(95%CI:1.15-1.33)和 1.49(95%CI:1.38-1.61)。此外,这种效应在 50 岁或以上的人群中更为明显。反映 CRP 的饮食模式与 MetS 的风险相关。这提供了新的见解,即通过饮食干预来降低炎症水平可能有助于预防 MetS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d5d/9268474/fa50f73bec33/nutrients-14-02566-g001.jpg

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