广西城乡居民膳食与代谢综合征关系

Rrelationship between dietary intake and metabolic syndrome in urban and rural residents in Guangxi

目的探讨广西城乡居民膳食摄入水平与代谢综合征(MS)发生的关系,为有针对性提出膳食防治策略提供科学依据。方法按照多阶段整群随机抽样法,分别抽取广西4个城乡2 989名18岁及以上居民进行调查。结果共查出代谢综合征患者101例,患病率为3.38%,其中城市居民为5.04%,农村1.82%,城市明显高于农村。单因素显示,城市MS患者畜禽肉、盐、酒和新鲜蔬菜摄入量均显著高于正常人群,而Logistic多因素分析则表明,饮酒过多(每标准人日≥50 g)是城市MS的独立膳食危险因素(OR=1.409);农村MS患者畜禽肉、油脂、盐、调味品盐(酱油等)、酒及新鲜水果摄入量均显著高于正常人群。Logistic多因素分析表明,禽畜肉(OR=3.082)、酒(OR=2.121)、油脂(OR=2.022)摄入过多是农村MS发生的危险因素。结论膳食因素与广西城乡居民发生MS关系密切,应采取膳食营养干预措施,有效预防MS。

Objective To explore the relationship between dietary intake and the prevalence of metabolic syndrome（MS） in residents of urban and rural in Guangxi for referece to the strategy of dietary prevention. Methods 2 989 people aged 18 years and above were sampled randomly from 4 counties and 4 citie in Guangxi through a multistage stratified way. The investigation includes： the meal investigation, medical examination and laboratory test. Results 101 people had the disease of MS with the percentage of 3.38 %, in of whom 5.04 % lived in city and 1.82 % came from countryside. The percentage of MS in city was obviously higher than that of counryside. The single factor analysis indicated that the city subjects with MS took more poultry meat, salt, seasoningsalt, liquor and the fresh vegetables than the normal crowds. The Logisic multi - factor anal- ysis indicated that liquor excessively taking （about 50g/day of more） was a MS independent risk factor （OR 1.409） in the city. In the countryside MS patients took more poultry meat, fat, salt, seasoningsalt, liquor and fresh fruit than the normal crowds. Logisic multi - factors regression indicated that poultry meat（ OR 2.121 ）, fat （ OR 2. 022） excessively taking was risk factor for countryside MS. Conclusion The meal factor is closely related to the MS in Guangxi;So it would be more effectively if taking different nutrition intervention in the city and countryside to prevent and controll MS.