您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版) ›› 2015, Vol. 53 ›› Issue (1): 81-86.doi: 10.6040/j.issn.1671-7554.0.2014.635

• 公共卫生与管理学 • 上一篇    下一篇

水摄入及其他膳食因素对血脂异常人群的影响

谌红珊1, 陈垚1, 刘晟忻2, 冯建1, 赵长峰1, 于连龙3, 任慈1, 黄斯妤1   

  1. 1. 山东大学公共卫生学院营养与食品卫生学系, 山东 济南 250012;
    2. 青岛大学医学院公共卫生系, 山东 青岛 266011;
    3. 山东省疾病预防控制中心食品与营养所, 山东 济南 250014
  • 收稿日期:2014-09-22 修回日期:2014-11-25 发布日期:2015-01-10
  • 通讯作者: 赵长峰。E-mail:zhaochfeng@sdu.edu.cn E-mail:zhaochfeng@sdu.edu.cn

Impact of water intake and other dietary factors on dyslipidemia population

SHEN Hongshan1, CHEN Yao1, LIU Shengxin2, FENG Jian1, ZHAO Changfeng1, YU Lianlong3, REN Ci1, HUANG Sishu1   

  1. 1. Department of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Public Health, Medical College, Qingdao University, Qingdao 266011, Shandong, China;
    3. Shandong Center For Disease Control and Prevention, National Institute for Nutrition and Food Safety, Jinan 250014, Shandong, China
  • Received:2014-09-22 Revised:2014-11-25 Published:2015-01-10

摘要: 目的 了解济南市中老年人群饮水及膳食结构差异,研究水摄入和其他膳食因素对血脂异常人群的影响。方法 选取济南市5个区50~75岁确诊的107例血脂异常患者(血脂异常组)和127例健康人群(对照组)作为研究对象,利用称量器具进行饮水量的调查,由研究对象记录连续4 d每天每次饮水量和饮水种类;食物水来源调查采用24 h膳食回顾和称量法收集食物种类、数量。结果 研究对象总水摄入量约55.8%来源于饮水,44.2%来源于食物,男性、女性的饮水量和总水摄入量均低于成年人群适宜摄入量。血脂异常组的饮水、食物水分、总水摄入量均明显低于对照组(P均<0.01)。多因素Logistic回归分析表明,能量摄入>2 000 kcal/d、总水摄入量 < 1 900 mL/d可使血脂异常患病的危险性增加,优势比分别为11.277、2.992,总水分摄入量>2 400 mL/d是血脂异常的保护因素(OR=0.166)。结论 性别、肥胖、膳食能量摄入水平、水摄入量与血脂异常症的发生有密切关联;总能量摄入过多和水摄入不足是血脂异常症的危险因素,高危人群和患者应控制能量并保证充足的水摄入。

关键词: 膳食, 水摄入, 血脂异常, 影响因素

Abstract: Objective To explore the differences in diet patterns between dyslipidemia population and healthy people, and to investigate the correlation between water intake and dyslipidemia among the elderly in Jinan City. Methods A total of 107 dyslipidemia patients (dyslipidemia group) and 127 healthy subjects (control group) aged 50 to 75 years were enrolled in the study. The diets and water intakes in the past 24 hours were interviewed, results were analyzed by multivariate Logistic regression, and ORs of relevant factors were calculated. Results In all subjects, about 55.8% of total water was taken in from liquid water, 44.2% from moisture in food. Liquid water and total water intake of subjects involved in our study were significantly lower than the adequate intake for the adult population. Liquid water, moisture in food and total water intake of the dyslipidemia group were remarkably lower than those of the control group (830 vs 913 mL/d, 1 038 vs 1 161 mL/d, 1 868 vs 2 075 mL/d, P<0.01). Multivariate Logistic regression analysis showed that energy intake > 2 000 kcal/d, total water intake < 1 900 mL/d increased the odds ratio of dyslipidemia ashigh as 11.277 and 2.992, respectively. Total water intake > 2 400 mL/d was a protective factor of dyslipidemia (OR=0.166). Conclusion Dyslipidemia is closely associated with gender, obesity, dietary intake, and water intake. The high intake of energy and low intake of water are risk factors of dyslipidemia. The high risk population and patients should appropriately control the energy intake and ensure adequate water intake.

