摘要
目的结合我国居民近年来膳食结构的改变,探讨现阶段膳食结构和营养素摄入水平对重庆市绝经后妇女骨质疏松症(postmenopausal osteoporosis,PMOP)发生的影响。方法采用半定量食物频数问卷进行膳食调查,比较PMOP病例组与非PMOP对照组的膳食营养素和不同食物类别摄入水平差异性,并用非条件Logistic回归模型分析膳食营养素和食物类别摄入水平与PMOP发生的相关性。结果膳食中大豆蛋白(调整OR=0.291,95%CI=0.017～0.852)、维生素A(调整OR=0.671,95%CI=0.326～0.901)、维生素D(调整OR=0.412,95%CI=0.145～0.763)和钙(调整OR=0.352,95%CI=0.176～0.824)摄入水平与PMOP发生呈显著的负相关,而动物蛋白摄入水平(OR=2.316,95%CI=1.228～5.381)与PMOP发生呈显著正相关。PMOP组的大豆类(制品)、新鲜水果、深色蔬菜以及奶类的摄入量显著低于非PMOP组(P<0.05),而烹饪油的摄入量显著高于非PMOP组(P<0.05)。其余食物类别的摄入水平在两组之间无显著性差异(P>0.05)。高水平的豆制品(调整OR=0.562,95%CI=0.274～0.835)、深色蔬菜(OR=0.629,95%CI=0.418～0.925)、奶类(OR=0.594,95%CI=0.237～0.839)摄入与PMOP发生呈显著的负相关,而高水平的烹饪油摄入(OR=3.821,95%CI=1.479～7.738)与PMOP发生呈显著正相关。结论中老年女性在日常生活中增加大豆类、深色蔬菜和奶类食品的摄入可减少PMOP发生风险,而长期高水平摄入动物蛋白和烹调用油会增加PMOP发生的风险。
Objective To determine the correlation of postmenopausal osteoporosis（PMOP） in Chongqing with the level of intake nutrients and change of diet structure.Methods Semi-quantitative Food Frequency Questionnaire was used to make a survey on a total of 460 Chongqing females（including 152 PMOP and 308 non-PMOP） during June 2007 to June 2008 for their dietary structure.The levels of intake nutrients and diet structure between PMOP group and non-PMOP control group were compared.Non-conditional logistic model was used to estimate the correlation between risk factors and PMOP.Results In diet structure,there were negative correlations of higher average daily dietary intake of soy derived protein（OR=0.291,95%CI=0.017-0.852）,Vit A（OR=0.671,95%CI=0.326-0.901）,Vit D（OR=0.412,95%CI=0.145-0.763）,calcium（OR=0.352,95%CI=0.176-0.824）,soy products（OR=0.629,95%CI=0.418-0.925）,dark colored vegetables（OR=0.629,95%CI=0.418-0.925） and milk（OR=0.594,95%CI=0.237-0.839） with the incidence of PMOP.Daily dietary intake levels of soy,fresh fruits,dark colored vegetables and milk in POMP group were lower than non-POMP group（P0.05）,and the daily dietary intake level of cooking oil in POMP group was higher than non-POMP group（P0.05）.Conclusion Soy products,dark colored vegetables and milk can reduce the incidence of POMP.High level intake of animal derived protein and cooking oil can promote its incidence.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2011年第22期2397-2401,共5页
Journal of Third Military Medical University
基金
国家自然科学基金(81070690)~~
