华南预防医学 ›› 2019, Vol. 45 ›› Issue (3): 206-210.doi: 10. 13217/j. scjpm. 2019. 0206

• 论著 • 上一篇    下一篇

广东省成年居民膳食模式与超重肥胖的关系

纪桂元1, 洪晓敏1, 蒋琦1, 许晓君2, 许燕君2, 马文军1   

  1. 广东省疾病预防控制中心 广东省公共卫生研究院,广东 广州 51130
  • 收稿日期:2019-02-25 发布日期:2019-07-19
  • 作者简介:纪桂元(1982—),女,博士研究生,副主任医师,主要研究方向:营养与慢性疾病
  • 基金资助:
    广东省医学科学技术研究基金项目(A2018487)

Relationship between dietary patterns and overweight/obesity among adult residents in Guangdong Province

JI Gui-yuan1, HONG Xiao-min1, JIANG Qi1, XU Xiao-jun2, XU Yan-jun2, MA Wen-jun1   

  1. 1.Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430,China;
    2. Guangdong Provincial Center for Disease Control and Prevention
  • Received:2019-02-25 Published:2019-07-19

摘要: 目的 分析广东省居民膳食模式,并探讨其与超重肥胖的关系,为超重和肥胖的饮食防控提供依据。方法 采用分层随机抽样的方法抽取广东省14个县区为监测点,每个监测点随机抽取3个乡镇(街道),每个乡镇随机抽取2个居委(村委),每个居委(村委)抽取45户符合条件的居民进行调查。调查内容包括个人健康情况调查、医学体检和膳食调查。利用因子分析方法对广东居民膳食模式进行分析,并分析膳食模式与超重肥胖的关系。结果 本研究共对3 495名广东省成年居民进行调查,年龄18~91岁,平均(52.0 ± 15.0)岁;男女性别比为1∶0.85。以汉族为主,共3 467人(占99.2%),学历以初中或高中为主,共1 662人(占47.6%),已婚者共3 168人(占90.6%)。BMI为(23.4 ± 3.5)。广东省居民主要有4种膳食模式,分别为调味品膳食模式(占20.0%)、传统膳食模式(占29.6%)、果蔬蛋奶膳食模式(占24.8%)、酒饮料水产膳食模式(占25.5%)。传统膳食模式成年男性的BMI、腰围和肥胖发生率均最低(P<0.05或P<0.01),成年女性传统膳食模式和果蔬蛋奶膳食模式者的腰围和中心性肥胖发生率均较低(P<0.05或P<0.01)。结论 广东省成年居民膳食模式多样化,传统膳食模式和果蔬蛋奶膳食模式可能与较低的BMI、腰围和肥胖发生率有关,是预防超重肥胖提倡的膳食模式。

关键词: 膳食模式, 超重, 肥胖, 营养调查

Abstract: Objective To determine dietary patterns of residents in Guangdong Province and explore its relationship with overweight and obesity. Methods Using stratified cluster random sampling method, 14 counties/districts in Guangdong Province were selected as surveillance sites. Then 3 towns (streets) were randomly selected from each surveillance site, 2 village committees were randomly selected from each town/streets, and finally 45 eligible residents were selected from each village committee for the survey. The survey contents included personal health status, medical examination and diet. Factor analysis was used to analyze the dietary patterns and the relationship between dietary patterns and overweight/obesity. Results A total of 3 495 adult residents were investigated, and their ages were from 18 to 91 years, with an average age of (52.0 ± 15.0) years. The male to female sex ratio was 1∶0.85. Of the participants, 3 467 (99.2%) were Han nationality, 1 662 (47.6%) had the educational level at junior or senior high school, and 3 168 (90.6%) married. The BMI was (23.4 ± 3.5). Four main dietary patterns were determined, i.e., the condiment diet pattern (20.0%), traditional diet pattern (29.6%),fruit-vegetable and egg-milk diet pattern (24.8%) and wine-beverage and aquatic product diet pattern (25.5%). The BMI, waist circumference and obesity rates were the lowest among the male adults taking the traditional dietary pattern (P< 0.05 or P< 0.01).The waist circumference and central obesity rates of the female adults taking the traditional dietary pattern and the fruit-vegetable and egg-milk diet pattern were lower (P<0.05 or P<0.01).Conclusion The traditional diet pattern and fruit-vegetable and egg-milk diet pattern may be related to a lower body mass index, waist circumference and obesity rate. Hence, these dietary patterns are recommended in the prevention of overweight and obesity.

Key words: Dietary pattern, Overweight, Obesity, Nutrition survey

中图分类号: 

  • R151.4+1