Sex differences in macronutrient intake and adherence to dietary recommendations: findings from the UK Biobank.

Sex differences in macronutrient intake and adherence to dietary recommendations: findings from the UK Biobank.
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DOI:
10.1136/bmjopen-2017-020017
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发表时间:
2018-04-24
期刊:
影响因子:
2.9
通讯作者:
Woodward M
Woodward M
中科院分区:
医学3区
文献类型:
--
作者:
Bennett E;Peters SAE;Woodward M

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在英国生物银行人群中,研究大量营养素摄入量和饮食建议依从性的性别差异。基于人群的横断面研究。英国生物库资源。210 106人(52.5%为妇女)有饮食行为数据。女性与男性在营养摄入量(克)和能量百分比方面的平均差异以及女性与男性在不依从性方面的OR,调整了年龄,社会经济地位和种族。能量摄入和分配存在性别差异。与妇女相比,男子的能量摄入量更大,能量摄入量不太可能超过估计的平均需求量。所有常量营养素的摄入量都存在很小但显著的性别差异。对于所有常量营养素,男性的绝对摄入量更大,而女性的摄入量占能量的百分比更大。女性的总脂肪、饱和脂肪和总糖的摄入量更有可能超过推荐量。男性不太可能达到蛋白质、多不饱和脂肪和总碳水化合物的最低推荐摄入量。超过95%的男性和女性不遵守纤维建议。饮食摄入量的性别差异受到年龄的调节,并在一定程度上受到社会经济地位的影响。在遵守饮食建议方面存在显着的性别差异,特别是糖。然而,鉴于营养政策越来越注重食物类别和饮食模式,仅凭这些差异可能不足以促进政策和健康。未来的研究,能够探讨不同的食物组,饮食相关疾病的风险因素的摄入量的性别差异是必要的,以提高目前的理解饮食对健康的差异影响的妇女和男子。
To characterise sex differences in macronutrient intakes and adherence to dietary recommendations in the UK Biobank population. Cross-sectional population-based study. UK Biobank Resource. 210 106 (52.5% women) individuals with data on dietary behaviour. Women-to-men mean differences in nutrient intake in grams and as a percentage of energy and women-to-men ORs in non-adherence, adjusting for age, socioeconomic status and ethnicity. There were sex differences in energy intake and distribution. Men had greater intakes of energy and were less likely to have energy intakes above the estimated average requirement compared with women. Small, but significant, sex differences were found in the intakes of all macronutrients. For all macronutrients, men had greater absolute intakes while women had greater intakes as a percentage of energy. Women were more likely to have intakes that exceeded recommendations for total fat, saturated fat and total sugar. Men were less likely to achieve the minimum recommended intakes for protein, polyunsaturated fat and total carbohydrate. Over 95% of men and women were non-adherent to fibre recommendations. Sex differences in dietary intakes were moderated by age and to some extent by socioeconomic status. There are significant sex differences in adherence to dietary recommendations, particularly for sugar. However, given the increased focus on food groups and dietary patterns for nutritional policy, these differences alone may not be sufficient for policy and health promotion. Future studies that are able to explore the sex differences in intakes of different food groups that are risk factors for diet-related diseases are warranted to improve the current understanding of the differential impact of diet on health in women and men.
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