重庆市成年居民膳食蛋白质摄入与2型糖尿病的相关性分析
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:陈京蓉,主管医师,硕士,主要研究方向:营养与食品卫生

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R181

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Correlation between dietary protein intake and type 2 diabetes in adult residents of Chongqing
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    摘要:

    目的 了解膳食蛋白质摄入对成年居民2型糖尿病患病的影响,为制定糖尿病防控措施提供参考依据。 方法 利用重庆市中国居民营养与健康随访研究(2021)CNNHS横断面调查数据,结合中国食物成分表计算能量与营养素摄入量,应用多因素logistic回归分析膳食蛋白质与糖尿病的关联,随后应用限制性立方样条回归分析膳食蛋白摄入量与糖尿病发生的剂量效应关系。结果 1415名成年居民中,膳食总蛋白、动物蛋白和植物蛋白摄入量分别为69.69g/d、26.26g/d、43.43g/d,蛋白质供能比为 14.31%,糖尿病患病率为18.02%,调整混杂因素后,膳食总蛋白摄入量是第二、第三百分位数的调查对象患糖尿病的风险分别是第一百分位数的1.724倍、2.453倍;蛋白质供能比为第三百分位数的调查对象患糖尿病的风险是第一百分位数的1.592倍,动物蛋白摄入量是第三百分位数的调查对象患糖尿病的风险是第一百分位数的1.558倍。 结论 高的总蛋白摄入、蛋白质供能比和动物蛋白摄入可能会增加糖尿病患病的风险,同时,不同种类的蛋白质对糖尿病患病可能具有不同的作用。

    Abstract:

    Objective To investigate the impact of dietary protein intake on the prevalence of type 2 diabetes in adult residents, and to provide a reference for formulating diabetes prevention and control measures. Methods The research was based on cross-sectional survey data from the Nutrition and Health Follow-up Study of Chinese Residents in Chongqing (2021). Energy and nutrient intake was calculated in combination with the Chinese food composition table. Multivariate logistic regression was used to analyze the association between dietary protein and diabetes, and then restricted cubic spline regression (RCS) was used to analyze the dose-response relationship between dietary protein intake and the development of diabetes. Results Among the 1 415 adult residents, dietary intake of total protein, animal protein, and plant protein was 69.69g/d, 26.26g/d, and 43.43g/d, respectively. The ratio of protein to energy supply was 14.31%, and the prevalence of diabetes was 18.02%. Comparing with the residents in the first percentile of total dietary protein intake, the multivariable-adjusted odds ratios of those in the second and third percentile were 1.754 and 2.453 respectively. Comparing the residents in the third percentile with those in the first percentile, the multivariable-adjusted odds ratios of diabetes were 1.592 for protein energy supply ratio, and 1.558 for animal protein intake. Conclusion High protein intake, high protein energy supply ratio and high animal protein intake may increase the risk of diabetes, and different types of protein may have different effects on diabetes.

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  • 收稿日期:2024-12-05
  • 最后修改日期:2024-12-05
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  • 在线发布日期: 2025-01-15
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