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美国成年人饮食中 n3 和 n6 脂肪酸摄入量与中风的关系:NHANES 2007-2018 的横断面研究。

Association between the intake of dietary n3 and n6 fatty acids and stroke in US adults: A cross-sectional study of NHANES 2007-2018.

机构信息

General Practice Department of Medicine, 960th Hospital People's Liberation Army of China Joint Logist Support Force, Jinan, China.

Public Health Department, Weihai Maternal and Child Health Hospital, the Affiliated Weihai Second Municipal Hospital of Qingdao University, Weihai, China.

出版信息

PLoS One. 2023 Nov 16;18(11):e0293893. doi: 10.1371/journal.pone.0293893. eCollection 2023.

Abstract

BACKGROUND

The association between the intake of dietary n3 and n6 fatty acids and the risk of stroke is subject to debate. The primary objective of the present research was to establish the correlation in a large sample of American adults.

METHODS

Using data from the National Health and Nutrition Examination Survey (NHANES) between 2007 and 2018, the association of the intake of dietary n3 and n6 fatty acids with stroke events was analyzed in a sample of 29,459 adults. The intake of n3 and n6 fatty acids intake was assessed though two 24-h dietary recalls. Stroke outcomes were identified based on the responses provided in self-reported questionnaire. Logistic regression was fitted to evaluate the correlation of dietary n3, n6 fatty acids intake with stroke events.

RESULTS

Subjects in the highest tertile (T3) of dietary n3 (OR: 0.67, 95% CI: 0.49-0.93), n6 (OR: 0.65, 95% CI: 0.45-0.95) fatty acids intake were found to have obviously lower risk of stroke compared to those in the lowest tertile (T1), but the n6:n3 ratio was not found to be associated with a stroke event. Results from stratified analysis demonstrated that dietary n3 fatty acids had an inverse correlation of stroke in both male and female, but dietary n6 fatty acids only had this correlation in male. Moreover, findings were made that the interaction was significant in terms of age in the subgroup analysis, and the negative relationship between the intake of dietary n3 and n6 fatty acids and stroke event were particularly pronounced among participants aged ≥60.

CONCLUSIONS

The present results suggested that increased dietary n3, n6 fatty acids intake correlated with a lower risk of stroke.

摘要

背景

饮食中 n3 和 n6 脂肪酸的摄入与中风风险之间的关联存在争议。本研究的主要目的是在大量美国成年人样本中确定这种相关性。

方法

利用 2007 年至 2018 年期间国家健康和营养检查调查(NHANES)的数据,分析了 29459 名成年人样本中饮食中 n3 和 n6 脂肪酸摄入与中风事件的相关性。通过两次 24 小时膳食回忆评估 n3 和 n6 脂肪酸的摄入量。根据自我报告问卷中的回答确定中风结局。拟合 logistic 回归以评估饮食中 n3、n6 脂肪酸摄入与中风事件的相关性。

结果

与最低三分位(T1)相比,饮食中 n3(OR:0.67,95%CI:0.49-0.93)和 n6(OR:0.65,95%CI:0.45-0.95)脂肪酸摄入最高三分位(T3)的受试者中风风险明显较低,但 n6:n3 比值与中风事件无关。分层分析结果表明,饮食 n3 脂肪酸与男性和女性的中风均呈负相关,但饮食 n6 脂肪酸仅在男性中与中风呈负相关。此外,亚组分析发现,在年龄亚组中存在显著的交互作用,在年龄≥60 岁的参与者中,饮食 n3 和 n6 脂肪酸的摄入与中风事件之间的负相关关系尤为明显。

结论

本研究结果表明,增加饮食中 n3、n6 脂肪酸的摄入与中风风险降低相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c1/10653462/1e053b8c6cbc/pone.0293893.g001.jpg

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