Association between adherence to nutritional guidelines, the metabolic syndrome and adiposity markers in a French adult general population.
Association between adherence to nutritional guidelines, the metabolic syndrome and adiposity markers in a French adult general population.
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DOI：
10.1371/journal.pone.0076349
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Kesse-Guyot E
中科院分区：
文献类型：
--
作者：
Lassale C;Galan P;Julia C;Fezeu L;Hercberg S;Kesse-Guyot E
很少有研究关注饮食质量评分与代谢综合征(METS)之间的联系，代谢综合征是一种预测心血管疾病(CVD)和死亡的多成分条件。本研究旨在采用横断面设计，通过先验评分--法国营养与健康计划指南评分(PNNS-GS)--与心血管危险因素(CVRF)(包括蛋氨酸和肥胖标记物)之间的关系进行调查。参加NutriNet-Santé研究(一项正在进行的网络队列研究)的7902名法国成年人在2011年1月至2012年11月期间接受了临床和生物学检查：抽取空腹血样，测量血压和身体成分(生物阻抗)。使用多元线性和Logistic回归模型评估PNNS-GS与CVRF或METS之间的关联。PNNS-GS升高与腰围(WC)、收缩压(SBP)、舒张压(DBP)及血清甘油三酯浓度呈显著负相关。从下到上四分位数，男性收缩压由129.9 mm Hg降至128.8 mm Hg，DBP由76.7 mm Hg降至75.9 mm Hg，血清甘油三酯浓度由110.8 mg/dL降至104.6 mg/dL，WC由94.8 cm降至90.1 cm，女性由81.3 cm降至78.9 cm。所有肥胖指标(腰围和臀围、体脂百分比、躯干脂肪百分比、腿部脂肪百分比)在PNNS-GS的四分位数之间和线性地显著降低。PNNS-GS评分较好的个体(四分位数4分位数与四分位数1分位数)患METS的可能性较小(OR=0.71，95%CI：0.56~0.89)。对法国饮食指南的更高遵守与许多CVRF、METS患病率和区域性肥胖症之间的负关联支持了在人群中推广PNNS饮食指南对于预防心脏代谢异常从而预防心血管疾病的重要性。
Few studies have focused on the association between diet quality scores and the Metabolic Syndrome (MetS), a multi-component condition predictive of cardiovascular diseases (CVD) and death. The present study aims at investigating, in a cross-sectional design, the association between adherence to the French dietary guidelines through an a priori score – the French Nutrition and Health Program-Guideline Score (PNNS-GS) – and cardiovascular risk factors (CVRF) including the MetS and adiposity markers. 7902 French adults participating in the NutriNet-Santé study (an on-going web-based cohort study) attended a clinical and biological examination between January 2011 and November 2012: a fasting blood sample was drawn, blood pressure and body composition (bio-impedance) were measured. Multivariate linear and logistic regression models were used to assess the association between PNNS-GS and CVRF or the MetS. An increase of PNNS-GS was significantly negatively associated with waist circumference (WC), systolic and diastolic blood pressure (SBP and DBP) and serum triglycerides concentrations. From bottom to top quartile of PNNS-GS, SBP decreased from 129.9 to 128.8 mm Hg, DBP from 76.7 to 75.9 mm Hg, serum triglycerides concentrations from 110.8 to 104.6 mg/dL and WC from 94.8 to 90.1 cm for men and 81.3 to 78.9 cm for women. All adiposity markers (waist and hip circumference, % body fat, % trunk fat, % leg fat) were markedly reduced across quartiles of PNNS-GS and linearly. Individuals with a better PNNS-GS (quartile 4 vs quartile 1) were less likely to have the MetS (OR=0.71, 95% CI: 0.56-0.89). The negative association between a higher adherence to the French dietary guidelines and a number of CVRF, the MetS prevalence and regional adiposity supports the importance of promoting the PNNS dietary guidelines in the population for the prevention of cardiometabolic abnormalities and hence, cardiovascular diseases.
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影响因子：
4.7
作者：
Boghossian, N. S.;Yeung, E. H.;Schisterman, E. F.
通讯作者：
Schisterman, E. F.
影响因子：
9.8
作者：
AbouRjaili, Georges;Shtaynberg, Norbert;Abela, George S.
通讯作者：
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影响因子：
7.1
作者：
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通讯作者：
Brand-Miller, Jennie C.
DOI：
10.1080/07315724.2009.10719757
发表时间：
2009-02-01
影响因子：
3.5
作者：
Drewnowski, Adam;Fiddler, Elizabeth C.;Hercberg, Serge
通讯作者：
Hercberg, Serge
影响因子：
7.7
作者：
Day, NE;McKeown, N;Bingham, S
通讯作者：
Bingham, S