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Different levels of physical activity and risk of developing type 2 diabetes among adults with prediabetes: a population-based cohort study. 不同运动量与糖尿病前期成人罹患 2 型糖尿病的风险:一项基于人群的队列研究。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-17 DOI: 10.1186/s12937-024-01013-4
Wenchang Yang, Yuntao Wu, Yue Chen, Shuohua Chen, Xiang Gao, Shouling Wu, Liang Sun

Objectives: This study aimed to evaluate the association between different levels of physical activity and risk of developing type 2 diabetes (T2D) mellitus among adults with prediabetes in Chinese population.

Methods: This prospective population-based cohort study included 12,424 participants (mean [SD] age, 52.8 [16.8] years; 82.2% men) with prediabetes at 2014 survey of the Kailuan study. Physical activity information was collected through the International Physical Activity Questionnaire-Short Form and categorized by metabolic equivalent (MET) of task as low, moderate, and high. Cox regression models were built to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for associations between physical activity levels and incident T2D.

Results: During a median follow-up of 3.6 years, 2,207 (17.8%) participants developed T2D. The incident rate of T2D were 55.83/1000, 35.14/1000, and 39.61/1000 person-years in the low, moderate, and high physical activity level group, respectively. Both moderate (HR 0.57, 95% CI 0.49 to 0.67) and high (HR 0.76, 95% CI 0.66 to 0.89) physical activity levels were associated with lower risks of developing T2D compared to low physical activity level (P for trend < 0.001). The association between high physical activity level and T2D was primarily observed in participants without metabolic syndrome (P for interaction < 0.001). Moreover, participants with moderate or high levels of physical activity had significantly decreased fasting blood glucose levels during follow-up when compared to those with low level (P group*time < 0.001).

Conclusion: This study suggested that individuals with prediabetes might benefit from moderate and high levels of physical activity.

研究目的本研究旨在评估不同体力活动水平与中国成年糖尿病前期患者罹患2型糖尿病(T2D)风险之间的关系:这项前瞻性人群队列研究纳入了开滦研究2014年调查的12424名糖尿病前期患者(平均[标码]年龄为52.8[16.8]岁;82.2%为男性)。体力活动信息通过国际体力活动问卷-简表收集,并按任务的代谢当量(MET)分为低、中、高三类。通过建立考克斯回归模型来估算体力活动水平与T2D发病率之间的危险比(HRs)和95%置信区间(CIs):中位随访 3.6 年期间,2207 名参与者(17.8%)患上了 T2D。低、中、高体力活动水平组的 T2D 发生率分别为 55.83/1000、35.14/1000 和 39.61/1000。与低体力活动水平相比,中等体力活动水平(HR 0.57,95% CI 0.49 至 0.67)和高体力活动水平(HR 0.76,95% CI 0.66 至 0.89)与较低的 T2D 发病风险相关(P 为趋势结论):这项研究表明,糖尿病前期患者可从中度和高度的体育锻炼中获益。
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引用次数: 0
Correction: Evolution of dietary patterns in Flanders: an ecological trend study on best-selling cookbook recipes (2008-2018) and their correlation with household purchases. 更正:佛兰德饮食模式的演变:关于畅销食谱(2008-2018 年)及其与家庭购买相关性的生态趋势研究。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-12 DOI: 10.1186/s12937-024-01008-1
Viktor Lowie Juliaan Proesmans, Christophe Matthys, Iris Vermeir, Maggie Geuens
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引用次数: 0
Olfactory performance and odor liking are negatively associated with food neophobia in children aged between 3 and 9 years. 在 3 至 9 岁的儿童中,嗅觉表现和气味喜好与食物恐新症呈负相关。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-11 DOI: 10.1186/s12937-024-01011-6
Agnieszka Sorokowska, Dominika Chabin, Aleksandra Kamieńska, Sabina Barszcz, Katarzyna Byczyńska, Klaudia Fuławka, Arkadiusz Urbanek, Anna Oleszkiewicz

Background: Child food neophobia, i.e., rejection or avoidance of novel foods at a young age, is a prevalent nutrition problem that affects the quality of children's diet and impedes the development of healthy food preferences. Sensory sensitivity can relate to the degree of food neophobia, but previous studies rarely focused on the olfactory component of this problem in children.

Objective: We aimed to thoroughly examine the relationship between various aspects of olfactory sensitivity and food neophobia in children.

Methods: 246 children aged between three and nine years took part in a food neophobia assessment as well as in a comprehensive, psychophysical olfactory testing.

Results: We found that certain smell perception aspects such as lower odor liking, poorer odor identification ability as well as lower sensitivity to an unknown non-food odor all significantly predicted higher food neophobia in children. Among individual characteristics of either a child or a caregiver, only the child's age significantly and positively predicted food neophobia. The exploratory model looking into the role of family environment factors predicting self-reported food neophobia in children revealed that food neophobia was associated with lower control given to a child in this child's feeding process, as well as with a more frequent use of food as a reward in feeding.

Conclusions: We suggest that suppressed olfactory perception and performance can play a unique role in child nutritional difficulties. The study inspires further considerations of olfaction-engaging interventions to counteract food-neophobia in children.

