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居住在德里的表面健康成年人中的代谢综合征:素食饮食有保护作用吗?

Metabolic syndrome among apparently healthy adults residing in Delhi: Do vegetarian diets have a protective effect?

作者信息

Kaur Harmeet, Aeri Bani Tamber

机构信息

Department of Food and Nutrition, Institute of Home Economics, Delhi University, New Delhi, Delhi, India.

出版信息

J Family Med Prim Care. 2024 Jan;13(1):143-150. doi: 10.4103/jfmpc.jfmpc_340_23. Epub 2024 Feb 8.

Abstract

BACKGROUND AND AIMS

The prevalence of metabolic syndrome (MetS) has reached epidemic levels, mainly attributed to sedentary lifestyles, poor diets, and obesity. Improved health is one of the reasons why people adopt a vegetarian diet. There are now sufficient data to support the health benefits of a vegetarian diet. However, the presumed beneficial health effects of a vegetarian diet are still unclear, particularly in the Indian context. This study assesses MetS among healthy urban adults following vegetarian and nonvegetarian diets and explores the protective role of vegetarian diets if any.

MATERIALS AND METHODS

The present cross-sectional study was conducted on 400 healthy adults (35-60 years). An equal number of vegetarian and nonvegetarian male and female subjects were enrolled as per operational definitions. The prevalence of MetS was based on the NCEP-ATP III criteria.

RESULTS

The prevalence of MetS was the same among vegetarians (47.5%) and nonvegetarians (47%, = 1). Regression analysis showed that the MetS score was significantly associated with age (β: 0.04, CI: 0.02-0.05, < 0.001), gender (β: 0.51, CI: 0.29-0.74, < 0.001), and physical activity (β: -0.27, CI: -0.55 to 0.01, < 0.05). However, there was no significant association found between the prevalence of MetS and the type of diet (β: 0.13, CI: -0.10 to 0.36, = 0.261).

CONCLUSIONS

The study highlights a high prevalence of MetS among healthy urban adults residing in Delhi, India. The data, thus, show that a vegetarian diet did not have any protective impact against MetS, thus highlighting that it is important to consider the variations and quality of the vegetarian diets that negatively affect the body composition and contribute to the development of subsequent risk of developing MetS.

摘要

背景与目的

代谢综合征(MetS)的患病率已达到流行程度,主要归因于久坐不动的生活方式、不良饮食和肥胖。健康状况改善是人们选择素食的原因之一。目前有足够的数据支持素食对健康有益。然而,素食对健康的假定有益影响仍不明确,尤其是在印度背景下。本研究评估了遵循素食和非素食饮食的健康城市成年人中的代谢综合征,并探讨素食饮食是否具有保护作用(若有)。

材料与方法

本横断面研究针对400名健康成年人(35 - 60岁)开展。根据操作定义,纳入数量相等的素食和非素食男性及女性受试者。代谢综合征的患病率基于美国国家胆固醇教育计划成人治疗组第三次报告(NCEP - ATP III)标准。

结果

素食者(47.5%)和非素食者(47%,P = 1)的代谢综合征患病率相同。回归分析表明,代谢综合征评分与年龄(β:0.04,置信区间:0.02 - 0.05,P < 0.001)、性别(β:0.51,置信区间:0.29 - 0.74)和身体活动(β: - 0.27,置信区间: - 0.55至0.01,P < 0.05)显著相关。然而,未发现代谢综合征患病率与饮食类型之间存在显著关联(β:0.13,置信区间: - 0.10至0.36,P = 0.261)。

结论

该研究凸显了印度德里健康城市成年人中代谢综合征的高患病率。因此,数据表明素食对代谢综合征没有任何保护作用,从而强调考虑素食的差异和质量很重要,这些差异和质量会对身体成分产生负面影响,并导致后续发生代谢综合征风险的增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c5/10931883/02fbf1ab8c88/JFMPC-13-143-g001.jpg

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