Dietary Predictors of 5-Year Changes in Waist Circumference
Dietary Predictors of 5-Year Changes in Waist Circumference
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DOI：
10.1016/j.jada.2009.05.015
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发表时间：
2009-08-01
影响因子：
--
通讯作者：
Sorensen, Thorkild I. A.
中科院分区：
文献类型：
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作者：
Halkjer, Jytte;Tjonneland, Anne;Sorensen, Thorkild I. A.
背景以前关于大量营养素摄入与腹部肥胖（增加健康风险）之间关系的研究没有显示出一致的模式，可能是由于食物摄入的其他方面的混合效应。目的本研究调查了21种食物和饮料组的摄入量与随后的5-方法研究人群包括22，570名女性和20，126名男性，基线年龄为50至64岁，基线和随访腰围的完整数据，基线饮食（192项食物频率问卷）、体重指数和选定的潜在混杂因素（例如，吸烟状况、体育活动和酒精饮料摄入）。多元线性回归分析performed.Results的女性，5年的腰围差异呈负相关，从红肉，蔬菜，水果，黄油，高脂肪奶制品的摄入量，而土豆，加工肉类，家禽，零食的摄入量呈正相关。对于男性来说，红肉和水果的摄入量与腰围的5年差异呈负相关，而零食的摄入量则呈正相关。蔬菜，高脂肪乳制品和加工肉类发生性别差异。结论结果表明，饮食低水果和红肉和高零食与较大的腰围增益在两种性别。此外，在女性中，蔬菜、黄油和高脂肪奶制品含量低，家禽、土豆和加工肉类含量高的饮食可能是腰部随后增加的决定因素。美国饮食协会杂志2009，109：1356-1366.
Background Previous studies on the association between macronutrient intake and the development of abdominal obesity, which carries an increased health risk, have not shown a consistent pattern, possibly due to mixed effects of other aspects of the food intake.Objective This study investigated the association between intake from 21 food and beverage groups and the subsequent 5-year difference in waist circumference.Methods The study population consisted of 22,570 women and 20,126 men, aged 50 to 64 years at baseline, with complete data on baseline and follow-up waist circumference, baseline diet (192 items food frequency questionnaire), body mass index, and selected potential confounders (eg, smoking status, sport activities, and intake of alcoholic beverages). Multiple linear regression analyses were performed.Results For women, 5-year difference in waist circumference was inversely related to intake from red meat, vegetables, fruit, butter, and high-fat dairy products, whereas intake from potatoes, processed meat, poultry, and snack foods was positively associated. For men, red meat and fruit intakes were inversely associated with 5-year difference in waist circumference, whereas snack foods intake was positively associated. Sex differences occurred for vegetables, high-fat dairy products, and processed meat.Conclusions The results suggest that a diet low in fruits and red meat and high in snack foods was associated with larger waist circumference gains in both sexes. Furthermore, in women a diet low in vegetables, butter, and high-fat dairy products, and high in poultry, potatoes, and processed meat were likely determinants of subsequent gain at the waist. J Am Diet Assoc. 2009,109:1356-1366.