背景:儿童食物新恐惧症(即在年幼时拒绝或回避新奇食物)是一个普遍存在的营养问题,它影响了儿童的饮食质量,并阻碍了健康饮食偏好的发展。感官敏感性可能与食物新恐惧症的程度有关,但以前的研究很少关注儿童这一问题的嗅觉部分:方法:246 名 3 至 9 岁的儿童参加了食物恐惧症评估以及全面的心理物理嗅觉测试:结果:我们发现,气味感知的某些方面,如较低的气味喜好度、较差的气味识别能力以及对未知非食物气味较低的敏感度,都能显著预测儿童较高的食物新恐惧症。在儿童或照顾者的个人特征中,只有儿童的年龄能显著正向预测食物新恐惧症。家庭环境因素对儿童自我报告的食物新恐惧症的预测作用的探索性模型显示,食物新恐惧症与儿童在喂养过程中被赋予的控制权较低以及在喂养过程中更频繁地使用食物作为奖励有关:结论:我们认为,嗅觉感知和表现受到抑制可能会在儿童营养不良中扮演独特的角色。这项研究启发我们进一步考虑采取嗅觉干预措施来消除儿童的食物恐惧症。
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引用次数: 0
Sex-specific associations between total and regional Fat-to-muscle Mass ratio and cardiometabolic risk: findings from the China National Health Survey. 总质量和区域脂肪肌肉质量比与心脏代谢风险之间的性别特异性关联:中国国民健康调查的结果。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-10 DOI: 10.1186/s12937-024-01007-2
Zhiming Lu, Yaoda Hu, Xingming Chen, Qiong Ou, Yawen Liu, Tan Xu, Ji Tu, Ang Li, Binbin Lin, Qihang Liu, Tianshu Xi, Weihao Wang, Haibo Huang, Da Xu, Zhili Chen, Zichao Wang, Huijing He, Guangliang Shan

Background: The fat-to-muscle mass ratio (FMR), integrating the antagonistic effects of fat and muscle mass, has been suggested as a valuable indicator to assess cardiometabolic health independent of overall adiposity. However, the specific associations of total and regional FMR with cardiometabolic risk are poorly understood. We aimed to examine sex-specific associations of total and regional FMR with single and clustered cardiometabolic risk factors (CRFs).

Methods: 13,505 participants aged 20 years and above were included in the cross-sectional study. Fat mass and muscle mass were assessed using a bioelectrical impedance analysis device. FMR was estimated as fat mass divided by muscle mass in corresponding body parts (whole body, arm, leg, and trunk). Clustered CRFs was defined as the presence of two or more risk factors, including hypertension, elevated blood glucose, dyslipidemia, insulin resistance (IR), and hyperuricemia. IR was assessed by the triglyceride glucose (TyG) index. Multivariable logistic regression models were applied to explore the associations of FMR in the whole body and body parts with single and clustered CRFs.

Results: The odds ratios (ORs) increased significantly for all single and clustered CRFs with the per quartile increase of total and regional FMR in both sexes (P for trend < 0.001), following adjustment for confounders. Among the regional parts, FMRs of the legs presented the strongest associations for clustered CRFs in both men and women, with adjusted OR of 8.54 (95% confidence interval (CI): 7.12-10.24) and 4.92 (95% CI: 4.24-5.71), respectively. Significant interactions (P for interaction < 0.05) were identified between age and FMRs across different body parts, as well as between BMI status and FMRs in different regions for clustered CRFs. Restricted cubic splines revealed significant non-linear relationships between FMRs of different body parts and clustered CRFs in both sexes (P for nonlinear < 0.05).

Conclusions: FMRs in the whole body and different regions were significantly associated with single and clustered CRFs in the general Chinese population. The association between FMR and clustered CRFs was more pronounced in youngers than in the elderly.

背景:脂肪-肌肉质量比(FMR)综合了脂肪和肌肉质量的拮抗作用,被认为是评估心脏代谢健康的一个有价值的指标,而不受总体脂肪含量的影响。然而,人们对总肌肉重量比和区域肌肉重量比与心脏代谢风险之间的具体关系知之甚少。我们的目的是研究总脂肪量和区域脂肪量与单一和聚类心脏代谢风险因素(CRFs)的性别特异性关联。使用生物电阻抗分析装置对脂肪量和肌肉量进行评估。FMR以相应身体部位(全身、手臂、腿部和躯干)的脂肪量除以肌肉量来估算。集群 CRFs 的定义是存在两个或两个以上的风险因素,包括高血压、血糖升高、血脂异常、胰岛素抵抗(IR)和高尿酸血症。胰岛素抵抗通过甘油三酯葡萄糖(TyG)指数进行评估。应用多变量逻辑回归模型探讨了全身和身体部位的 FMR 与单个和集群 CRFs 的关系:结果:所有单一和集群 CRFs 的几率比(ORs)都随着男女总 FMR 和区域 FMR 每四分位数的增加而显著增加(P 为趋势结论):在中国普通人群中,全身和不同区域的FMR与单一和聚集性CRF显著相关。与老年人相比,年轻人的全身和不同区域的全血细胞比容与聚集性 CRF 之间的关系更为明显。
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引用次数: 0
Consumption of different types of meat and the risk of chronic limb-threatening ischemia: the Singapore Chinese Health Study. 食用不同种类的肉类与慢性肢体缺血风险:新加坡华人健康研究。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-07 DOI: 10.1186/s12937-024-00991-9
Ariel Fangting Ying, Mohammad Talaei, Derek John Hausenloy, Woon-Puay Koh

Background: Although red meat consumption has been associated with risk of atherosclerotic coronary artery disease and stroke, no prospective study has examined this with the risk of chronic limb-threatening ischemia (CLTI).

Methods: In a prospective study of 63,257 Chinese in Singapore, who were aged 45-74 years old at recruitment, diet was assessed via a validated semi-quantitative food frequency questionnaire. Incident CLTI cases were ascertained via linkage with nationwide hospital records for lower extremity amputation or angioplasty for peripheral arterial disease. Multivariable Cox models were used to examine associations between quartiles of meat intake and CLTI risk.

Results: After a mean follow-up of 18.8 years, there were 1069 cases of CLTI. Higher intake of red meat intake was associated with increased risk of CLTI in a stepwise manner. Comparing extreme quartiles of red meat intake, the hazard ratio (HR) for the association with CLTI risk was 1.24 [95% confidence interval (CI) = 1.03-1.49; P-trend = 0.02]. In stratified analysis, red meat intake had a stronger association with CLTI risk among those without diabetes [HR (95% CI) comparing extreme quartiles = 1.41 (1.10-1.80); P-trend = 0.03] than among those with diabetes at baseline [HR (95% CI) comparing extreme quartiles = 1.04 (0.79-1.38); P-trend = 0.05] (P-interaction = 0.03). Otherwise, the associations were not different by sex, BMI, smoking status, hypertension, alcohol consumption, or history of cardiovascular diseases. Using a theoretical model in substitution analysis that substituted three servings per week of red meat with poultry or fish/shellfish, the relative risk of CLTI was reduced by 13-14%.

