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不同类型饮食对波兰居民疾病预防的影响,包括新冠疫情。

The Impact of Different Types of Diet on the Prevention of Diseases among Polish Inhabitants, Including COVID-19 Disease.

作者信息

Gołębiowska Justyna, Zimny-Zając Anna, Makuch Sebastian, Dróżdż Mateusz, Dudek Krzysztof, Żórawska Joanna, Mazur Grzegorz, Agrawal Siddarth

机构信息

Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.

Medonet, Ringier Axel Springer Poland, Domaniewska St. 49, 02-672 Warsaw, Poland.

出版信息

Nutrients. 2023 Sep 12;15(18):3947. doi: 10.3390/nu15183947.

Abstract

Proper nutrition may help in preventing deaths or at least alleviating the symptoms of many chronic diseases. While the COVID-19 disease was still taking its toll, the world had to adjust to new life conditions, which could change nutritional habits. In this observational, cross-sectional study, we aimed to identify the potential correlations between sociodemographic factors and diet and the presence of common chronic diseases among Polish inhabitants. Furthermore, we tried to determine whether the COVID-19 pandemic led to changes in nutritional habits. Therefore, based on the online study (the National Test for Poles' Health (NTPH), we collected data from 376,102 and 200,000 respondents in two different time frames (before the COVID-19 pandemic: 2019-2020 and during the COVID-19 pandemic: 2021-2022, respectively). Despite the rapid global rise of the COVID-19 pandemic, among our study group, hypertension was still the most commonly occurring disease in both time frames (32.33% in 2019-2020 and 34.95% in 2021-2022, < 0.001). Furthermore, more chronic diseases were reported during the COVID-19 pandemic than in 2019-2020. Regarding sociodemographic factors, male respondents were more likely to develop hypertension and diabetes (OR = 1.35 CI 95% (1.28-1.43), < 0.001; and OR = 1.20 CI 95% (1.11-1.30), < 0.001). Vegetarian diet decreases the likelihood of hypertension, neurological disease, and diabetes (OR = 0.69, CI 95% (0.60-0.81), < 0.001; OR = 0.72, CI 95% (0.59-0.88), = 0.001; and OR = 0.73, CI 95% (0.55-0.96), = 0.026). In line with this, consuming meat meals increases the risk of hypertension (OR = 1.09, CI 95% (1.02-1.17), = 0.009). Interestingly, a reduced-sodium diet has an association with decreased morbidity of COVID-19 disease (OR = 0.72, CI 95% (0.63-0.82), < 0.001). This result brings new light to more research to be done to allow efficient prevention of this disease. In conclusion, our study shows the beneficial role of a balanced diet in reducing the incidence rate of common chronic diseases. Our findings may be educational for those who would like to change their nutritional habits and/or for public health professionals to suggest the implementation of proper diets to their patients.

摘要

合理营养可能有助于预防死亡,或至少缓解许多慢性病的症状。在新冠疫情仍在造成严重影响时,全世界不得不适应新的生活状况,而这可能改变营养习惯。在这项观察性横断面研究中,我们旨在确定波兰居民的社会人口学因素与饮食以及常见慢性病患病情况之间的潜在关联。此外,我们试图确定新冠疫情是否导致了营养习惯的改变。因此,基于在线研究(波兰人健康国家测试(NTPH)),我们在两个不同时间段(新冠疫情之前:2019 - 2020年,以及新冠疫情期间:2021 - 2022年)分别收集了376,102名和200,000名受访者的数据。尽管新冠疫情在全球迅速蔓延,但在我们的研究组中,高血压在两个时间段仍然是最常见的疾病(2019 - 2020年为32.33%,2021 - 2022年为

34.95%,P < 0.001)。此外,报告的慢性病在新冠疫情期间比2019 - 2020年更多。关于社会人口学因素方面,男性受访者患高血压和糖尿病的可能性更高(比值比 = 1.35,95%置信区间(1.28 - 1.43),P < 0.001;比值比 = 1.20,95%置信区间(1.11 - 1.30),P < 0.001)。素食饮食可降低患高血压、神经系统疾病和糖尿病的可能性(比值比 = 0.69,95%置信区间(0.60 - 0.81),P < 0.001;比值比 = 0.72,95%置信区间(0.59 - 0.88),P = 0.001;比值比 = 0.73,95%置信区间(0.55 - 0.96),P = 0.026)。与此相符的是,食用肉类餐食会增加患高血压的风险(比值比 = 1.09,95%置信区间(1.02 - 1.17),P = 0.009)。有趣的是,低钠饮食与新冠发病率降低有关联(比值比 = 0.72,95%置信区间(0.63 - 0.82),P <

0.001)。这一结果为进一步开展更多研究以有效预防该疾病带来了新的启示。总之,我们的研究表明均衡饮食在降低常见慢性病发病率方面具有有益作用。我们的研究结果对于那些想要改变营养习惯的人以及公共卫生专业人员向患者建议实施合理饮食方面可能具有教育意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b5a/10535510/a1616e9a9851/nutrients-15-03947-g001.jpg

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