健康饮食指数-2015与腹腔大动脉化之间的关联:基于人口的横截面研究
Lu Liu1, Tiantian Xie1, Zhongshun Hu2
1Department of Pathology, Lu'an People's Hospital of Anhui Province, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui 237005, China.
Preventive medicine reports
|September 28, 2023
概括
通过2015年健康饮食指数 (HEI) 衡量的均衡饮食,显示了美国成年人与腹腔大动脉化 (AAC) 风险的U形关联. 最佳的HEI-2015分数可能有助于减少AAC的流行.
科学领域:
- 营养科学 营养科学
- 心血管健康 心血管健康
- 公共卫生 公共卫生
背景情况:
- 健康饮食指数 (HEI) -2015与腹腔大动脉化 (AAC) 风险之间的关系在美国普通人群中尚未得到充分证实.
- 腹腔大动脉化 (AAC) 是心血管疾病风险的重要指标.
研究的目的:
- 调查在美国成年人代表样本中遵守HEI-2015饮食指南和AAC流行率之间的关联.
- 探索潜在的剂量反应关系,并确定影响AAC风险的特定饮食成分.
主要方法:
- 从2013-2014年国家健康和营养检查调查 (NHANES) 数据中对1162名参与者的横截面分析.
- 限制立方线 (RCS) 图和多变量后勤回归模型被用来评估HEI-2015和AAC的关联.
- 针对不同的人口和临床因素进行了分组分析,包括年龄,性别,高血压,糖尿病 (DM) 和体重指数 (BMI).
主要成果:
- 在HEI-2015分数和AAC风险之间观察到一个显著的U形关系 (P为非线性<0.05).
- 与2015年HEI最低四分之一相比,更高的四分之一显示AAC的几率降低,尽管并非所有四分之一都达到统计学意义.
- 特定的食物群体,即蔬菜和豆类,以及整个水果,被确定为对AAC的独立保护因素.
- 这种U型的相关性在各种各样的子组中持续存在,包括不同的年龄组,性别,以及患有或没有高血压或糖尿病的个体,以及BMI<30 kg/m2.
结论:
- 在健康饮食指数 (HEI) -2015和美国普通人口中腹腔大动脉化 (AAC) 的患病率之间存在U形关联.
- 采用合理均衡和健康的饮食,正如HEI-2015所指出的那样,可能是一个可行的策略,以减轻AAC的流行.
- 蔬菜,豆类和整个水果的饮食摄入量似乎特别有利于降低AAC风险.
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