Conclusions: Consumption of red meat was associated with higher CLTI risk in this Asian cohort. Substituting red meat with poultry or fish/shellfish may reduce this risk.

背景:尽管食用红肉与动脉粥样硬化性冠状动脉疾病和中风的风险有关,但还没有前瞻性研究将其与慢性威胁肢体缺血(CLTI)的风险联系起来:方法:在一项前瞻性研究中,对 63,257 名年龄在 45-74 岁之间的新加坡华人进行了招募,并通过有效的半定量食物频率问卷对其饮食进行了评估。通过与全国范围内下肢截肢或外周动脉疾病血管成形术的医院记录相联系,确定了CLTI病例。采用多变量 Cox 模型研究肉类摄入量四分位数与 CLTI 风险之间的关系:平均随访 18.8 年后,共有 1069 例 CLTI 病例。红肉摄入量越高,CLTI 风险越高。比较红肉摄入量的极端四分位数,与 CLTI 风险相关的危险比 (HR) 为 1.24 [95% 置信区间 (CI) = 1.03-1.49;P-趋势 = 0.02]。在分层分析中,与基线糖尿病患者[HR(95% CI)比较极端四分位数 = 1.04 (0.79-1.38);P-趋势 = 0.05]相比,非糖尿病患者中红肉摄入量与 CLTI 风险的关系更密切[HR(95% CI)比较极端四分位数 = 1.41 (1.10-1.80);P-趋势 = 0.03](P-交互作用 = 0.03)。除此之外,不同性别、体重指数、吸烟状况、高血压、饮酒量或心血管疾病史之间的相关性没有差异。使用替代分析中的理论模型,即用家禽或鱼类/贝类替代每周三份的红肉,CLTI 的相对风险降低了 13%-14%:结论:在这一亚洲队列中,食用红肉与较高的 CLTI 风险有关。用家禽或鱼类/贝类代替红肉可降低这种风险。
{"title":"Consumption of different types of meat and the risk of chronic limb-threatening ischemia: the Singapore Chinese Health Study.","authors":"Ariel Fangting Ying, Mohammad Talaei, Derek John Hausenloy, Woon-Puay Koh","doi":"10.1186/s12937-024-00991-9","DOIUrl":"10.1186/s12937-024-00991-9","url":null,"abstract":"<p><strong>Background: </strong>Although red meat consumption has been associated with risk of atherosclerotic coronary artery disease and stroke, no prospective study has examined this with the risk of chronic limb-threatening ischemia (CLTI).</p><p><strong>Methods: </strong>In a prospective study of 63,257 Chinese in Singapore, who were aged 45-74 years old at recruitment, diet was assessed via a validated semi-quantitative food frequency questionnaire. Incident CLTI cases were ascertained via linkage with nationwide hospital records for lower extremity amputation or angioplasty for peripheral arterial disease. Multivariable Cox models were used to examine associations between quartiles of meat intake and CLTI risk.</p><p><strong>Results: </strong>After a mean follow-up of 18.8 years, there were 1069 cases of CLTI. Higher intake of red meat intake was associated with increased risk of CLTI in a stepwise manner. Comparing extreme quartiles of red meat intake, the hazard ratio (HR) for the association with CLTI risk was 1.24 [95% confidence interval (CI) = 1.03-1.49; P-trend = 0.02]. In stratified analysis, red meat intake had a stronger association with CLTI risk among those without diabetes [HR (95% CI) comparing extreme quartiles = 1.41 (1.10-1.80); P-trend = 0.03] than among those with diabetes at baseline [HR (95% CI) comparing extreme quartiles = 1.04 (0.79-1.38); P-trend = 0.05] (P-interaction = 0.03). Otherwise, the associations were not different by sex, BMI, smoking status, hypertension, alcohol consumption, or history of cardiovascular diseases. Using a theoretical model in substitution analysis that substituted three servings per week of red meat with poultry or fish/shellfish, the relative risk of CLTI was reduced by 13-14%.</p><p><strong>Conclusions: </strong>Consumption of red meat was associated with higher CLTI risk in this Asian cohort. Substituting red meat with poultry or fish/shellfish may reduce this risk.</p>","PeriodicalId":19203,"journal":{"name":"Nutrition Journal","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fetal malnutrition among neonates in African countries: a CAN score systematic review and meta-analysis. 非洲国家新生儿中的胎儿营养不良:CAN 评分系统综述和荟萃分析。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-06 DOI: 10.1186/s12937-024-00989-3
Ibsa Mussa, Adera Debella, Melat B Maruta, Tamirat Getachew, Lemma Demissie Regassa, Mulugeta Gamachu, Alemayehu Deressa, Fethia Mohammed, Abdi Birhanu, Hamdi Fekredin Zakaria, Addis Eyeberu

Background: To reduce neonatal mortality, it is necessary to identify neonates with fetal malnutrition at birth using the clinical assessment score (CAN score). Furthermore, comprehensive summary data that shows burden of fetal malnutrition in Africa is scarce. As a result, this systematic review and meta-analysis aimed to assess fetal malnutrition among newborns in Africa.

Method: The PRISMA guidelines were used for this study. Articles were obtained from databases and websites. The outcome of the study was fetal malnutrition, as determined using the CAN score. The meta-analysis of the primary and secondary outcomes was performed using Stata version 18 statistical software. The pooled prevalence with a 95% CI was estimated using the random effect method with the Der Simonian Liard model.

Results: This meta-analysis and systematic review included 5356 newborns from 13 studies. The pooled prevalence of fetal malnutrition (FM) among newborns diagnosed using the CAN score in Africa was 19% [95% CI: 17, 22]. Based on subgroup analysis by publication year, the lowest prevalence of fetal malnutrition 17% (95% CI: 9-27) was observed in the studies published in the years 2020-2023. Maternal and fetal factors were significantly associated with fetal malnutrition.

