Trends in nutritional intake and serum cholesterol levels over 40 years in Tanushimaru, Japanese men.

Trends in nutritional intake and serum cholesterol levels over 40 years in Tanushimaru, Japanese men.
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DOI:
10.2188/jea.15.85
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发表时间:
2005-05
影响因子:
4.7
通讯作者:
Hino A
Hino A
中科院分区:
医学3区
文献类型:
--
作者:
Adachi H;Hino A

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背景:自1958年开始七国研究以来,日本社会经济的快速发展带来了生活方式和饮食模式的显着变化。我们在九州岛典型农业城镇田主丸的七国研究日本队列中调查了营养摄入时间趋势与血清胆固醇水平之间的关系。方法:1958年受试者628人,1977年539人,1982年602人,1989年752人,1999年402人,所有受试者均为40-64岁男性。通过 1958 年至 1989 年的 24 小时饮食回忆和 1999 年的食物频率调查问卷来评估饮食模式。我们还在每次健康检查中测量了血清胆固醇水平。结果:每日总能量摄入量从1958年的2837大卡下降到1999年的2202大卡。碳水化合物摄入量占每日总能量摄入量的百分比明显下降,从1958年的84%下降到1999年的62%,而同期蛋白质摄入量(从11%到18%)和脂肪摄入量(从5%到20%)大幅增加。与蛋白质和脂肪摄入量的巨大变化成比例的是,血清胆固醇水平显着增加(从152.5mg/dL至194.2mg/dL)。结论:尽管饮食结构发生了如此大的西化饮食变化,但日本农村地区冠状动脉疾病的发病率仍然很低。然而,由于脂肪特别是饱和脂肪酸的摄入量显着增加,未来需要仔细监测。
BACKGROUND: Rapid socioeconomic development in Japan since the beginning of the Seven Countries Study in 1958 has brought remarkable changes in lifestyle and dietary patterns. We investigated the relationship between time trends in nutrient intake and serum cholesterol levels in a Japanese cohort of the Seven Countries Study, in Tanushimaru, a typical farming town on Kyushu Island. METHODS: Subjects totaled 628 in 1958, 539 in 1977, 602 in 1982, 752 in 1989, and 402 in 1999, and all of the subjects were men aged 40-64 years. Eating patterns were evaluated by 24-hour dietary recall from 1958 through 1989, and by a food frequency questionnaire in 1999. We also measured serum cholesterol levels in each health examination. RESULTS: The total daily energy intake decreased from 2837 kcal in 1958 to 2202 kcal in 1999. The carbohydrate intake in percentage of total daily energy intake decreased markedly, from 84% in 1958 to 62% in 1999, in contrast to large increases during this period in protein intake (from 11% to 18%) and fat intake (from 5% to 20%). In proportion to the dramatic change in protein and fat intake, serum cholesterol levels showed large increases (from 152.5mg/dl to 194.2 mg/ dL). CONCLUSIONS: In spite of such big dietary changes toward a westernized diet, the incidence of coronary artery disease in a rural Japanese area remains low. However, careful surveillance is needed in the future because of the remarkably increasing intake of fats, especially saturated fatty acids.
DOI: 10.1001/jama.269.23.3002
发表时间: 1993-06-16
影响因子: 120.7
作者:
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影响因子: 7.7
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