2016年云南省贡山县居民食物摄入与慢性病的关系

Relationship between dietary nutrition and chronic disease of residents in Gongshan County in Yunnan Province in 2016

目的分析云南省独龙族居民食物摄入与慢性病的关系。方法于2016年采用多阶段分层整群抽样的方法,在云南省独龙族聚居地贡山县抽取10个居(村)民委员会304户家庭460名6~80岁独龙族居民(男性191人,女性259人;6~17岁56人,18~44岁229人,45~59岁123人,60~80岁52人),采用食物频率法和问卷调查的方法获得独龙族居民膳食结构和超重或肥胖、糖尿病与血脂异常的患病情况,采用非条件Logistic回归分析食物摄入与慢性病的关系。结果2016年云南省独龙族居民超重/肥胖、高血压、糖尿病、血脂异常患病率分别为20.4%、19.6%、32.4%和50.4%。婚姻状况、过去12个月内进食过瓜类蔬菜(OR=0.540,95%CI0.306~0.954)、仁果类水果(OR=0.348,95%CI 0.171~0.706)和低脂奶粉(OR=5.267,95%CI 1.266~21.911)与独龙族居民高血压患病有关。性别、过去12个月内进食过油条(OR=0.403,95%CI 0.182~0.894)、茄果类蔬菜(OR=0.478,95%CI0.275~0.832)和全脂奶粉(OR=2.090,95%CI 1.372~3.184)与独龙族居民糖尿病患病有关。职业和过去12个月内进食过腐竹类食品(OR=4.753,95%CI 1.079~20.937)、茄果类蔬菜(OR=2.842,95%CI 1.175~6.871)和食用菌非蘑菇类(OR=1.794,95%CI 1.116~2.883)与独龙族居民超重肥胖患病有关。婚姻状况、过去12个月内进食过鲜豆类蔬菜(OR=1.991,95%CI 1.130~3.507)、全脂奶粉(OR=2.342,95%CI 1.535~3.575)、熟制禽肉(OR=2.092,95%CI 1.147~3.815)、草鱼(OR=0.580,95%CI 0.379~0.888)和鲜蛋(OR=0.432,95%CI 0.196~0.950)与独龙族居民血脂异常患病有关。结论贡山县18~80岁独龙族居民超重/肥胖患病与职业、进食蔬菜及制品(茄类蔬菜、食用菌非蘑菇类)等因素有关;高血压患病与婚姻状况、职业和进食瓜类蔬菜、仁果类水果和低脂奶粉等因素有关;糖尿病患病与性别、进食油条、茄果类蔬菜和全脂奶粉食品等因素有关;血脂异常患病与婚姻状况、进食鲜豆类蔬菜、全脂奶粉、熟制禽肉、草鱼和鲜蛋等因素有关。

OBJECTIVE To analyze the relationship between food intake and chronic diseases of Dulong minority residents living in Yunnan Province.METHODS 460 Dulong minority residents 6-80-year-old among 304 families(male 191,female 269,children and adolescents aged 6-17 years old 56,aged 18-44 years old 229,aged 45-59 years old 123,aged 60-80 years old 52)in Gongshan County in Yunnan Province were selected with Stratified multistage cluster sampling method.To apply the method of food frequency questionnaire and questionnaire survey obtain the condition of dietary structure and overweight or obesity,diabetes and dyslipidemia among Dulong minority.Non-conditional Logistic regression analysis was utilized to analyze the correlation between food intake and chronic diseases.RESULTS The prevalence of overweight or obesity,hypertension,diabetes and dyslipidemia were respectively 20.4%,19.6%,32.4% and 50.4% in 2016.Marital status and consumption of melons vegetables(OR=0.540,95%CI 0.306-0.954),benevolence fruit kind fruit(OR=0.348,95%CI 0.171-0.706)and low fat milk powder(OR=5.267,95%CI 1.266-21.911)in the past 12 months were associated with hypertension among the Dulong minority population.For the Dulong minority residents,sex,eaten deep-fried dough stick(OR=0.403,95%CI 0.182-0.894)in the past 12 months,solanaceous vegetables(OR=0.478,95%CI 0.275-0.832)and whole milk powder(OR=2.090,95%CI 1.372-3.184)have something to do with diabetes.Occupation,consumption of beancurd and bamboo vegetables(OR=4.753,95%CI 1.079-20.937),solanaceous vegetables(OR=2.842,95%CI 1.175-6.871)and edible fungi(OR=1.794,95%CI 1.116-2.883)over the past 12 months were linked to the prevalence of overweight.Consumption of fresh legumes(OR=1.991,95%CI 1.130-3.507),whole milk powder(OR=2.342,95%CI 1.535-3.575),cooked poultry meat(OR=2.092,95%CI 1.147-3.815),grass carp(OR=0.580,95%CI 0.379-0.888)and fresh eggs(OR=0.432,95%CI 0.196-0.950)and in the past 12 months were associated with dyslipidemia among the Dulong minority residents.CONCLUSION The prevalence of overweight/obesity was mainly related to occupation,consumption of vegetables and products(solanaceous vegetables,edible fungi),and hypertension was mainly related to Marital status,and the intake of melons vegetables,benevolence fruit kind fruit,low fat milk powder,and diabetes was mainly related to sex,deep-fried dough stick,solanaceous vegetables and whole milk powder,and dyslipidemia was mainly related to Marital status,fresh legumes,whole milk powder,cooked poultry meat,grass carp,and fresh eggs for the Dulong nationality residents aged 6-80 years old in Gongshan County,Yunnan Province.