Conclusion: Nearly one-fifth of neonates delivered in Africa were found to have fetal malnutrition based on the clinical evaluation of nutritional status. It has also been established that maternal malnutrition, a lack of proper treatment during pregnancy, maternal malnutrition, and newborn morbidities were associated with fetal malnutrition. To prevent fetal malnutrition, integrated efforts should be made for early maternal infection screening. Furthermore, maternal nutritional therapy should be explored for malnourished pregnant women.

背景:为了降低新生儿死亡率,有必要使用临床评估评分(CAN score)来识别出生时胎儿营养不良的新生儿。此外,显示非洲胎儿营养不良负担的综合汇总数据很少。因此,本系统综述和荟萃分析旨在评估非洲新生儿中的胎儿营养不良情况:本研究采用了 PRISMA 指南。文章来自数据库和网站。研究结果为胎儿营养不良,采用 CAN 评分确定。主要和次要结果的荟萃分析使用 Stata 18 版统计软件进行。使用随机效应法和 Der Simonian Liard 模型估算了汇总患病率和 95% CI:这项荟萃分析和系统综述纳入了来自 13 项研究的 5356 名新生儿。在非洲使用 CAN 评分诊断的新生儿中,胎儿营养不良(FM)的合计患病率为 19% [95% CI:17-22]。根据发表年份进行分组分析,2020-2023 年发表的研究中胎儿营养不良的发生率最低,为 17% (95% CI: 9-27)。母体和胎儿因素与胎儿营养不良密切相关:结论:根据营养状况的临床评估,非洲近五分之一的新生儿患有胎儿营养不良。研究还发现,孕产妇营养不良、孕期缺乏适当治疗、孕产妇营养不良和新生儿疾病与胎儿营养不良有关。为预防胎儿营养不良,应综合开展孕产妇早期感染筛查工作。此外,还应为营养不良的孕妇提供母体营养治疗。
{"title":"Fetal malnutrition among neonates in African countries: a CAN score systematic review and meta-analysis.","authors":"Ibsa Mussa, Adera Debella, Melat B Maruta, Tamirat Getachew, Lemma Demissie Regassa, Mulugeta Gamachu, Alemayehu Deressa, Fethia Mohammed, Abdi Birhanu, Hamdi Fekredin Zakaria, Addis Eyeberu","doi":"10.1186/s12937-024-00989-3","DOIUrl":"10.1186/s12937-024-00989-3","url":null,"abstract":"<p><strong>Background: </strong>To reduce neonatal mortality, it is necessary to identify neonates with fetal malnutrition at birth using the clinical assessment score (CAN score). Furthermore, comprehensive summary data that shows burden of fetal malnutrition in Africa is scarce. As a result, this systematic review and meta-analysis aimed to assess fetal malnutrition among newborns in Africa.</p><p><strong>Method: </strong>The PRISMA guidelines were used for this study. Articles were obtained from databases and websites. The outcome of the study was fetal malnutrition, as determined using the CAN score. The meta-analysis of the primary and secondary outcomes was performed using Stata version 18 statistical software. The pooled prevalence with a 95% CI was estimated using the random effect method with the Der Simonian Liard model.</p><p><strong>Results: </strong>This meta-analysis and systematic review included 5356 newborns from 13 studies. The pooled prevalence of fetal malnutrition (FM) among newborns diagnosed using the CAN score in Africa was 19% [95% CI: 17, 22]. Based on subgroup analysis by publication year, the lowest prevalence of fetal malnutrition 17% (95% CI: 9-27) was observed in the studies published in the years 2020-2023. Maternal and fetal factors were significantly associated with fetal malnutrition.</p><p><strong>Conclusion: </strong>Nearly one-fifth of neonates delivered in Africa were found to have fetal malnutrition based on the clinical evaluation of nutritional status. It has also been established that maternal malnutrition, a lack of proper treatment during pregnancy, maternal malnutrition, and newborn morbidities were associated with fetal malnutrition. To prevent fetal malnutrition, integrated efforts should be made for early maternal infection screening. Furthermore, maternal nutritional therapy should be explored for malnourished pregnant women.</p>","PeriodicalId":19203,"journal":{"name":"Nutrition Journal","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality and quantity of macronutrients, and their joint associations with the incidence of type 2 diabetes over a nine-year follow-up. 宏量营养素的质量和数量及其与九年随访期间 2 型糖尿病发病率的共同关系。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-30 DOI: 10.1186/s12937-024-01003-6
Nazanin Moslehi, Zahra Kamali, Zahra Bahadoran, Parvin Mirmiran, Fereidoun Azizi

Background: The association between macronutrient consumption and the risk of type 2 diabetes (T2D) remains equivocal. Here, we investigated whether the quantity and quality of macronutrient intake are associated with T2D incidence in a West Asian population.

Methods: T2D-free adults (n = 2457, mean age 38.5 ± 13.6 years, 54.2% women) who participated in the third examination cycle (2005-2008) of the Tehran Lipid and Glucose Study were followed for a median of 8.6 years. We estimated the macronutrient quality index (MQI), its individual sub-indices (carbohydrate quality index (CQI), fat quality index (FQI), and healthy plate protein quality index (HPPQI)), as well as the macronutrient quantity. The risk of T2D in relation to macronutrient quantity, quality, and their combined effects was examined using Cox proportional hazard models adjusted for known risk factors for T2D.

