Adults allostatic load is less with greater dietary quality: National Health and Nutrition Examination Survey (NHANES) 2015-2018.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-01-01 DOI:10.6133/apjcn.202306_32(2).0005
Shuai Zhang, Limei E, Junteng Pang, Xiubo Jiang
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Abstract

Background and objectives: Few studies have explored the relationship between overall diet quality and stress load. Therefore, we have evaluated the association between dietary quality and allostatic load (AL) in adults.

Methods and study design: The data were derived from the 2015-2018 National Health and Nutri-tion Examination Survey (NHANES). Dietary intake information was obtained by 24-hour dietary recall. The Healthy Eating Index (HEI) 2015 version was estimated as an indicator of dietary quality. The AL was in-dicative of the accumulated chronic stress load. The weighted logistic regression model was used to explore the relationship between dietary quality and the risk of high AL in adults.

Results: A total of 7557 eligible adults older than 18 years were enrolled in this study. After being fully adjusted, we found a significant asso-ciation between HEI score and the risk of high AL (ORQ2 =0.73, 95% CI: 0.62,0.86; ORQ3 =0.66, 95% CI: 0.55,0.79; ORQ4 =0.56, 95% CI: 0.47,0.67) in logistic regression model. Increased intake of total fruits and whole fruits or decreased intake of sodium, refined grains, saturated fats and added sugars were associated with the risk of high AL (ORtotal fruits =0.93, 95%CI: 0.89,0.96; ORwhole fruits =0.95, 95%CI: 0.91,0.98; ORwhole grains =0.97, 95%CI: 0.94,0.997; ORfatty acid =0.97, 95%CI: 0.95,0.99; ORsodium =0.95, 95%CI: 0.92,0.98; ORre-fined grains =0.97, 95%CI: 0.94,0.99; ORsaturated fats =0.96, 95%CI: 0.93,0.98; ORadded sugars =0.98, 95%CI: 0.96,0.99).

Conclusions: We found that dietary quality was inversely associated with allostatic load. High di-etary quality presumptively less cumulative stress.

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成年人适应负荷越少,饮食质量越高:2015-2018年国家健康与营养检查调查(NHANES)
背景与目的:很少有研究探讨整体饮食质量与应激负荷之间的关系。因此,我们评估了成人饮食质量与适应负荷(AL)之间的关系。方法与研究设计:数据来源于2015-2018年全国健康与营养检查调查(NHANES)。通过24小时饮食回忆法获取膳食摄入量信息。2015年版的健康饮食指数(HEI)被估计为饮食质量的指标。AL是慢性累积应力负荷的指标。采用加权logistic回归模型探讨膳食质量与成人高AL风险之间的关系。结果:共有7557名18岁以上的符合条件的成年人参加了这项研究。经过充分调整后,我们发现HEI评分与高AL风险之间存在显著相关性(ORQ2 =0.73, 95% CI: 0.62,0.86;Orq3 =0.66, 95% ci: 0.55,0.79;logistic回归模型ORQ4 =0.56, 95% CI: 0.47,0.67)。增加全水果和全水果的摄入量或减少钠、精制谷物、饱和脂肪和添加糖的摄入量与高铝的风险相关(或全水果=0.93,95%CI: 0.89,0.96;或整个水果=0.95,95%CI: 0.91,0.98;全谷物=0.97,95%CI: 0.94,0.997;或脂肪酸=0.97,95%CI: 0.95,0.99;ORsodium =0.95, 95%CI: 0.92,0.98;细粒=0.97,95%CI: 0.94,0.99;饱和脂肪=0.96,95%置信区间:0.93,0.98;或添加糖=0.98,95%CI: 0.96,0.99)。结论:我们发现饮食质量与适应负荷呈负相关。高饮食质量假定累积压力较小。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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