Greater vegetable variety and amount are associated with lower prevalence of coronary heart disease: National Health and Nutrition Examination Survey, 1999-2014.
Greater vegetable variety and amount are associated with lower prevalence of coronary heart disease: National Health and Nutrition Examination Survey, 1999-2014.
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DOI：
10.1186/s12937-018-0376-4
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发表时间：
2018-07-10
影响因子：
5.4
通讯作者：
Jahns L
中科院分区：
文献类型：
--
作者：
Conrad Z;Raatz S;Jahns L
2015-2020 年美国人膳食指南 (DGA) 提供了蔬菜品种和数量的具体摄入建议，以预防慢性疾病。然而，据我们所知，尚无研究探讨 DGA 推荐的蔬菜品种与心脏代谢疾病之间的联系。为了弥补这一研究空白，我们的目标是估计蔬菜品种、蔬菜数量和流行的心脏代谢疾病亚型之间的关系，并评估蔬菜品种的潜在决定因素。从国家健康和营养检查调查（1999-2014 年）中获取了 38,981 名成年人的食物摄入量和报告的心脏代谢疾病状况数据。蔬菜品种是使用修改后的膳食多样性指数来测量的，该指数根据蔬菜数量的潜在混杂影响进行了调整。使用单变量线性回归模型评估蔬菜品种和数量的时间趋势。使用多变量逻辑回归模型来估计蔬菜品种与流行病害之间以及蔬菜数量与流行病害之间的关系。使用多元有序逻辑回归模型来评估蔬菜品种和解释变量之间的关系。总体而言，1999年至2014年蔬菜品种减少（P = 0.035），但蔬菜数量并未减少（P = 0.864）。在这 16 年期间，淀粉类蔬菜的摄入量减少 (P<0.001)，深绿色蔬菜的摄入量增加 (P<0.001)，但其他亚组没有观察到趋势。蔬菜品种与冠心病流行之间存在负线性关系（P-trend = 0.032），但与其他流行疾病无关；蔬菜摄入量与冠心病之间存在差异（P-trend = 0.026），但与其他流行病之间没有差异。与自称不食用任何绿色蔬菜的人相比，自称食用深绿色蔬菜的人患心血管疾病（0.86，95% CI：0.74–0.99）和冠心病（0.78，0.65–0.94）的几率较低。与家庭伴侣一起生活与蔬菜种类较多有关（P = < 0.001），目前吸烟与蔬菜种类较少有关（P = < 0.001）。蔬菜品种与数量呈正相关(P<0.001)。蔬菜品种和数量与冠心病患病率呈负相关。蔬菜品种与蔬菜数量密切相关，这可能是由习惯性减少和喜好增加介导的。增加蔬菜品种和数量仍然是向公众传达的重要信息。本文的在线版本 (10.1186/s12937-018-0376-4) 包含补充材料，可供授权用户使用。
The 2015–2020 Dietary Guidelines for Americans (DGA) provides specific intake recommendations for vegetable variety and amount in order to protect against chronic disease. However, to the best of our knowledge, no studies have examined the link between DGA recommended vegetable variety and cardiometabolic disease. To address this research gap, our aim was to estimate the relationship between vegetable variety, vegetable amount, and prevalent cardiometabolic disease subtypes, and to assess potential determinants of vegetable variety. Data on food intake and reported cardiometabolic disease status were acquired for 38,981 adults from the National Health and Nutrition Examination Survey (1999–2014). Vegetable variety was measured using a modified dietary diversity index that was adjusted for the potential confounding effects of vegetable amount. Temporal trends in vegetable variety and amount were assessed using univariate linear regression models. Multivariate logistic regression models were used to estimate the relationship between vegetable variety and prevalent disease, and between vegetable amount and prevalent disease. Multivariate ordered logistic regression models were used to assess the relationship between vegetable variety and explanatory variables. Overall, vegetable variety decreased (P = 0.035) from 1999 to 2014, but vegetable amount did not (P = 0.864). Intake of starchy vegetables decreased (P < 0.001), and intake of dark green vegetables increased (P < 0.001) over this 16-year period, but no trends were observed for other subgroups. An inverse linear relationship was observed between vegetable variety and prevalent coronary heart disease (P-trend = 0.032) but not other prevalent diseases; and between vegetable amount and coronary heart disease (P-trend = 0.026) but not other prevalent diseases. Individuals who reported consuming dark green vegetables had lower odds of having cardiovascular disease (0.86, 95% CI: 0.74–0.99) and coronary heart disease (0.78, 0.65–0.94) compared to individuals who reported not consuming any green vegetables. Living with a domestic partner was associated with greater vegetable variety (P = < 0.001), and currently smoking was associated with lower vegetable variety (P = < 0.001). Vegetable variety and amount were positively associated (P < 0.001). Vegetable variety and amount were inversely associated with prevalent coronary heart disease. Vegetable variety was strongly associated with vegetable amount, likely mediated by reduced habituation and increased liking. Increasing vegetable variety and amount are still important messages for the public. The online version of this article (10.1186/s12937-018-0376-4) contains supplementary material, which is available to authorized users.
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DOI：
10.1016/j.socscimed.2013.08.018
发表时间：
2014-01
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Conklin AI;Forouhi NG;Surtees P;Khaw KT;Wareham NJ;Monsivais P
通讯作者：
Monsivais P
DOI：
10.1016/j.jand.2012.08.011
发表时间：
2013-02-01
影响因子：
4.8
作者：
Hiza, Hazel A. B.;Casavale, Kellie O.;Davis, Carole A.
通讯作者：
Davis, Carole A.
影响因子：
8.3
作者：
Hu, Dan;Huang, Junqian;Qu, Yan
通讯作者：
Qu, Yan
DOI：
10.1016/j.jand.2012.05.013
发表时间：
2012-08-01
影响因子：
4.8
作者：
Meengs, Jennifer S.;Roe, Liane S.;Rolls, Barbara J.
通讯作者：
Rolls, Barbara J.
影响因子：
7.1
作者：
Epstein, Leonard H.;Robinson, Jodie L.;Nadbrzuch, Rachel L.
通讯作者：
Nadbrzuch, Rachel L.