Results: During the study follow-up, 257 incident cases of T2D were documented. Individuals in the highest tertiles of MQI and CQI had a 27% (HR = 0.73, 95% CI = 0.54, 0.98) and 29% (HR = 0.71, 95% CI = 0.51-0.99) lower T2D risk than those in the lowest tertiles. The T2D incidence was 35% lower in the middle HPPQI tertile than in the lowest (HR = 0.65, 95% CI = 0.47, 0.89). The multivariable adjusted model showed that individuals in the middle and highest tertiles of carbohydrate intake had 32% (HR = 0.68, 95% CI = 0.49-0.95) and 26% (HR = 0.74, 95% CI = 0.55-1.00) lower risks of T2D than individuals in the lowest tertile. A high-quantity, high-quality carbohydrate diet (≥ 58.5% of energy from carbohydrate with a CQI ≥ 13) and a low-glycemic index (GI), high-fiber diet (GI < 55 and fiber ≥ 25 g/d) were related to a reduced risk of T2D by 34% (HR = 0.66, 95% CI = 0.47, 0.93) and 42% (HR = 0.58, 95% CI = 0.38, 0.90), respectively.

Conclusion: A diet with a higher carbohydrate quality may be associated with a lower T2D incidence, particularly when the carbohydrate quantity is also high.

背景:常量营养素摄入量与 2 型糖尿病(T2D)发病风险之间的关系仍不明确。在此,我们研究了在西亚人群中,宏量营养素摄入的数量和质量是否与 2 型糖尿病发病率有关:方法:我们对参加德黑兰血脂和血糖研究第三个检查周期(2005-2008 年)的无 T2D 的成年人(n = 2457,平均年龄为 38.5 ± 13.6 岁,54.2% 为女性)进行了中位数为 8.6 年的跟踪调查。我们估算了宏量营养素质量指数(MQI)、其各个子指数(碳水化合物质量指数(CQI)、脂肪质量指数(FQI)和健康平板蛋白质量指数(HPPQI))以及宏量营养素数量。在对已知的 T2D 风险因素进行调整后,研究人员使用 Cox 比例危险模型检测了 T2D 风险与常量营养素数量、质量及其综合影响的关系:在研究跟踪期间,共记录了257例T2D病例。MQI和CQI最高三分位数人群的T2D风险分别比最低三分位数人群低27%(HR = 0.73,95% CI = 0.54,0.98)和29%(HR = 0.71,95% CI = 0.51-0.99)。HPPQI中间三分位数的T2D发病率比最低三分位数低35%(HR = 0.65, 95% CI = 0.47, 0.89)。多变量调整模型显示,与最低三分位数的人相比,碳水化合物摄入量居中和最高三分位数的人患 T2D 的风险分别低 32%(HR = 0.68,95% CI = 0.49-0.95)和 26%(HR = 0.74,95% CI = 0.55-1.00)。高数量、高质量的碳水化合物饮食(≥58.5% 的能量来自碳水化合物,CQI ≥13)和低血糖生成指数(GI)、高纤维饮食(GI 结论:低血糖生成指数(GI)、高纤维饮食(GI 结论:低血糖生成指数(GI)、高纤维饮食(GI 结论:低血糖生成指数(GI)、高血糖生成指数(GI碳水化合物质量较高的饮食可能会降低 T2D 的发病率,尤其是当碳水化合物的数量也较高时。
{"title":"Quality and quantity of macronutrients, and their joint associations with the incidence of type 2 diabetes over a nine-year follow-up.","authors":"Nazanin Moslehi, Zahra Kamali, Zahra Bahadoran, Parvin Mirmiran, Fereidoun Azizi","doi":"10.1186/s12937-024-01003-6","DOIUrl":"https://doi.org/10.1186/s12937-024-01003-6","url":null,"abstract":"<p><strong>Background: </strong>The association between macronutrient consumption and the risk of type 2 diabetes (T2D) remains equivocal. Here, we investigated whether the quantity and quality of macronutrient intake are associated with T2D incidence in a West Asian population.</p><p><strong>Methods: </strong>T2D-free adults (n = 2457, mean age 38.5 ± 13.6 years, 54.2% women) who participated in the third examination cycle (2005-2008) of the Tehran Lipid and Glucose Study were followed for a median of 8.6 years. We estimated the macronutrient quality index (MQI), its individual sub-indices (carbohydrate quality index (CQI), fat quality index (FQI), and healthy plate protein quality index (HPPQI)), as well as the macronutrient quantity. The risk of T2D in relation to macronutrient quantity, quality, and their combined effects was examined using Cox proportional hazard models adjusted for known risk factors for T2D.</p><p><strong>Results: </strong>During the study follow-up, 257 incident cases of T2D were documented. Individuals in the highest tertiles of MQI and CQI had a 27% (HR = 0.73, 95% CI = 0.54, 0.98) and 29% (HR = 0.71, 95% CI = 0.51-0.99) lower T2D risk than those in the lowest tertiles. The T2D incidence was 35% lower in the middle HPPQI tertile than in the lowest (HR = 0.65, 95% CI = 0.47, 0.89). The multivariable adjusted model showed that individuals in the middle and highest tertiles of carbohydrate intake had 32% (HR = 0.68, 95% CI = 0.49-0.95) and 26% (HR = 0.74, 95% CI = 0.55-1.00) lower risks of T2D than individuals in the lowest tertile. A high-quantity, high-quality carbohydrate diet (≥ 58.5% of energy from carbohydrate with a CQI ≥ 13) and a low-glycemic index (GI), high-fiber diet (GI < 55 and fiber ≥ 25 g/d) were related to a reduced risk of T2D by 34% (HR = 0.66, 95% CI = 0.47, 0.93) and 42% (HR = 0.58, 95% CI = 0.38, 0.90), respectively.</p><p><strong>Conclusion: </strong>A diet with a higher carbohydrate quality may be associated with a lower T2D incidence, particularly when the carbohydrate quantity is also high.</p>","PeriodicalId":19203,"journal":{"name":"Nutrition Journal","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal dietary patterns during pregnancy and birth weight: a prospective cohort study. 孕妇孕期饮食模式与出生体重:一项前瞻性队列研究。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-28 DOI: 10.1186/s12937-024-01001-8
Tongtong Li, Yusa He, Nan Wang, Chengwu Feng, Puchen Zhou, Ye Qi, Zhengyuan Wang, Xiaojun Lin, Dou Mao, Zhuo Sun, Aili Sheng, Yang Su, Liping Shen, Fengchang Li, Xueying Cui, Changzheng Yuan, Liang Wang, Jiajie Zang, Geng Zong

Background: Existing data on maternal dietary patterns and birth weight remains limited and inconsistent, especially in non-Western populations. We aimed to examine the relationship between maternal dietary patterns and birth weight among a cohort of Chinese.

