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[2016年云南省贡山县居民膳食营养与慢性病的关系]

[Relationship between dietary nutrition and chronic disease of residents in Gongshan County in Yunnan Province in 2016].

作者信息

Zhao Jiang, Ruan Yuan, Min Xiangdong, Zhang Qiang, Hu Jianying, Tang Qinlan, Liu Zhitao

机构信息

Yunan Provincial Center for Disease Control and Prevention, Kunming 650002, China.

Second Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming 650032, China.

出版信息

Wei Sheng Yan Jiu. 2022 Jul;51(4):579-603. doi: 10.19813/j.cnki.weishengyanjiu.2022.04.014.

DOI:10.19813/j.cnki.weishengyanjiu.2022.04.014
PMID:36047262
Abstract

OBJECTIVE

To analyze the relationship between food intake and chronic diseases of Dulong minority residents living in Yunnan Province.

METHODS

460 Dulong minority residents 6-80-year-old among 304 families(male 191, female 269, children and adolescents aged 6-17 years old 56, aged 18-44 years old 229, aged 45-59 years old 123, aged 60-80 years old 52)in Gongshan County in Yunnan Province were selected with Stratified multistage cluster sampling method. To apply the method of food frequency questionnaire and questionnaire survey obtain the condition of dietary structure and overweight or obesity, diabetes and dyslipidemia among Dulong minority. Non-conditional Logistic regression analysis was utilized to analyze the correlation between food intake and chronic diseases.

RESULTS

The prevalence of overweight or obesity, hypertension, diabetes and dyslipidemia were respectively 20.4%, 19.6%, 32.4% and 50.4% in 2016. Marital status and consumption of melons vegetables(OR=0.540, 95%CI 0.306-0.954), benevolence fruit kind fruit(OR=0.348, 95%CI 0.171-0.706) and low fat milk powder(OR=5.267, 95%CI 1.266-21.911) in the past 12 months were associated with hypertension among the Dulong minority population. For the Dulong minority residents, sex, eaten deep-fried dough stick(OR=0.403, 95%CI 0.182-0.894) in the past 12 months, solanaceous vegetables(OR=0.478, 95%CI 0.275-0.832) and whole milk powder(OR=2.090, 95%CI 1.372-3.184) have something to do with diabetes. Occupation, consumption of beancurd and bamboo vegetables(OR=4.753, 95%CI 1.079-20.937), solanaceous vegetables(OR=2.842, 95%CI 1.175-6.871) and edible fungi(OR=1.794, 95%CI 1.116-2.883) over the past 12 months were linked to the prevalence of overweight. Consumption of fresh legumes(OR=1.991, 95%CI 1.130-3.507), whole milk powder(OR=2.342, 95%CI 1.535-3.575), cooked poultry meat(OR=2.092, 95%CI 1.147-3.815), grass carp(OR=0.580, 95% CI 0.379-0.888)and fresh eggs(OR=0.432, 95%CI 0.196-0.950) and in the past 12 months were associated with dyslipidemia among the Dulong minority residents.

CONCLUSION

The prevalence of overweight/obesity was mainly related to occupation, consumption of vegetables and products(solanaceous vegetables, edible fungi), and hypertension was mainly related to Marital status, and the intake of melons vegetables, benevolence fruit kind fruit, low fat milk powder), and diabetes was mainly related to sex, deep-fried dough stick, solanaceous vegetables and whole milk powder, and dyslipidemia was mainly related to Marital status, fresh legumes, whole milk powder, cooked poultry meat, grass carp, and fresh eggs for the Dulong nationality residents aged 6-80 years old in Gongshan County, Yunnan Province.

摘要

目的

分析云南省独龙族居民食物摄入与慢性病之间的关系。

方法

采用分层多阶段整群抽样方法,选取云南省贡山县304户家庭中460名6 - 80岁的独龙族居民(男性191人,女性269人,6 - 17岁儿童及青少年56人,18 - 44岁229人,45 - 59岁123人,60 - 80岁52人)。应用食物频率问卷法和问卷调查法获取独龙族居民的饮食结构状况以及超重或肥胖、糖尿病和血脂异常情况。采用非条件Logistic回归分析方法分析食物摄入与慢性病之间的相关性。

结果

2016年超重或肥胖、高血压、糖尿病和血脂异常的患病率分别为20.4%、19.6%、32.4%和50.4%。婚姻状况以及过去12个月内瓜菜(OR = 0.540,95%CI 0.306 - 0.954)、仁果类水果(OR = 0.348,95%CI 0.171 - 0.706)和低脂奶粉(OR = 5.267,95%CI 1.266 - 21.911)的摄入与独龙族人群高血压有关。对于独龙族居民,性别、过去12个月内食用油条(OR = 0.403,95%CI 0.182 - 0.894)、茄科蔬菜(OR = 0.478,95%CI 0.275 - 0.832)和全脂奶粉(OR = 2.090,95%CI 1.372 - 3.184)与糖尿病有关。职业、过去12个月内食用豆腐和竹类蔬菜(OR = 4.753,95%CI 1.079 - 20.937)、茄科蔬菜(OR = 2.842,95%CI 1.175 - 6.871)和食用菌(OR = 1.794,95%CI 1.116 - 2.883)与超重患病率有关。过去12个月内食用新鲜豆类(OR = 1.991,95%CI 1.130 - 3.507)、全脂奶粉(OR = 2.342,95%CI 1.535 - 3.575)、熟禽肉(OR = 2.092,95%CI 1.147 - 3.815)、草鱼(OR = 0.580,95%CI 0.379 - 0.888)和新鲜鸡蛋(OR = 0.432,95%CI 0.196 - 0.950)与独龙族居民血脂异常有关。

结论

对于云南省贡山县6 - 80岁的独龙族居民,超重/肥胖患病率主要与职业、蔬菜及制品(茄科蔬菜、食用菌)的摄入有关,高血压主要与婚姻状况以及瓜菜、仁果类水果、低脂奶粉的摄入有关,糖尿病主要与性别、油条、茄科蔬菜和全脂奶粉有关,血脂异常主要与婚姻状况、新鲜豆类、全脂奶粉、熟禽肉、草鱼和新鲜鸡蛋有关。

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