Nutritional adequacy of three dietary patterns defined by cluster analysis in 997 pregnant Japanese women: the Osaka Maternal and Child Health Study
Nutritional adequacy of three dietary patterns defined by cluster analysis in 997 pregnant Japanese women: the Osaka Maternal and Child Health Study
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DOI：
10.1017/s1368980010002521
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发表时间：
2011-04-01
影响因子：
3.2
通讯作者：
Hirota, Yoshio
中科院分区：
文献类型：
--
作者：
Okubo, Hitomi;Miyake, Yoshihiro;Hirota, Yoshio
目的：为了研究孕妇的饮食模式的信息是绝对lacking.Design的充分性和不足：饮食进行了评估，一个有效的，自我管理的饮食史问卷（DHQ）。膳食模式提取的摄入量的33个食物组（克/4184千焦（1000千卡）），这是总结了147种食物与DHQ评估，聚类分析。以日本人膳食参考摄入量（DRI）中给出的参考值作为时间黄金标准，对每种膳食模式中选定的20种营养素的营养不足进行了检查。这三种饮食模式分别为“肉和蛋”（n 423）、“小麦制品”（n 371）和“米、鱼和蔬菜”（n 203）。以大米、蔬菜、土豆、豆类、水果、海藻、鱼和味噌汤摄入量高为特征的"大米、鱼和蔬菜"模式显示，15种营养素摄入不足的患病率最低，钠摄入不足的患病率最高。相反，以面包、面条、蔬菜和软饮料摄入量高为特征的"小麦制品"模式显示出14种营养素摄入不足的最高患病率。在“米饭、鱼和蔬菜”模式中，不符合DRI作为整体营养不足标志的营养素中位数为8。在"肉和蛋"模式中，它在10和"小麦制品"模式中显著较低（P <0.001）。结论：在日本孕妇中，除了钠外，大米、鱼、蔬菜、水果和其他一些食物的膳食模式显示出更好的营养充足性。
Objective: To examine the adequacy and inadequacy of dietary patterns in pregnant women for which information is absolutely lacking.Design: Diet was assessed by a validated, self-administered diet history questionnaire (DHQ). Dietary patterns were extracted from the intake of thirty-three food groups (g/4184 kJ (1000 kcal)), which were summarized from 147 foods assessed with the DHQ, by cluster analysis. Nutritional inadequacy for selected twenty nutrients in each dietary pattern was examined using the reference values given in the Dietary Reference Intakes (DRI) for Japanese as the temporal gold standard.Setting: Japan.Subjects: Nine hundred and ninety-seven pregnant Japanese women aged 18-43 years.Results: The three dietary patterns identified were labelled as 'meat and eggs' (n 423), 'wheat products' (n 371) and 'rice, fish and vegetables' (n 203). The 'rice, fish and vegetables' pattern characterized by high intake of rice, vegetables, potatoes, pulses, fruits, seaweed, fish and miso soup showed significantly the lowest prevalence of inadequate intake for fifteen nutrients and significantly the highest prevalence of inadequate sodium intake. In contrast, the 'wheat products' pattern characterized by high intake of bread, noodles, confectioneries and soft drinks showed the highest prevalence of inadequate intake for fourteen nutrients. The median number of nutrients not meeting the DRI as a marker of overall nutritional inadequacy was eight in the 'rice, fish and vegetables' pattern. It was significantly lower at ten in the 'meat and eggs' and eleven in the 'wheat products' patterns (P < 0.001).Conclusions: In pregnant Japanese women, the dietary pattern high in rice, fish, vegetables, fruit and some others showed a better profile of nutritional adequacy except for sodium.