Methods: In this study, 4,184 mother-child pairs were included from the Iodine Status in Pregnancy and Offspring Health Cohort. Maternal diet during pregnancy was evaluated using a self-administered food frequency questionnaire with 69 food items. Principal component analysis was used to identify dietary patterns. Information on birth weight and gestational age was obtained through medical records. Adverse outcomes of birth weight were defined according to standard clinical cutoffs, including low birth weight, macrosomia, small for gestational age, and large for gestational age.

Results: Three maternal dietary patterns were identified: plant-based, animal-based, and processed food and beverage dietary patterns, which explained 23.7% variance in the diet. In the multivariate-adjusted model, women with higher adherence to the plant-based dietary patten had a significantly higher risk of macrosomia (middle tertile vs. low tertile: odds ratio (OR) 1.45, 95% CI 1.00-2.10; high tertile vs. low tertile: OR 1.55, 95% CI 1.03-2.34; P-trend = 0.039). For individual food groups, potato intake showed positive association with macrosomia (high tertile vs. low tertile: OR 1.72, 95% CI 1.20-2.47; P-trend = 0.002). Excluding potatoes from the plant-based dietary pattern attenuated its association with macrosomia risk. No significant associations was observed for the animal-based or processed food and beverage dietary pattern with birth weight outcomes.

Conclusions: Adherence to a plant-based diet high in carbohydrate intake was associated with higher macrosomia risk among Chinese women. Future studies are required to replicate these findings and explore the potential mechanisms involved.

背景:有关产妇膳食模式和出生体重的现有数据仍然有限且不一致,尤其是在非西方人群中。我们旨在研究中国人群中母亲膳食模式与出生体重之间的关系:本研究从妊娠期碘状况与后代健康队列中纳入了 4 184 对母婴。采用自填式食物频率调查问卷评估了母亲在怀孕期间的饮食情况,问卷包含 69 种食物。主成分分析用于确定饮食模式。出生体重和胎龄信息通过医疗记录获得。出生体重的不良后果根据标准的临床临界值进行定义,包括低出生体重、巨大儿、胎龄小和胎龄大:结果:确定了三种孕产妇膳食模式:植物性膳食模式、动物性膳食模式以及加工食品和饮料膳食模式,这三种膳食模式解释了 23.7% 的膳食差异。在多变量调整模型中,植物性膳食模式坚持率较高的产妇发生巨大儿的风险明显更高(中三等分与低三等分:几率比(OR)1.45,95% CI 1.00-2.10;高三等分与低三等分:几率比(OR)1.55,95% CI 1.00-2.10;高三等分与低三等分:几率比(OR)1.55,95% CI 1.00-2.10):OR 1.55,95% CI 1.03-2.34;P-趋势 = 0.039)。就单个食物组而言,马铃薯摄入量与巨型畸形呈正相关(高三分位数与低三分位数:OR 1.72,95% CI 1.20-2.47;P-趋势 = 0.002)。从植物性膳食模式中剔除马铃薯后,其与巨型畸形风险的相关性减弱。动物性或加工食品和饮料膳食模式与出生体重结果无明显关联:结论:中国女性坚持高碳水化合物摄入的植物性膳食与较高的巨大儿风险有关。未来的研究需要复制这些发现并探索其中的潜在机制。
{"title":"Maternal dietary patterns during pregnancy and birth weight: a prospective cohort study.","authors":"Tongtong Li, Yusa He, Nan Wang, Chengwu Feng, Puchen Zhou, Ye Qi, Zhengyuan Wang, Xiaojun Lin, Dou Mao, Zhuo Sun, Aili Sheng, Yang Su, Liping Shen, Fengchang Li, Xueying Cui, Changzheng Yuan, Liang Wang, Jiajie Zang, Geng Zong","doi":"10.1186/s12937-024-01001-8","DOIUrl":"10.1186/s12937-024-01001-8","url":null,"abstract":"<p><strong>Background: </strong>Existing data on maternal dietary patterns and birth weight remains limited and inconsistent, especially in non-Western populations. We aimed to examine the relationship between maternal dietary patterns and birth weight among a cohort of Chinese.</p><p><strong>Methods: </strong>In this study, 4,184 mother-child pairs were included from the Iodine Status in Pregnancy and Offspring Health Cohort. Maternal diet during pregnancy was evaluated using a self-administered food frequency questionnaire with 69 food items. Principal component analysis was used to identify dietary patterns. Information on birth weight and gestational age was obtained through medical records. Adverse outcomes of birth weight were defined according to standard clinical cutoffs, including low birth weight, macrosomia, small for gestational age, and large for gestational age.</p><p><strong>Results: </strong>Three maternal dietary patterns were identified: plant-based, animal-based, and processed food and beverage dietary patterns, which explained 23.7% variance in the diet. In the multivariate-adjusted model, women with higher adherence to the plant-based dietary patten had a significantly higher risk of macrosomia (middle tertile vs. low tertile: odds ratio (OR) 1.45, 95% CI 1.00-2.10; high tertile vs. low tertile: OR 1.55, 95% CI 1.03-2.34; P-trend = 0.039). For individual food groups, potato intake showed positive association with macrosomia (high tertile vs. low tertile: OR 1.72, 95% CI 1.20-2.47; P-trend = 0.002). Excluding potatoes from the plant-based dietary pattern attenuated its association with macrosomia risk. No significant associations was observed for the animal-based or processed food and beverage dietary pattern with birth weight outcomes.</p><p><strong>Conclusions: </strong>Adherence to a plant-based diet high in carbohydrate intake was associated with higher macrosomia risk among Chinese women. Future studies are required to replicate these findings and explore the potential mechanisms involved.</p>","PeriodicalId":19203,"journal":{"name":"Nutrition Journal","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution of dietary patterns in Flanders: an ecological trend study on best-selling cookbook recipes (2008-2018) and their correlation with household purchases. 佛兰德饮食模式的演变:关于畅销食谱(2008-2018 年)及其与家庭购买相关性的生态趋势研究。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-24 DOI: 10.1186/s12937-024-01004-5
Viktor Lowie Juliaan Proesmans, Christophe Matthys, Iris Vermeir, Maggie Geuens

