华南预防医学 ›› 2021, Vol. 47 ›› Issue (3): 319-322.doi: 10.12183/j.scjpm.2021.0319

• 论著 • 上一篇    下一篇

新发结直肠癌患者膳食模式分析

王红梅, 张兰, 王一涵   

  1. 辽宁省肿瘤医院,辽宁 沈阳 110042
  • 收稿日期:2020-11-11 出版日期:2021-03-20 发布日期:2021-04-14
  • 作者简介:王红梅(1986—),女,大学本科,主管护师,研究方向为肺癌、肝癌、结直肠癌等疾病的内外科护理

Analysis of dietary patterns in patients with new-onset colorectal cancer

WANG Hong-mei, ZHANG Lan, WANG Yi-han   

  1. Liaoning Cancer Hospital and Institute, Shenyang 110042, China
  • Received:2020-11-11 Online:2021-03-20 Published:2021-04-14

摘要: 目的 探讨新发结直肠癌患者的膳食模式与发病的关系,为结直肠癌的发生提供科学的干预方向。方法 以2018—2019年辽宁省某肿瘤医院就诊并经病理学确诊的新发结直肠癌患者和同期在该医院体检中心参加健康体检者为研究对象,新发结直肠癌患者为病例组,按同性别、同年龄1∶1选取健康体检者作为对照组,采用主成分分析法对调查对象的膳食模式进行分析,利用Logistic回归模型分析不同膳食模式对结直肠癌发病风险的影响。结果 本研究共对新发结直肠癌患者232例、健康体检者232人进行调查,2组人群在性别、年龄、文化程度、家庭人均月收入和体力劳动强度分布差异均无统计学意义(均P>0.05)。多因素Logistic回归分析结果显示坚果薯类膳食模式(OR=0.482)、水产奶类膳食模式(OR=0.666)和果蔬素食膳食模式(OR=0.800)是结直肠癌发生的保护性因素,西式膳食模式(OR=1.441)、辛辣熏制膳食模式(OR=1.195)、肉类膳食模式(OR=1.397)和高脂肪膳食模式(OR=1.349)为结直肠癌发病的危险因素。结论 坚果薯类、水产奶类和果蔬素食是结直肠癌发生的保护性因素。西式、辛辣熏制、肉类和高脂肪膳食为结直肠癌发病的危险因素,在结直肠癌的防病宣传健康教育中应该加强饮食健康宣传,提高防病意识,有效降低发病率。

关键词: 膳食模式, 结直肠癌, 主成分分析, 恶性肿瘤

Abstract: Objective To explore the relationship between dietary patterns and morbidity in patients with new-onset colorectal cancer, and to provide scientific intervention methods for the prevention of colorectal cancer. Methods The newly colorectal cancer patients diagnosed by pathology in a cancer hospital in Liaoning Province from 2018 to 2019 were selected as the case group, and the healthy people who participated in the physical examination were selected as the control group according to the same gender and age of 1∶1. The dietary patterns of the survey objects were analyzed by principal component analysis. Logistic regression analysis was used to analyze the effect of different dietary patterns on the risk of colorectal cancer. Results A total of 232 new-onset colorectal cancer patients and 232 healthy persons were surveyed. There was no statistically significant difference between the two groups in gender, age, education level, per capita family monthly income and physical labor intensity (all P>0.05). Multivariate Logistic regression analysis showed that nuts potatoes dietary pattern (OR=0.482), aquatic dairy dietary pattern (OR=0.666) and fruit and vegetable vegetarian dietary pattern (OR=0.800) were protective factors for colorectal cancer; Western-style dietary pattern (OR=1.441), spicy fumigation dietary pattern (OR =1.195), meat dietary pattern (OR=1.397) and high-fat dietary pattern (OR=1.349) were risk factors for colorectal cancer. Conclusion Nuts and potatoes, aquatic dairy and fruit and vegetable diet are protective factors for the occurrence of colorectal cancer, and western style, spicy fumigation, meat and high fat diet are the risk factors. In the propaganda and health education of colorectal cancer prevention, diet health education should be strengthen to improve the awareness of disease prevention and effectively reduce the incidence of colorectal cancer.

Key words: Dietary pattern, Colorectal cancer, Principal component analysis, Malignant tumor

中图分类号: 

  • R151.4+2