饮食健康指数与脆弱性的关联
Ting He1, Yifei Yan2, Dongdong Wang3
1Shaoxing Seventh People's Hospital (Affiliated Mental Health Center, Medical College of Shaoxing University), Shaoxing, China.
BMC public health
|March 20, 2025
概括
通过健康饮食指数 (HEI-2015) 衡量饮食质量的提高,与较低的虚弱风险有关. 这一协会强调了健康饮食对于预防脆弱性的重要性,特别是在弱势群体中.
科学领域:
- 老年学是一门学科.
- 营养流行病学 营养流行病学
- 公共卫生 公共卫生
背景情况:
- 通过健康饮食指数 (HEI-2015) 评估的饮食质量对健康至关重要.
- 较低的HEI-2015分数可能与脆弱性风险增加有关.
- 关于HEI-2015与脆弱指数 (FI) 关系的流行病学数据有限.
研究的目的:
- 调查HEI-2015分数与脆弱性之间的关联.
- 探索性别和年龄等人口因素如何改变这种关系.
- 通过特征重要性分析识别脆弱性的关键预测因素.
主要方法:
- 美国国家健康和营养检查调查 (NHANES) 数据 (2007-2018) 的分析.
- 后勤回归模型来评估HEI-2015的脆弱性关联.
- 使用身体活动,力量,疲劳,体重变化和步行速度来定义的脆弱性;FI值为0.21.
- 使用"DALEX"R包进行特征重要性分析,以确定关键脆弱性预测因素.
主要成果:
- 在14300名参与者中,有16.2%被归类为脆弱.
- 脆弱个体的收入较低,BMI较高,体力活动较低,HEI-2015分数较低.
- 较高的HEI-2015分数与较低的虚弱风险显著相关 (aOR:0.69,P <0.01).
- 2015年HEI的保护作用在女性,高收入和受过教育的群体中更为强烈 (P <0.01).
- 在特征重要性分析中,HEI-2015成为脆弱性的主要预测因素.
结论:
- 较高的健康饮食模式 (较高的HEI-2015分数) 与较低的虚弱风险有关.
- 促进健康饮食可能是预防虚弱的可行策略.
- 教育程度和人口因素显著影响饮食-脆弱性关系,建议有针对性的干预措施.
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