Background: With rising obesity rates in Western societies, analyzing changes in dietary patterns is paramount. While nutritional surveys have been informative, traditional cookbooks have historically shed light on national cuisines and its changes. Despite the growing popularity of online platforms for food information, cookbooks might still reflect prevalent dietary trends and the diets people follow. This study examined (1) the changes in nutritional content and food group usage in the best-selling cookbooks from 2008 to 2018, and (2) the correlation between the food groups in these cookbooks and dietary patterns (inferred from household purchases) over the same timeframe.

Methods: An exploratory ecological study was conducted on 20 main course recipes of each of the five best-selling cookbooks in Flanders annually between 2008 and 2018. Trends in macronutrients and food group usage in these recipes were analyzed using generalized linear models. Additionally, these trends were compared to household purchase data in Flanders using correlation matrices.

Results: Our results reveal a rising trend towards the use of plant-based ingredients and meat alternatives in cookbooks over the period 2008-2018. There was an increase in the usage of vegetables, nuts & seeds, and cheese. Conversely, there was a decline in the usage of meat, sugar & sweeteners, alcohol, and dairy (all p-values < 0.05). In terms of macronutrient content, there was an upswing in carbohydrate, fibre, and sugar levels, while the total fat content showed a decrease (all p-values < 0.05). The levels of protein and saturated fat remained consistent over time. Notably, shifts in plant-based and animal-based food group preferences in popular cookbook recipes align with the trends seen in actual household purchases of these food groups (all p-values < 0.05).

Conclusion: These findings indicate that cookbook content evolves over time, potentially reflecting shifts in population dietary patterns. Future research is needed to determine (Buisman ME, Jonkman J. Dietary trends from 1950 to 2010: a Dutch cookbook analysis. J Nutr Sci [Internet]. 2019 ed [cited 2022 Apr 19];8. https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/dietary-trends-from-1950-to-2010-a-dutch-cookbook-analysis/AB281ADE0F09FF8F518B8AC4A2A5BEA8#supplementary-materials ) any causative link between cookbooks and dietary habits, and (Ashwell M, Barlow S, Gibson S, Harris C. National Diet and Nutrition Surveys: the British experience. Public Health Nutr. 2006;9(4):523-30.) the potential for cookbooks to aid in health promotion.

背景:随着西方社会肥胖率的上升,分析饮食模式的变化至关重要。营养调查提供了丰富的信息,而传统的烹饪书则从历史上揭示了各国菜肴及其变化。尽管食品信息的网络平台日益普及,但食谱可能仍能反映普遍的饮食趋势和人们的饮食习惯。本研究考察了(1)2008 年至 2018 年畅销食谱中营养成分和食物类别使用的变化,以及(2)这些食谱中的食物类别与同一时期饮食模式(根据家庭购买推断)之间的相关性:方法:对 2008 年至 2018 年期间佛兰德斯地区每年最畅销的五本烹饪书中的每一本中的 20 道主菜食谱进行了探索性生态研究。使用广义线性模型分析了这些食谱中的宏量营养素和食物类别使用趋势。此外,还利用相关矩阵将这些趋势与佛兰德家庭购买数据进行了比较:结果:我们的研究结果表明,在 2008-2018 年期间,食谱中使用植物性配料和肉类替代品的情况呈上升趋势。蔬菜、坚果和种子以及奶酪的使用量有所增加。相反,肉类、糖和甜味剂、酒精和乳制品的使用量有所下降(所有 p 值均为结论值):这些研究结果表明,食谱内容随着时间的推移而变化,可能反映了人口饮食模式的变化。未来的研究需要确定(Buisman ME, Jonkman J. Dietary trends from 1950 to 2010: a Dutch cookbook analysis.J Nutr Sci [Internet].2019 ed [cited 2022 Apr 19];8. https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/dietary-trends-from-1950-to-2010-a-dutch-cookbook-analysis/AB281ADE0F09FF8F518B8AC4A2A5BEA8#supplementary-materials )食谱与饮食习惯之间的任何因果联系,以及(Ashwell M, Barlow S, Gibson S, Harris C. National Diet and Nutrition Surveys: the British Experience.2006; 9(4):523-30.) 烹饪书在帮助促进健康方面的潜力。
{"title":"Evolution of dietary patterns in Flanders: an ecological trend study on best-selling cookbook recipes (2008-2018) and their correlation with household purchases.","authors":"Viktor Lowie Juliaan Proesmans, Christophe Matthys, Iris Vermeir, Maggie Geuens","doi":"10.1186/s12937-024-01004-5","DOIUrl":"10.1186/s12937-024-01004-5","url":null,"abstract":"<p><strong>Background: </strong>With rising obesity rates in Western societies, analyzing changes in dietary patterns is paramount. While nutritional surveys have been informative, traditional cookbooks have historically shed light on national cuisines and its changes. Despite the growing popularity of online platforms for food information, cookbooks might still reflect prevalent dietary trends and the diets people follow. This study examined (1) the changes in nutritional content and food group usage in the best-selling cookbooks from 2008 to 2018, and (2) the correlation between the food groups in these cookbooks and dietary patterns (inferred from household purchases) over the same timeframe.</p><p><strong>Methods: </strong>An exploratory ecological study was conducted on 20 main course recipes of each of the five best-selling cookbooks in Flanders annually between 2008 and 2018. Trends in macronutrients and food group usage in these recipes were analyzed using generalized linear models. Additionally, these trends were compared to household purchase data in Flanders using correlation matrices.</p><p><strong>Results: </strong>Our results reveal a rising trend towards the use of plant-based ingredients and meat alternatives in cookbooks over the period 2008-2018. There was an increase in the usage of vegetables, nuts & seeds, and cheese. Conversely, there was a decline in the usage of meat, sugar & sweeteners, alcohol, and dairy (all p-values < 0.05). In terms of macronutrient content, there was an upswing in carbohydrate, fibre, and sugar levels, while the total fat content showed a decrease (all p-values < 0.05). The levels of protein and saturated fat remained consistent over time. Notably, shifts in plant-based and animal-based food group preferences in popular cookbook recipes align with the trends seen in actual household purchases of these food groups (all p-values < 0.05).</p><p><strong>Conclusion: </strong>These findings indicate that cookbook content evolves over time, potentially reflecting shifts in population dietary patterns. Future research is needed to determine (Buisman ME, Jonkman J. Dietary trends from 1950 to 2010: a Dutch cookbook analysis. J Nutr Sci [Internet]. 2019 ed [cited 2022 Apr 19];8. https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/dietary-trends-from-1950-to-2010-a-dutch-cookbook-analysis/AB281ADE0F09FF8F518B8AC4A2A5BEA8#supplementary-materials ) any causative link between cookbooks and dietary habits, and (Ashwell M, Barlow S, Gibson S, Harris C. National Diet and Nutrition Surveys: the British experience. Public Health Nutr. 2006;9(4):523-30.) the potential for cookbooks to aid in health promotion.</p>","PeriodicalId":19203,"journal":{"name":"Nutrition Journal","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11344928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The inverse associations of glycine and histidine in diet with hyperlipidemia and hypertension. 饮食中甘氨酸和组氨酸与高脂血症和高血压的反向关系。
IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-22 DOI: 10.1186/s12937-024-01005-4
Mohammad Haroon Rahemi, Yuting Zhang, Zican Li, Dongwei Guan, Defang Li, Hongxin Fu, Jiaying Yu, Junrong Lu, Cheng Wang, Rennan Feng

