在高碳水化合物饮食的人群中,碳水化合物摄入量和死亡率之间的反向J形关联
Hyun Jeong Cho1, Woo-Kyoung Shin2, YoonJu Song3
1Division of Prevention, National Cancer Center Institute for Cancer Control, 5-1-1, Tsukiji, Chuo City, Tokyo, 104-0045, Japan.
Clinical nutrition (Edinburgh, Scotland)
|January 7, 2026
概括
在高碳水化合物人群中,非常低的碳水化合物摄入量 (<55%的能量) 与全因和心血管疾病 (CVD) 死亡率的增加有关. 这些风险仍然存在,无论脂肪类型被碳水化合物所取代.
科学领域:
- 营养流行病学 营养流行病学
- 公共卫生 营养 公共卫生 营养
- 心血管疾病研究研究
背景情况:
- 关于高碳水化合物人口中碳水化合物数量/质量和死亡率的数据有限.
- 专注于由碳水化合物取代的脂肪类型至关重要.
研究的目的:
- 在韩国队列中调查碳水化合物摄入量和死亡率之间的关联.
- 检查所有原因,癌症特异性和心血管疾病 (CVD) 的死亡风险.
主要方法:
- 使用了40-69岁的健康检查者-杰姆 (HEXA-G) 队列 (n=113,043)
- 通过经过验证的食物频率问卷 (FFQ) 评估饮食摄入量.
- 雇佣的Cox比例危险回归模型用于死亡风险估计.
主要成果:
- 在碳水化合物摄入量和所有原因/心血管疾病死亡率之间发现了一个反向的J形关联.
- 碳水化合物摄入量<55%的能量显著增加了所有原因 (HR: 1.50) 和心血管疾病死亡率 (HR: 3.04) 的风险.
- 在和脂肪酸,单不和脂肪酸和多不和脂肪酸替代剂中,相关性是一致的.
结论:
- 在高碳水化合物的人群中,碳水化合物摄入量低于能量摄入量的55%与所有原因和心血管疾病死亡率的增加有关.
- 由碳水化合物取代的脂肪类型没有改变这些观察到的死亡风险.
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