较高的进口食品模式与图瓦卢的肥胖和严重肥胖有关:一个潜在的类分析
José Francisco López-Gil1, Stephanie M Wu2, Tai-Lin Irene Lee3
1One Health Research Group, Universidad de Las Américas, Quito, Ecuador.
Current developments in nutrition
|February 14, 2024
概括
图瓦卢的肥胖率与饮食模式有关. 进口食品的消费增加了肥胖的风险,而不同的当地饮食可能会提供保护. 这突出了公共健康的可修改的生活方式因素.
科学领域:
- 营养科学 营养科学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 太平洋岛国图瓦卢面临着肥胖症的惊人增长,在40年内影响其60%至70%的人口.
- 这一趋势对于小岛屿发展中国家来说尤其令人担忧.
研究的目的:
- 调查不同食物消费模式与图瓦卢的肥胖率之间的关联.
- 确定导致太平洋岛国肥胖率高的饮食因素.
主要方法:
- 利用了2022年图瓦卢社区行为和态度调查 (COMBAT) 的数据,其中包括985名成年人.
- 使用隐性类别分析来识别4种不同的食物模式和贝叶斯回归模型来评估与肥胖 (BMI≥30 kg/m2),严重肥胖 (BMI≥40 kg/m2) 和体重的关联.
- 经过调整以考虑混因素,并考虑了区域集群.
主要成果:
- 确定了四种食物模式:本地 (28%),多样-本地 (17%),限制进口 (29%) 和进口 (26%).
- 与多样化的本地模式相比,进口食品模式显示肥胖的几率明显更高 (OR: 2.52),进口限制 (OR: 1.89) 和本地 (OR: 1.54) 模式也是如此.
- 在限制进口和进口食物模式和体重之间观察到积极的关联,严重肥胖的趋势类似.
结论:
- 进口食品的高消费,加上植物性和蛋白质丰富食品的低摄入量,是导致图瓦卢肥胖的重要可改变的生活方式因素.
- 专注于增加当地多样化的食物消费的饮食干预措施对于解决太平洋岛国肥胖流行病至关重要.
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