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中国云南省大学生饮用含糖饮料与血压升高的关系。

Association of consumption of sugar-sweetened beverages with elevated blood pressure among college students in Yunnan Province, China.

机构信息

School of Medicine, Kunming University, Kunming, Yunnan650214, China.

Community Nursing Research Team of Kunming University, Kunming, Yunnan650214, China.

出版信息

Public Health Nutr. 2024 Feb 29;27(1):e85. doi: 10.1017/S1368980024000569.

Abstract

OBJECTIVE

Although some studies have examined the association between eating behaviour and elevated blood pressure (EBP) in adolescents, current data on the association between sugar-sweetened beverages (SSB) and EBP in adolescents in Yunnan Province, China, are lacking.

SETTING

Cluster sampling was used to survey freshmen at a college in Kunming, Yunnan Province, from November to December. Data on SSB consumption were collected using an FFQ measuring height, weight and blood pressure. A logistic regression model was used to analyse the association between SSB consumption and EBP, encompassing prehypertension and hypertension with sex-specific analyses.

PARTICIPANTS

The analysis included 4781 college students.

RESULTS

Elevated systolic blood pressure (SBP) and diastolic blood pressure (DBP) were detected in 35·10 % (1678/4781) and 39·34 % (1881/4781) of patients, respectively. After adjusting for confounding variables, tea beverage consumption was associated with elevated SBP (OR = 1·24, 95 % CI: 1·03, 1·49, = 0·024), and carbonated beverage (OR = 1·23, 95 % CI: 1·04, 1·45, = 0·019) and milk beverage (OR = 0·81, 95 % CI: 0·69, 0·95, = 0·010) consumption was associated with elevated DBP in college students. Moreover, fruit beverage (OR = 1·32, 95 % CI: 1·00, 1·75, = 0·048) and milk beverage consumption (OR = 0·69, 95 % CI: 0·52, 0·93, = 0·014) was associated with elevated DBP in males.

CONCLUSION

Our findings indicated that fruit and milk beverage consumption was associated with elevated DBP in males, and no association was observed with EBP in females.

摘要

目的

尽管一些研究已经考察了青少年的饮食行为与血压升高(EBP)之间的关系,但目前缺乏中国云南省青少年含糖饮料(SSB)与 EBP 之间关系的相关数据。

设置

采用整群抽样的方法,于 2018 年 11 月至 12 月,对昆明市某高校的新生进行调查。采用 FFQ 测量身高、体重和血压,收集 SSB 消费数据。采用 logistic 回归模型分析 SSB 消费与 EBP 的关系,包括对男女进行的高血压前期和高血压的特异性分析。

参与者

分析包括 4781 名大学生。

结果

分别有 35.10%(1678/4781)和 39.34%(1881/4781)的患者出现收缩压(SBP)和舒张压(DBP)升高。在校正混杂因素后,茶饮料的摄入与 SBP 升高相关(OR=1.24,95%CI:1.03,1.49,P=0.024),而碳酸饮料(OR=1.23,95%CI:1.04,1.45,P=0.019)和牛奶饮料(OR=0.81,95%CI:0.69,0.95,P=0.010)的摄入与大学生 DBP 升高相关。此外,水果饮料(OR=1.32,95%CI:1.00,1.75,P=0.048)和牛奶饮料(OR=0.69,95%CI:0.52,0.93,P=0.014)的摄入与男性 DBP 升高相关。

结论

我们的研究结果表明,水果和牛奶饮料的摄入与男性 DBP 升高有关,而在女性中与 EBP 无相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10b4/10966883/88d00d40646c/S1368980024000569_fig1.jpg

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