Associations of percentage energy intake from total, animal and plant protein with overweight/obesity and underweight among adults in Addis Ababa, Ethiopia.
Associations of percentage energy intake from total, animal and plant protein with overweight/obesity and underweight among adults in Addis Ababa, Ethiopia.
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DOI：
10.1017/s1368980022001100
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发表时间：
2022-11
影响因子：
3.2
通讯作者：
Willett, Walter C.
中科院分区：
文献类型：
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作者：
Hemler, Elena C.;Bromage, Sabri;Tadesse, Amare Worku;Zack, Rachel;Berhane, Yemane;Canavan, Chelsey R.;Fawzi, Wafaie W.;Willett, Walter C.
这项研究调查了埃塞俄比亚超重/肥胖和体重不足的蛋白质类型和食物来源之间的关联。我们使用非定量FFQ进行了一项横断面饮食调查。使用线性回归模型评估总能量摄入百分比、动物和植物蛋白与BMI之间的关系。Logistic回归模型被用来检查从总的，动物和植物蛋白质和特定的蛋白质食物来源的能量摄入百分比与体重不足和超重/肥胖的关联。埃塞俄比亚的阿迪斯。在阿迪斯的五个分城市，采用多阶段随机抽样方法，对选定家庭中的1624名18-49岁的埃塞俄比亚成年人（992名女性和632名男性）进行了抽样。在接受调查的成年人中，31%的人超重或肥胖。大部分能量摄入来自碳水化合物，只有3%来自动物蛋白质.在多变量校正线性模型中，BMI与总蛋白、植物蛋白或动物蛋白的能量百分比无关。总蛋白和动物蛋白摄入量均与超重/肥胖的几率较低相关（总蛋白每增加1%能量的OR为0·92; 95% CI：0·86，0·99; P = 0·02;动物蛋白每增加1%能量的OR为0·89; 95% CI：0·82，0·96; P = 0·004），当替代碳水化合物并调整社会人口统计学协变量时。增加总蛋白质或动物蛋白质的能量摄入比例，取代碳水化合物，可能是解决阿迪斯超重和肥胖问题的一种策略;需要进行纵向研究，以进一步研究这种潜在的关联。
This study investigated associations between types and food sources of protein with overweight/obesity and underweight in Ethiopia. We conducted a cross-sectional dietary survey using a non-quantitative FFQ. Linear regression models were used to assess associations between percentage energy intake from total, animal and plant protein and BMI. Logistic regression models were used to examine the associations of percentage energy intake from total, animal and plant protein and specific protein food sources with underweight and overweight/obesity. Addis Ababa, Ethiopia. 1624 Ethiopian adults (992 women and 632 men) aged 18–49 years in selected households sampled using multi-stage random sampling from five sub-cities of Addis Ababa. Of the surveyed adults, 31 % were overweight or obese. The majority of energy intake was from carbohydrate with only 3 % from animal protein. In multivariable-adjusted linear models, BMI was not associated with percentage energy from total, plant or animal protein. Total and animal protein intake were both associated with lower odds of overweight/obesity (OR per 1 % energy increment of total protein 0·92; 95 % CI: 0·86, 0·99; P = 0·02; OR per 1 % energy increment of animal protein 0·89; 95 % CI: 0·82, 0·96; P = 0·004) when substituted for carbohydrate and adjusted for socio-demographic covariates. Increasing proportion of energy intake from total protein or animal protein in place of carbohydrate could be a strategy to address overweight and obesity in Addis Ababa; longitudinal studies are needed to further examine this potential association.