Key words: Diet, Influence factor, Water intake, Dyslipidemia

中图分类号: 

  • R153.3
[1] 赖亚新, 李晨嫣, 滕晓春, 等. 辽宁省城乡成年居民血脂异常患病率及其危险因素分析[J]. 中国医科大学学报, 2012, 41(2): 151-154. LAI Yaxin, LI Chenyan, TENG Xiaochun, et al. The prevalence and risk factors of dyslipidemia among urban and rural adults in Liaoning Province[J]. Journal of China Medical University, 2012, 41(2): 151-154.
[2] Sherpa LY, Deji, Stigum H, et al. Lipid profile and its association with risk factors for coronary heart disease in the highlanders of Lhasa, Tibet[J]. High Alt Med Biol, 2011, 12(1): 57-63.
[3] 赵文华, 张坚, 由悦, 等. 中国18岁及以上人群血脂异常流行特点研究[J]. 中华预防医学杂志, 2005, 39(5): 306-310. ZHAO Wenhua, ZHANG Jian, YOU Yue, et al. Epidemiologic characteristics of dyslipidemia in people aged 18 years and over in China[J]. Chinese Journal of Preventive Medicine, 2005, 39(5): 306-310.
[4] 马冠生. 水[J]. 营养学报, 2013, 35(4): 324-327. MA Guansheng. Water[J]. Acta Nutrimenta Sinica, 2013, 35(4): 324-327.
[5] 张倩, 胡小琪, 邹淑蓉, 等. 我国四城市成年居民夏季饮水量[J]. 中华预防医学杂志, 2011, 45(8): 677-682. ZHANG Qian, HU Xiaoqi, ZOU Shurong. et al. Water intake of adults in four cities of China in summer[J]. Chinese Journal of Preventive Medicine, 2011, 45(8): 677-682.
[6] 马冠生, 左娇蕾, 李晓辉, 等. 我国四城市成年居民夏季水分的食物来源[J]. 中华预防医学杂志, 2011, 45(8): 692-695. MA Guansheng, ZUO Jiaolei, LI Xiaohui, et al. Food water sources analysis of adults in four cities of China in summer[J]. Chinese Journal of Preventive Medicine, 2011, 45(8): 692-695.
[7] Perrier E, Verqne S, Le Bellego L, et al. Hydration biomarkers in free-living adults with different levels of habitual fluid consumption[J]. Br J Nutr, 2013, 10(9): 1678-1687.
[8] 中国成人血脂异常防治指南制定联合委员会. 中国成人血脂异常防治指南[J]. 中华心血管病杂志, 2007, 35(5): 390-409. Develop joint committee of Chinese adult dyslipidemia prevention guide. Chinese adult dyslipidemia prevention guide[J]. Chinese Journal of Cardiology, 2007, 35(5): 390-409.
[10] 中国营养学会. 中国居民膳食营养素参考摄入量[M]. 北京: 中国标准出版社, 2013: 35.
[11] 郑婵娟, 段小丽, 王宗爽, 等. 泌阳地区居民冬季饮水暴露参数研究[J]. 环境与健康杂志, 2013, 30(3): 226-229. ZHENG Chanjuan, DUAN Xiaoli, WANG Zongshuang, et al. Drinking water exposure factors among residents in Biyang area in winter[J]. Journal of Environment and Health, 2013, 30(3): 226-229.
[12] 李晓辉, 王瑶, 刘艳, 等. 成都市成年人水分摄入总量及来源[J]. 职业卫生与病伤, 2011, 26(6): 343-345. LI Xiaohui, WANG Yao, LIU Yan, et al. Total water intake and ins sources of adults in Chengdu[J]. Journal of Occupational Health and Damage, 2011, 26(6): 343-345.
