Associations between Adherence to Four A Priori Dietary Indexes and Cardiometabolic Risk Factors among Hyperlipidemic Patients.
Associations between Adherence to Four A Priori Dietary Indexes and Cardiometabolic Risk Factors among Hyperlipidemic Patients.
复制标题
高脂血症患者遵守四种先验饮食指数与心脏代谢危险因素之间的关联
DOI：
10.3390/nu13072179
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发表时间：
2021-06-24
期刊：
影响因子：
5.9
通讯作者：
Yang Y
中科院分区：
文献类型：
--
作者：
Gao X;Tian Z;Zhao D;Li K;Zhao Y;Xu L;Wang X;Fan D;Ma X;Ling W;Meng H;Yang Y
目前尚不清楚哪些先验膳食指数为降低高血压患者的心脏代谢危险因素（CMRF）提供了最佳指导。本研究旨在比较膳食平衡指数（DBI-16）、中国人健康饮食指数（CHEI）、地中海饮食评分（MDS）和膳食降压方法（DASH）等4个先验膳食指标与高血压病患者CMRF的关系。共有269名参与者参加了这项横断面研究。使用已建立的方法计算DBI-16、CHEI、MDS和DASH评分。使用标准方法测量CMRF。DBI总分（DBI-TS）与甘油三酯浓度和TC：HDL-C比值呈负相关，与HDL-C和ApoA 1浓度呈正相关（均p < 0.05），而DBI-LBS结果则相反。DBI-HBS和DASH评分分别与血糖浓度呈正相关和负相关（均p < 0.05）。较高的饮食质量距离（DQD）与较高的TC、LDL-C和ApoB浓度以及TC：HDL-C和LDL-C：HDL-C比值呈正相关，与较低的HDL-C和ApoA 1浓度以及ApoA 1：ApoB比值呈正相关（均p < 0.05）。CHEI评分与甘油三酯浓度呈负相关（p = 0.036）。没有一个饮食指数与血压相关。DBI-16提供了最全面的整体饮食质量和平衡评估，以优化高血压患者的心脏代谢健康。
Little is known about which currently available a priori dietary indexes provide best guidance for reducing cardiometabolic risk factors (CMRF) among hyperlipidemic patients. This study was designed to compare the associations between four a priori dietary indexes, including Diet Balance Index (DBI-16), Chinese Healthy Eating Index (CHEI), Mediterranean Diet Score (MDS) and Dietary Approaches to Stop Hypertension (DASH) and CMRF among hyperlipidemic patients. A total of 269 participants were enrolled into the cross-sectional study. DBI-16, CHEI, MDS, and DASH scores were calculated using established methods. CMRF was measured using standard methods. DBI-total scores (DBI-TS) were inversely associated with triglyceride concentrations and TC:HDL-C ratio, and positively associated with HDL-C and ApoA1 concentrations (all p < 0.05), while the results for DBI-low bound scores (DBI-LBS) were opposite. DBI-high bound scores (DBI-HBS) and DASH scores were positively and inversely associated with glucose concentrations, respectively (both p < 0.05). Higher diet quality distance (DQD) was positively associated with higher TC, LDL-C and ApoB concentrations, and TC:HDL-C and LDL-C:HDL-C ratios, and lower HDL-C and ApoA1 concentrations and ApoA1:ApoB ratio (all p < 0.05). CHEI scores were inversely associated with triglyceride concentrations (p = 0.036). None of the dietary indexes was associated with blood pressures. DBI-16 provided most comprehensive evaluations of the overall diet quality and balance for optimizing cardiometabolic health among hyperlipidemic individuals.