Background: Amino acids are crucial for nutrition and metabolism, regulating metabolic pathways and activities vital to organismal health and stability. Glycine and histidine act as potent antioxidants and anti-inflammatory agents; however, limited knowledge exists regarding the associations between these amino acids and hyperlipidemia and hypertension. The purpose of this study is to investigate the relationship between dietary glycine and histidine, and hyperlipidemia and hypertension.

Methods: This population-based cross-sectional study evaluated the influence of dietary glycine and histidine, as well as their combined effect, on hyperlipidemia and hypertension in Chinese adults participating in the Nutrition Health Atlas Project (NHAP). General characteristics were acquired using a verified Internet-based Dietary Questionnaire for the Chinese. Binary logistic regression, along with gender, age groups, and median energy intake subgroup analyses, was employed to investigate the associations between dietary glycine and histidine and hyperlipidemia and hypertension. A sensitivity analysis was conducted to assess the impact of excluding individuals who smoke and consume alcohol on the results.

Results: Based on the study's findings, 418 out of 1091 cases had hyperlipidemia, whereas 673 had hypertension. A significant inverse relationship was found between dietary glycine, histidine, and glycine + histidine and hyperlipidemia and hypertension. Compared with the 1st and 2nd tertiles, the multivariable-adjusted odd ratios (ORs) (95% confidence intervals) (CIs) of the 3rd tertile of dietary glycine for hyperlipidemia and hypertension were 0.64 (0.49-0.84) (p < 0.01) and 0.70 (0.56-0.88) (p < 0.001); histidine was 0.63 (0.49-0.82) (p < 0.01) and 0.80 (0.64-0.99) (p < 0.01); and glycine + histidine was 0.64 (0.49-0.83) (p < 0.01) and 0.74 (0.59-0.92) (p < 0.001), respectively. High glycine and high histidine (HGHH) intake were negatively associated with hyperlipidemia and hypertension OR (95% CIs) were: 0.71 (0.58-0.88) (p < 0.01) and 0.73 (0.61-0.87) (p < 0.01), respectively.

Conclusions: Dietary glycine and histidine, as well as their HGHH group, revealed an inverse relationship with hyperlipidemia and hypertension. Further investigations are needed to validate these findings.

背景:氨基酸对营养和新陈代谢至关重要,调节着对机体健康和稳定至关重要的新陈代谢途径和活动。甘氨酸和组氨酸是有效的抗氧化剂和抗炎剂;然而,人们对这些氨基酸与高脂血症和高血压之间的关系了解有限。本研究旨在探讨膳食中的甘氨酸和组氨酸与高脂血症和高血压之间的关系:这项基于人群的横断面研究评估了参与营养健康图谱项目(NHAP)的中国成年人膳食中甘氨酸和组氨酸对高脂血症和高血压的影响,以及这两种氨基酸对高脂血症和高血压的联合作用。研究人员使用经过验证的中国人网络膳食调查问卷了解了他们的一般特征。通过二元逻辑回归以及性别、年龄组和能量摄入中位数分组分析,研究了膳食中甘氨酸和组氨酸与高脂血症和高血压之间的关系。研究还进行了敏感性分析,以评估排除吸烟和饮酒者对结果的影响:根据研究结果,1091 个病例中有 418 人患有高脂血症,673 人患有高血压。研究发现,膳食中的甘氨酸、组氨酸、甘氨酸+组氨酸与高脂血症和高血压之间存在明显的反比关系。与第 1 和第 2 三分位数相比,膳食甘氨酸第 3 三分位数与高脂血症和高血压的多变量调整奇异比(ORs)(95% 置信区间)为 0.64(0.49-0.84)(P 结论:膳食甘氨酸和组氨酸与高脂血症和高血压之间存在明显的反向关系:膳食甘氨酸和组氨酸及其 HGHH 组与高脂血症和高血压呈反向关系。还需要进一步的研究来验证这些发现。
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引用次数: 0
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Nutrition Journal
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