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饮食模式与墨西哥老年人群的代谢综合征有关。

Dietary Patterns Are Associated with Metabolic Syndrome in Mexican Older Adult Population.

作者信息

Salazar-Torres Brenda Liliana, González-Rocha Alejandra, Armenta-Guirado Brianda Ioanna, Ortiz-Rodríguez María Araceli, Muñoz-Aguirre Paloma, Rodríguez-Ramírez Sonia, Denova-Gutierrez Edgar

机构信息

Universidad Autónoma del Estado de Morelos, Cuernavaca, México.

Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, México.

出版信息

J Nutr Gerontol Geriatr. 2025 Jan-Mar;44(1):1-16. doi: 10.1080/21551197.2024.2448937. Epub 2025 Jan 8.

Abstract

BACKGROUND

Metabolic syndrome poses a significant public health challenge globally, particularly among older adults. Dietary patterns play a crucial role in the development and management of metabolic syndrome. However, to our knowledge, no evidence exists regarding the association between dietary patterns and metabolic syndrome among the Mexican older adult population. Thus, the objective of the present study is to assess the association between dietary patterns and metabolic syndrome in Mexican older adults.

METHODS

This cross-sectional study utilized data from the Mexican National Health and Nutrition Survey 2016 to investigate the relationship between dietary patterns and metabolic syndrome in 804 OA (aged ≥60 years). Dietary patterns were derived using factor analysis, and metabolic syndrome was defined based on established criteria. Logistic regression models were employed to assess associations, adjusting for potential confounders.

RESULTS

Three dietary patterns were identified: a "Westernized" pattern characterized by high consumption of processed meat, red meat, and saturated fats; a "Transitional" pattern high in fresh vegetables and fruits; and a "Prudent" pattern high in fish and low-fat dairy products. The "Westernized" pattern exhibited a positive association with metabolic syndrome, while the "Prudent" pattern showed a negative association. The associations remained significant after adjusting for confounders. Biological mechanisms linking the "Westernized" pattern to metabolic syndrome include chronic inflammation, endothelial dysfunction, and dyslipidemia induced by components such as processed meats and soft drinks.

CONCLUSION

Our study highlights the importance of dietary patterns in influencing metabolic syndrome risk among Mexican older adults. Promoting dietary patterns rich in fish, vegetables, and legumes while reducing consumption of processed meats and sugary beverages may offer significant health benefits in this population. Further prospective studies are needed to confirm these findings and inform targeted interventions for metabolic syndrome prevention and management in older adults.

摘要

背景

代谢综合征在全球范围内对公共卫生构成重大挑战,在老年人中尤为如此。饮食模式在代谢综合征的发生和管理中起着关键作用。然而,据我们所知,尚无关于墨西哥老年人群饮食模式与代谢综合征之间关联的证据。因此,本研究的目的是评估墨西哥老年人饮食模式与代谢综合征之间的关联。

方法

这项横断面研究利用了2016年墨西哥国家健康与营养调查的数据,以调查804名老年人(年龄≥60岁)的饮食模式与代谢综合征之间的关系。通过因子分析得出饮食模式,并根据既定标准定义代谢综合征。采用逻辑回归模型评估关联,并对潜在混杂因素进行调整。

结果

确定了三种饮食模式:一种以加工肉类、红肉和饱和脂肪高消费为特征的“西化”模式;一种新鲜蔬菜和水果含量高的“过渡”模式;以及一种鱼类和低脂乳制品含量高的“谨慎”模式。“西化”模式与代谢综合征呈正相关,而“谨慎”模式呈负相关。在调整混杂因素后,这些关联仍然显著。将“西化”模式与代谢综合征联系起来的生物学机制包括慢性炎症、内皮功能障碍以及加工肉类和软饮料等成分引起的血脂异常。

结论

我们的研究强调了饮食模式对墨西哥老年人代谢综合征风险的影响。在该人群中,推广富含鱼类、蔬菜和豆类的饮食模式,同时减少加工肉类和含糖饮料的消费,可能会带来显著的健康益处。需要进一步的前瞻性研究来证实这些发现,并为老年人代谢综合征的预防和管理提供有针对性的干预措施。

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