Three major dietary patterns are all independently related to the risk of obesity among 3760 Japanese women aged 18-20 years

Three major dietary patterns are all independently related to the risk of obesity among 3760 Japanese women aged 18-20 years
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DOI:
10.1038/sj.ijo.0803737
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发表时间:
2008-03-01
影响因子:
4.9
通讯作者:
Itabashi, M.
Itabashi, M.
中科院分区:
医学2区
文献类型:
--
作者:
Okubo, H.;Sasaki, S.;Itabashi, M.

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目的:研究饮食模式与肥胖之间的关联。设计:横断面研究。对象:来自日本 53 个机构的 3760 名 18-20 岁日本女性饮食课程学生。测量:使用经过验证的自填式饮食史调查问卷对 148 种食物进行为期 1 个月的饮食评估,从中创建 30 个食物组并进行因子分析。体重指数 (BMI) 根据自我报告的身高和体重计算。结果:平均 BMI (+/-s.d.) 为 20.9+/-2.8 kg m(-2)。确定了四种饮食模式。在对几个混杂因素和总能量摄入量进行调整后,以蔬菜、蘑菇、海藻、土豆、鱼和贝类、豆制品、加工鱼、水果和咸菜的高摄入量为特征的“健康”模式与 BMI >= 25 的较低风险显着相关(最高五分位数与最低五分位数的优势比为 0.57;95% 置信区间:0.37-0.87;趋势 P = 25 (OR:1.77;95% CI:1.17-2.67;P 表示趋势
Objective: To examine associations between dietary patterns and obesity.Design: Cross-sectional study.Subjects: A total of 3760 Japanese female dietetic course students aged 18-20 years from 53 institutions in Japan.Measurements: Diet was assessed over a 1-month period with a validated self-administered diet history questionnaire with 148 food items, from which 30 food groups were created and entered into a factor analysis. Body mass index (BMI) was calculated from self-reported body height and weight.Results: Mean BMI (+/-s.d.) was 20.9+/-2.8 kg m(-2). Four dietary patterns were identified. After adjustment for several confounding factors and total energy intake, the 'Healthy' pattern, characterized by high intakes of vegetables, mushrooms, seaweeds, potatoes, fish and shellfish, soy products, processed fish, fruit and salted vegetables, was significantly associated with a lower risk of BMI >= 25 (odds ratio of the highest quintile vs lowest, 0.57; 95% confidence interval: 0.37-0.87; P for trend = 25 (OR: 1.77; 95% CI: 1.17-2.67; P for trend