[1]黄之敏 李扬帆 黄晓殷 潘欣婷 彭仙娥 徐尚华.膳食平衡指数与非酒精性脂肪肝关系的病例对照研究[J].福建医药杂志,2018,40(06):12-15.
　HUANG Zhimin,LI Yangfan,HUANG Xiaoyin,et al.Relationship between dietary balance index and nonalcoholic fatty liver disease:a case-control study[J].FUJIAN MEDICAL JOURNAL,2018,40(06):12-15.
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膳食平衡指数与非酒精性脂肪肝关系的病例对照研究()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
40
期数:
2018年06期
页码:
12-15
栏目:
临床研究
出版日期:
2018-11-29

文章信息/Info

Title:
Relationship between dietary balance index and nonalcoholic fatty liver disease:a case-control study
文章编号:
1002-2600(2018)06-0012-04
作者:
黄之敏 李扬帆 黄晓殷1 潘欣婷1 彭仙娥1 徐尚华2
福建省边防总队海警一支队卫生队(福州 350002)
Author(s):
HUANG Zhimin; LI Yangfan; HUANG Xiaoyin;  PAN Xinting;  PENG Xian'e; XU Shanghua
Fujian Province Coast Quard Corps,Fuzhou,Fujian 350002,China
关键词:
膳食平衡指数;  非酒精性脂肪肝;  病例对照研究
Keywords:
nonalcoholic fatty liver disease;  case-control study;  Chinese dietary balance index
分类号:
R181.3
文献标志码:
B
摘要:
目的 探讨膳食平衡指数与非酒精性脂肪肝(NAFLD)之间的关系。方法 采用1:1频数匹配病例对照研究,以2015年4月至2017年9月在福建医科大学附属南平第一医院体检中心进行健康体检的人群作为研究对象。通过膳食平衡指数法(DBI-07)评价人群膳食营养状况,采用非条件logistic回归分析膳食与NAFLD之间的关联。结果 膳食摄入过量及膳食结构失衡是NAFLD的危险因素(OR摄入过量=2.40,95%CI=1.39～4.13,P=0.010; OR膳食结构失衡=2.77,95%CI=1.01～7.64,P=0.013)。病例组禽畜肉类及食用油摄入高于对照组(P=0.013; P<0.001),而奶制品摄入低于对照组(P=0.028)。结论 膳食摄入过量以及膳食摄入失衡是NAFLD的危险因素,减少能量的摄入,维持良好的膳食结构有助于降低NAFLD的患病风险。
Abstract:
Objective To explore the association between dietary balance index and nonalcoholic fatty liver disease(NAFLD). Methods We conducted a hospital-based case-control study including 543 NAFLD cases and 543 gender and age-matched controls from October 2015 to September 2017. We completed in-person interviews and participants completed a food-frequency questionnaire. Chinese dietary balance index(DBI-07)was used to assess the diet status, and logistic regression analyses were performed to investigate the association between DBI and NAFLD. Results Excessive dietary intake and imbalance dietary structure were positively associated with NAFLD risk(OR excessive dietary intake=2.40, 95%CI=1.39-4.13,P=0.010; OR imbalance dietary structure =2.77,95%CI=1.01-7.64,P=0.013). In addition, as compared with controls,the cases with NAFLD intook more meat and edible oil(P=0.013; P<0.001), but less dairy products(P=0.028).Conclusion Excessive dietary intake and imbalanced dietary intake are risk factors for NAFLD, and reducing energy intake and maintaining a good dietary structure can reduce the risk of NAFLD.

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备注/Memo

备注/Memo:
1 福建医科大学公共卫生学院流行病与卫生统计学系; 2 南平市第一医院,通信作者,Email:13365998866@163.com
更新日期/Last Update: 2018-11-29