High consumptions of grain, fish, dairy products and combinations of these are associated with a low prevalence of metabolic syndrome
High consumptions of grain, fish, dairy products and combinations of these are associated with a low prevalence of metabolic syndrome
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DOI：
10.1136/jech.2006.052126
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发表时间：
2007-09-01
影响因子：
6.3
通讯作者：
Ferrieres, Jean
中科院分区：
文献类型：
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作者：
Ruidavets, Jean-Bernard;Bongard, Vanina;Ferrieres, Jean
目的：分析不同食物种类与胰岛素抵抗综合征（IRS）发病的关系。设计：随机选取912名年龄在45-64岁之间的男性。他们完成了风险因素调查问卷和连续三天的饮食日记。测量了身高、体重、腰围和血压。对空腹血液样本进行脂质和葡萄糖测量分析。采用NCEP-ATP-III定义评估IRS。数据是根据食物组的五分位数和乳制品、鱼类或谷物的中位数进行分析的。结果：IRS患病率为23.5%。当摄入量低于鱼类、乳制品和谷物的中位数时，这一比例分别达到29.0%、28.1%和28.1%。当所有三种食物的消费量均高于中位数时，患病率达到13.1%，当它们低于中位数时，患病率为37.9% （p < 0.001）。在校正混杂因素（中心、年龄、体育活动、教育水平、吸烟、节食、饮酒、高血压和血脂异常治疗、能量摄入和饮食质量指数）的logistic回归中，鱼类IRS（高于中位数v低于中位数）的比值比为0.51(95%可信区间0.36至0.71)，乳制品为0.67(0.47至0.94)，谷物为0.69（0.47至1.01）。当三种食物的摄入量都很高时，OR为0.22（0.10 ~ 0.44）。结论：大量食用乳制品、鱼类或谷物与较低的IRS发生率相关。当这三种食物的摄入量都很高时，这种可能性就会降低。
Objective: To analyse the relation between various food groups and the frequency of insulin resistance syndrome (IRS).Design: A sample of 912 men aged 45-64 years was randomly selected. Questionnaires on risk factors and a three consecutive day food diary were completed. Height, weight, waist circumference, and blood pressure were measured. A fasting blood sample was analysed for lipid and glucose measurements. The NCEP-ATP-III definition was used to assess IRS. Data were analysed according to quintiles of food groups and medians of dairy products, fish, or cereal grains.Results: The prevalence of IRS was 23.5%. It reached 29.0%, 28.1% and 28.1% when the intake was below the median for fish, dairy products, and grain, respectively. When consumptions of all three types of food were higher than the median, the prevalence reached 13.1%, and when they were lower, the prevalence was 37.9% (p < 0.001). In logistic regression adjusted for confounders (centre, age, physical activities, education level, smoking, dieting, alcohol intake, treatments for hypertension and dyslipidaemia, energy intake, and diet quality index) the odds ratios for IRS (above median value v below) were 0.51 (95% confidence interval, 0.36 to 0.71) for fish, 0.67 (0.47 to 0.94) for dairy products, and 0.69 (0.47 to 1.01) for grain. When intakes of all three kinds of food were high, the OR was 0.22 (0.10 to 0.44).Conclusions: A high consumption of dairy products, fish, or cereal grains is associated with a lower probability of IRS. The probability decreases when intakes of all three types of food were high.