Away from home meals: associations with biomarkers of chronic disease and dietary intake in American adults, NHANES 2005-2010.

Away from home meals: associations with biomarkers of chronic disease and dietary intake in American adults, NHANES 2005-2010.
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DOI:
10.1038/ijo.2014.183
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发表时间:
2015-05
影响因子:
4.9
通讯作者:
Graubard, B. I.
Graubard, B. I.
中科院分区:
医学2区
文献类型:
--
作者:
Kant, A. K.;Whitley, M. I.;Graubard, B. I.

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离家(AFH)餐是众所周知的能量密集和饮食质量差。直接和间接暴露(例如,邻里餐馆密度)对AFH膳食的影响已经被认为是导致更高体重和不良健康结果的因素。研究食用AFH和快餐的频率与慢性疾病和饮食摄入量的生物标志物之间的关系。这项横断面研究使用了2005-2010年NHANES的AFH和快餐餐的频率和生物标志物数据。在家庭访谈期间,通过问卷调查收集每周AFH和快餐餐的频率信息。检查的代谢生物标志物包括BMI、血清胆固醇(总胆固醇、HDL和LDL)、甘油三酯、糖化血红蛋白和空腹血糖(n=8314,年龄≥20岁,NHANES 2007-2010)。饮食暴露的生物标志物包括维生素A、D、E、C、B-6、B-12、叶酸和类胡萝卜素的血清浓度(n=4162; 2005-2006年)。多元线性和逻辑回归方法调整复杂的调查方法和协变量。美国成年人报告平均3.9(95% CI 3.7,4.0)AFH和1.8(1.6,1.9)快餐餐/周。超过50%的成人报告≥3次AFH,>35%报告≥2次快餐餐/周。更频繁AFH或快餐餐报告者的平均BMI更高(P趋势≤0.0004)。血清总胆固醇、低密度脂蛋白和高密度脂蛋白浓度与AFH餐频率呈负相关(P<0.05)。快餐频率和血清HDL-胆固醇也呈负相关(P=0.0001)。血清微量营养素(维生素A和番茄红素除外)浓度随AFH餐频率的增加而下降(P<0.05),女性和≥50岁的奥尔兹有较高的风险。频繁AFH和快餐餐的报告者具有较高的BMI和较低的HDL胆固醇浓度;但其他生物标志物的概况并不表明较高的代谢风险。然而,血清中的营养素浓度与大多数植物性食物的来源下降,增加AFH餐频率。
Away from home (AFH) meals are known to be energy-dense and of poor diet quality. Both direct and indirect exposure (e.g., neighborhood restaurant density) to AFH meals have been implicated as contributors to higher body weight and adverse health outcomes. To examine the association of frequency of eating AFH and fast-food meals with biomarkers of chronic disease and dietary intake. This cross-sectional study used frequency of AFH and fast-food meal and biomarker data from the NHANES 2005-2010. Information on weekly frequency of AFH and fast-food meals was collected via questionnaire during the household interview. The metabolic biomarkers examined included BMI, serum cholesterol (total, HDL, and LDL), triglycerides, glycohemoglobin, and fasting glucose (n=8314, age ≥20, NHANES 2007-2010). Biomarkers of dietary exposure included serum concentrations of vitamins A, D, E, C, B-6, B-12, folate, and carotenoids (n=4162; 2005-2006). Multiple linear and logistic regression methods adjusted for complex survey methodology and covariates. American adults reported a mean of 3.9 (95% CI 3.7, 4.0) AFH and 1.8 (1.6, 1.9) fast-food meals/week. Over 50% of adults reported ≥3 AFH and >35% reported ≥2 fast-food meals/week. Mean BMI of more frequent AFH or fast-food meal reporters was higher (Ptrend≤0.0004). Serum concentrations of total, LDL, and HDL cholesterol were related inversely with frequency of AFH meals (P<0.05). Frequency of fast-food meals and serum HDL-cholesterol were also related inversely (P=0.0001). Serum concentrations of all examined micronutrients (except vitamin A and lycopene) declined with increasing frequency of AFH meals (P<0.05); women and ≥50 y olds were at higher risk. Reporters of frequent AFH and fast-food meals had higher BMI and lower concentrations of HDL cholesterol; but profiles of other biomarkers did not indicate higher metabolic risk. However, the serum concentrations of nutrients with mostly plant foods as sources declined with increasing AFH meal frequency.
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