摘要
目的探讨大学新生膳食模式与非酒精性脂肪肝(NAFLD)之间的关系,为高校开展NAFLD的饮食预防提供科学依据。方法采用单纯随机抽样的方法,对杭州地区所属6所高校的1 752名大学新生进行调查,调查内容包括一般情况、体格检查和最近1年的膳食调查,采用因子分析调查主要的膳食模式。结果 "动物食物型"和"西方快餐型"模式中Q3组体质量指数(BMI)高于Q1组,而"传统中国型"模式中Q3组BMI低于Q1组;"西方快餐型"模式中Q3组谷丙转氨酶(ALT)和谷草转氨酶(AST)高于Q1组,"传统中国型"模式中Q3组ALT和AST低于Q1组(P值均<0.05)。Logistic回归分析显示,调整混杂因素后,"西方快餐型"模式与NAFLD的风险呈正相关(OR=1.26,95%CI=1.09～1.72,P<0.05),"传统中国型"模式与NAFLD的风险呈负相关(OR=0.51,95%CI=0.38～0.74,P<0.05)。结论膳食模式与大学新生的NAFLD关系密切,坚持中国传统饮食,减少红肉及油炸食物摄入,有助于降低NAFLD的患病风险。
Objective To explore the relationship between dietary patterns and non-alcoholic fatty liver disease(NAFLD)among college freshmen of Hangzhou area,and provide scientific evidence for the prevention of NAFLD in universities.Methods The 1 752 freshmen students from six universities were selected to perform a questionnaire survey,including general information,and dietary survey in the last year,by using a random sampling method.Factor analysis was used to achieve the major dietary patterns.Results Three dietary patterns were obtained from the analysis,including the animal food,Western fast food,and traditional Chinese patterns.After adjusting for confounding factors,participants in the highest tertile of the animal food and Western fast food pattern had significantly higher BMI(P<0.01).Besides,participants in the highest tertile of the Western fast-food pattern had higher ALT and AST than those in the lowest tertile(P<0.05).Conversely,participants in the highest tertile of the traditional Chinese pattern had lower BMI,ALT and AST than those in the lowest tertile(P<0.05).Logistic regression analysis showed that Western pattern might increase the risk of NAFLD(OR=1.26,95%CI=1.09-1.72,P<0.05),whereas the traditional Chinese pattern might decrease the risk of NAFLD(OR=0.51,95%CI=0.38-0.74,P<0.05).Conclusion Different dietary patterns are closely related to NAFLD in college freshmen.Chinese traditional food should be kept their diet,red meat and fried food should be reduced to decrease.the risk of NAFLD.
作者
杜秋菊
束龙
叶翔
姚国萍
周瑞芬
DU Qiuju;SHU Long;YE Xiang;YAO Guoping;ZHOU Ruifeng(Department of Nutrition,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)
出处
《中国学校卫生》
CAS
北大核心
2019年第3期434-436,440,共4页
Chinese Journal of School Health
基金
浙江省卫生厅培育项目(2014PYA002)
关键词
膳食调查
脂肪肝
回归分析
学生
Diet surveys
Fatty liver
Regression analysis
Students
