摘要
目的了解北京市门头沟区居民膳食模式的特点,探讨膳食模式与高血压患病及防治的关系。方法通过多阶段整群随机抽样,选取北京市门头沟区成人居民为调查对象。因子分析建立膳食模式,因子得分的大小,由低到高三分位划分为T1(低分位)、T2(中分位)、T3(高分位),并应用多分类Logistic回归分析膳食模式与高血压患病及防治的关系。结果北京市门头沟区常住居民存在3种主要的膳食模式,健康膳食模式、西化膳食模式和传统膳食模式。Logistic回归结果显示,以每种膳食模式的T1为参照,健康膳食模式是高血压新检出的(T2:OR=0.775;T3:OR=0.726)、高血压现患未控制(T3:OR=0.717)的保护因素,西化膳食模式与高血压现患控制(T3:OR=0.696)呈负关联,传统膳食模式是高血压新检出(T3:OR=1.431)的危险因素。结论健康膳食模式是高血压新发、高血压现患未控制的保护因素,西化膳食模式与高血压现患控制负相关,传统膳食模式是高血压新发的危险因素。提倡科学合理膳食、健康的饮食习惯对于预防和控制高血压具有重要意义。
Objective To investigate the characteristics of dietary patterns among residents in Mentougou district of Beijing,and to explore the relationship between dietary patterns and the prevalence and control of hypertension among them.Methods A cross-sectional study was conducted among normal adult residents in Mentougou district of Beijing by using the stratified cluster random sampling method.The dietary patterns were established by factor analysis,the factor score was divided into T1(first tertiles),T2(second tertiles),T3(third tertiles),and the relationship between dietary patterns and prevalence and control of hypertension were analyzed by multiple Logistic regression.Results There were 3 kinds of dietary patterns among residents in Mentougou district of Beijing,including healthy dietary pattern,westernized dietary pattern and traditional dietary pattern.The results of multiple Logistic regression showed that taking T1 of each diet pattern as a reference,healthy dietary pattern was a protective factor for newly diagnosed hypertension(T2:OR=0.775;T3:OR=0.726)and uncontrolled hypertension(T3:OR=0.717),westernized dietary pattern was negatively correlated with the risk of controlled hypertension(T3:OR=0.696),and traditional dietary pattern was a risk factor for newly diagnosed hypertension(T3:OR=1.431).Conclusion Healthy dietary pattern is a protective factor for newly diagnosed hypertension and uncontrolled hypertension,westernized dietary pattern is negatively correlated with controlled hypertension,and traditional dietary pattern is a risk factor for newly diagnosed hypertension.It is of great significance to promote scientific and reasonable diet and healthy eating habits for the prevention and control of hypertension.
作者
张婷
那晓娜
朱珠
周景
陈阳阳
周桂荣
庄国良
何海珍
刘爱萍
ZHANG Ting;NA Xiao-na;ZHU Zhu;ZHOU Jing;CHEN Yang-yang;ZHOU Gui-rong;ZHUANG Guo-liang;HE Hai-zhen;LIU Ai-ping(Department of Social Medicine and Health Education,School of Public Health,Peking University Health Science Center,Beijing 100191,China)
出处
《中国健康教育》
北大核心
2020年第2期129-133,162,共6页
Chinese Journal of Health Education
基金
北京市门头沟区卫生与计划生育委员会,疾病预防控制中心支持课题
关键词
高血压
膳食模式
因子分析
Hypertension
Dietary patterns
Factor analysis
作者简介
张婷(1995-),女,河南安阳人,硕士在读,主要从事慢病流行病学研究;通信作者:刘爱萍,女,副教授,研究方向:慢病流行病学与健康管理。E-mail:apingliu@163.com。
