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中国老年人群的膳食烹饪油与心脏代谢指标

Dietary cooking oils and cardiometabolic measurements in an elderly Chinese population.

作者信息

Wang Xin-Yu, Miao Chao-Ying, Ye Xiao-Fei, Wang Wen-Yuan-Yue, Zhu Jia-Bo, Zhou Yi, Li Yan, Wang Ji-Guang

机构信息

School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Cardiovascular Medicine, Centre for Epidemiological Studies and Clinical Trials, The Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

J Geriatr Cardiol. 2024 Jun 28;21(6):642-650. doi: 10.26599/1671-5411.2024.06.002.

Abstract

OBJECTIVE

To investigate three features of dietary cooking oil intake, namely, the consumption, cooking style, and composition of fatty acids in relation to several cardiometabolic measurements in an elderly Chinese population.

METHODS

The elderly (≥ 65 years) participants for this study were recruited from two community health centers in the urban area of Shanghai. A questionnaire was administered to collect information on dietary oil consumption (low, medium and high) and cooking styles (fry or stir-fry others) and the composition of fatty acids (poly-unsaturated mono-unsaturated). The cardiometabolic measurements included anthropometry, blood pressure, fasting plasma glucose and serum lipids.

RESULTS

The 1186 study participants had a mean age of 70.9 ± 5.4 years. The mean dietary oil consumption was 35.0 g/d, being low (< 25 g/d), medium (25-49 g/d) and high (≥ 50 g/d) in 485,467 and 234 participants, respectively. The proportion of the fry or stir-fry cooking style and oils rich in mono-unsaturated fatty acids was 30.4% and 27.4%, respectively. Both before and after adjustment for sex, age, current smoking and alcohol intake, dietary oil consumption was significantly ( ≤ 0.02) and positively associated with the prevalence of treated hypertension and fasting plasma glucose concentration. With similar adjustments as above and additional adjustment for dietary oil consumption, the fry or stir-fry cooking style was significantly ( ≤ 0.048) and positively associated with body mass index, but inversely with systolic and diastolic blood pressure and serum low-density lipoprotein cholesterol, and the dietary intake of oils rich in mono-unsaturated fat acids was significantly ( ≤ 0.02) and positively associated with diastolic blood pressure, serum triglycerides, total cholesterol and low-density lipoprotein cholesterol, and the prevalence of hypertriglyceridemia and hypercholesterolemia.

CONCLUSIONS

This study showed that both the consumption and composition of fatty acids of the dietary oils mattered with regard to several cardiometabolic measurements in an elderly Chinese population.

摘要

目的

调查中国老年人群膳食烹饪油摄入量的三个特征,即消费量、烹饪方式和脂肪酸组成与多项心脏代谢指标之间的关系。

方法

本研究的老年参与者(≥65岁)来自上海市市区的两个社区卫生中心。通过问卷调查收集膳食油消费量(低、中、高)、烹饪方式(煎或炒及其他)以及脂肪酸组成(多不饱和、单不饱和)的信息。心脏代谢指标包括人体测量学指标、血压、空腹血糖和血脂。

结果

1186名研究参与者的平均年龄为70.9±5.4岁。膳食油平均消费量为35.0克/天,其中485名、467名和234名参与者的消费量分别为低(<25克/天)、中(25 - 49克/天)和高(≥50克/天)。煎或炒烹饪方式以及富含单不饱和脂肪酸的油类所占比例分别为30.4%和27.4%。在对性别、年龄、当前吸烟和饮酒情况进行调整前后,膳食油消费量均与治疗性高血压患病率和空腹血糖浓度显著正相关(P≤0.02)。在进行上述类似调整并对膳食油消费量进行额外调整后,煎或炒烹饪方式与体重指数显著正相关(P≤0.048),但与收缩压和舒张压以及血清低密度脂蛋白胆固醇呈负相关,而富含单不饱和脂肪酸的油类的膳食摄入量与舒张压、血清甘油三酯、总胆固醇和低密度脂蛋白胆固醇以及高甘油三酯血症和高胆固醇血症患病率显著正相关(P≤0.02)。

结论

本研究表明,在中国老年人群中,膳食油的消费量和脂肪酸组成在多项心脏代谢指标方面均具有重要意义。

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