The relationship between carbohydrate quality and the prevalence of metabolic syndrome: challenges of glycemic index and glycemic load
The relationship between carbohydrate quality and the prevalence of metabolic syndrome: challenges of glycemic index and glycemic load
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DOI：
10.1007/s00394-017-1402-6
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发表时间：
2018-04-01
影响因子：
5
通讯作者：
Fisberg, Regina Mara
中科院分区：
文献类型：
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作者：
Fontanelli, Mariane de Mello;Sales, Cristiane Hermes;Fisberg, Regina Mara
为了估计圣保罗成人和老年人居民中代谢综合征 (MetS) 及其组成部分的患病率，研究了 MetS 与血糖指数 (GI) 和血糖负荷 (GL) 以及影响该人群膳食 GI 和 GL 的食物之间的关系。使用了圣保罗健康调查中 591 名成人和老年人参与者的数据。这是一项基于人口的横断面研究，对本市市区居民进行了复杂的多阶段样本设计。收集饮食消耗数据、人体测量数据、血压和血液样本。考虑到研究的样本设计，使用逻辑回归模型测试了 GI、GL 和 MetS 及其组成部分之间的关联。圣保罗成人和老年人居民中 MetS 的患病率为 30.3%。 GI、GL 和 MetS 之间没有关联。 GI 和 GL 与低高密度脂蛋白胆固醇 (HDL-c) 呈正相关，OR = 1.113 (95% CI 1.007-1.230) 和 OR = 1.019 (95% CI 1.002-1.037)。 GL 与高血压呈负相关，且这种相关性因年龄组而异（OR = 0.981；95% CI 0.964-0.998）。对膳食GI和GL影响最大的食物是糖、白米和法式面包。考虑到圣保罗人群低HDL-c的患病率很高，GI和GL可能有助于这种血脂异常的营养治疗。然而，考虑到研究之间的一些相互矛盾的结果，应谨慎对待研究结果。
To estimate the prevalence of metabolic syndrome (MetS) and its components in adults and older adults residents of So Paulo, the association of MetS with the glycemic index (GI) and glycemic load (GL) and the foods that contribute to dietary GI and GL in this population.Data from 591 adults and older adults participants in the Health Survey of So Paulo were used. This is a cross-sectional, population-based study with a complex multistage sample design of residents in the urban area of the municipality. Dietary consumption data, anthropometric measurements, blood pressure and blood samples were collected. The associations between GI, GL and MetS and its components were tested using logistic regression models, considering the sample design of the study.The prevalence of MetS in the adult and older adults residents of So Paulo was 30.3%. There was no association between GI, GL and MetS. GI and GL were positively associated with low high-density lipoprotein cholesterol (HDL-c), OR = 1.113 (95% CI 1.007-1.230) and OR = 1.019 (95% CI 1.002-1.037), respectively. GL was inversely associated with high blood pressure and this association differed by age group (OR = 0.981; 95% CI 0.964-0.998). Foods that most contributed to dietary GI and GL were sugar, white rice and French bread.Considering the high prevalence of low HDL-c in the population of So Paulo, GI and GL may contribute to the nutritional therapy of this dyslipidemia. However, findings should be treated with caution, considering several conflicting results between studies.