健康饮料指数与超重和肥胖女性生活质量的关系：一项横断面研究。
The association between healthy beverage index and quality of life among overweight and obese women: a cross-sectional study.
机构信息
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Department of Nutrition, Science and Research Branch, and Islamic Azad University, Tehran, Iran.
出版信息
BMC Public Health. 2023 Jan 26;23(1):176. doi: 10.1186/s12889-022-14501-1.
BACKGROUND
Although several studies have evaluated the association between patterns of beverage consumption with different components of quality of life separately, the findings are controversial. In addition, none have examined all components of quality of life together in relation to patterns of beverage consumption. Therefore, this study was conducted to identify the association between healthy beverage index (HBI) and quality of life among overweight and obese women.
METHODS
For this cross-sectional study, 210 obese and overweight women were recruited from health centers in Tehran, Iran. Using reliable and verified standard protocols, data on beverage intake, socio-demographic, physical activity, and anthropometric variables were assessed. Based on past studies, the predetermined HBI was estimated. Serum samples were used to determine biochemical characteristics, and quality of life was assessed using SF-36 questionnaires.
RESULTS
There was a significant association between total QoL score with T2 tertile of HBI in the adjusted model (β: 13.11, 95% CI: 1.52, 24.69, p-value = 0.027). General health had a significant negative association with T2 (β: -5.83; 95% CI: - 11.48, - 0.18; p-value = 0.043) and T3 (β: -6.20; 95% CI: - 12.37, - 0.03; p-value = 0.049). Women with greater adherence to the HBI had a higher physical functioning score, and there was a significant upward trend from the second to the third tertile (7.74 vs 0.62) (-trend = 0.036). There was a significant positive association between mental health with T3 of HBI (β: 4.26; 95% CI: 1.51, 5.98; p-value = 0.015) and a significant increasing trend was observed with increasing tertiles (P-trend = 0.045).
CONCLUSION
In conclusion, there is a significant association between total QoL score, and its components, with HBI among overweight and obese women. However, additional well-designed studies are needed to confirm these findings.
背景
尽管有几项研究分别评估了不同成分的饮料消费模式与生活质量各方面之间的关联，但研究结果存在争议。此外，目前尚无研究同时探讨所有生活质量成分与饮料消费模式之间的关系。因此，本研究旨在确定健康饮料指数（HBI）与超重和肥胖女性生活质量之间的关联。
方法
本横断面研究共纳入 210 名来自伊朗德黑兰健康中心的超重和肥胖女性。采用可靠且经过验证的标准方案评估了饮料摄入、社会人口统计学、身体活动和人体测量学变量的数据。根据以往的研究，预估了预先确定的 HBI。使用血清样本测定生化特征，采用 SF-36 问卷评估生活质量。
结果
在调整后的模型中，总生活质量评分与 HBI 的 T2 三分位存在显著关联（β：13.11，95%CI：1.52，24.69，p 值=0.027）。一般健康状况与 T2（β：-5.83；95%CI：-11.48，-0.18；p 值=0.043）和 T3（β：-6.20；95%CI：-12.37，-0.03；p 值=0.049）呈显著负相关。对 HBI 依从性更高的女性具有更高的身体机能评分，且从第二到第三三分位呈显著上升趋势（7.74 对 0.62）（-趋势=0.036）。心理健康与 HBI 的 T3 呈显著正相关（β：4.26；95%CI：1.51，5.98；p 值=0.015），且随着三分位的升高呈显著上升趋势（P 趋势=0.045）。
结论
总之，超重和肥胖女性的总生活质量评分及其各成分与 HBI 之间存在显著关联。然而，需要进一步进行设计良好的研究来证实这些发现。
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