[13] 左娇蕾, 马冠生. 我国四城市成年居民夏季饮水状况调查报告[J]. 中国卫生标准管理, 2011, 2(2): 59-62. ZUO Jiaolei, MA Guansheng. Survey report of adults in four cities of China in summer[J]. Magazine China Health Standard Management, 2011, 2(2): 59-62.
[14] 段小丽, 王宗爽, 王贝贝, 等.我国北方某地区居民饮水暴露参数研究[J]. 环境科学研究, 2010, 23(9): 1216-1220. DUAN Xiaoli, WANG Zongshuang, WANG Beibei, et al. Drinking water-related exposure factors in a typical area of northern China[J]. Research of Environmental Science, 2010, 23(9): 1216-1220.
[15] 张东, 岳川, 于国龙, 等. 北京市成年居民饮水行为分析[J]. 职业与健康, 2012, 28 (21): 2583-2586. ZHANG Dong, YUE Chuan, YU Guolong, et al. Study on drinking behavior of adults in Beijing[J]. Occupation and Health, 2012, 28 (21): 2583-2586.
[16] 张桂斌, 吴为, 张金艳. 北京市朝阳区部分老年人饮水习惯调查[J]. 环境与健康杂志, 2012, 29(10): 945-946. ZHANG Guibin, WU Wei, ZHANG Jinyan. Survey on drinking habits of elderly in Chaoyang District, Beijing[J]. Journal of Environment and Health, 2012, 29(10): 945-946.
[17] Shi L, Liu ZW, Li Y, et al. The prevalence of nonalcoholic fatty liver disease and its association with lifestyle/dietary habits among university faculty and staff in Chengdu[J]. Biomed Environ Sci, 2012, 25(4): 383-391.
[18] 北京公众健康饮水研究所. 中国居民饮水指南[M]. 北京: 中国医药科技出版社, 2012: 44-46.
[1] 李宁 张征 张宏群 高希宝. 济南居民膳食硒摄入量与血清硒参考值调查[J]. 山东大学学报(医学版), 2209, 47(6): 121-122.
[2] 范嘉音,赵迪,郭磊,贾莉英. 山东省三地家庭卫生筹资公平性探讨[J]. 山东大学学报 (医学版), 2020, 1(9): 89-94.
[3] 李江冰,宋心红,林海燕,张冬芝,李向一,许艺博,王丽,薛付忠. 健康管理人群缺血性异常心电图的影响因素[J]. 山东大学学报(医学版), 2017, 55(6): 77-81.
[4] 赵丽婷,张晓菲,吕翠霞,董蕾,李琳,傅继华,王志萍. 山东省参与艾滋病防治社会组织工作人员从业年限及其影响因素[J]. 山东大学学报(医学版), 2017, 55(5): 112-116.
[5] 蔡远楚,王家林,张军,姚能亮,孙晓杰. 山东省5县癌症幸存者工作状况及影响因素[J]. 山东大学学报(医学版), 2017, 55(4): 96-100.
[6] 陈吴康,吕翠霞,张晓菲,董蕾,杜以慧,傅继华. 女性性工作者吸食冰毒情况及其影响因素分析[J]. 山东大学学报(医学版), 2016, 54(9): 73-76.
[7] 袁源,司珩,刘宏伟,刘春华,王哲,阮玉华,邢辉. 不同时期抗病毒治疗对艾滋病患者耐药产生的影响分析[J]. 山东大学学报(医学版), 2016, 54(9): 77-81.
[8] 叶聪. 冠状动脉旁路移植术后桡动脉桥血管通畅率的影响因素分析[J]. 山东大学学报(医学版), 2016, 54(8): 34-38.
[9] 盖林林,管立学,李海波,褚锦锦,朱芸,李明. 免疫性疾病患者T-SPOT.TB筛查结果及影响因素[J]. 山东大学学报(医学版), 2016, 54(6): 82-86.
[10] 洪海洁,孙文娟,张媛,徐永萍. 足月选择性剖宫产分娩新生儿不良结局的影响因素[J]. 山东大学学报(医学版), 2016, 54(5): 56-61.
[11] 丁李路, 孙强. 我国卫生总费用影响因素通径分析[J]. 山东大学学报(医学版), 2015, 53(12): 86-89.
[12] 王亨, 李佳佳, 徐凌忠. 流动人口医疗保险参保影响因素分析[J]. 山东大学学报(医学版), 2015, 53(12): 90-93.
[13] 郭彬, 汪心海, 徐凌忠, 盖若琰. 山东省农村学龄前儿童心理健康状况及影响因素[J]. 山东大学学报(医学版), 2015, 53(1): 87-92.
[14] 魏颖, 孙雅文, 高优美, 薛付忠, 于红霞, 张成琪. 济南市部分职业女性膳食模式与超重、血压、血糖和血脂异常的关系[J]. 山东大学学报(医学版), 2014, 52(8): 102-107.
[15] 李建卓,金燕,杨慧,李新蕊,胡艳霞,张昌庆,朱艳文,阮师漫. 济南市艾滋病患者服药依从性及影响因素[J]. 山东大学学报(医学版), 2014, 52(3): 106-110.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!