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宝鸡市居民蔬菜和水果摄入状况及影响因素分析

Vegetable and fruit intake and its influencing factors among residents in Baoji City

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目的 了解宝鸡市居民蔬菜和水果摄入现状及影响因素,为居民膳食指导提供科学依据.方法 于2022-2023年在宝鸡市开展慢性病及危险因素监测,采用多阶段整群随机抽样的方法,抽取26 200人作为调查对象.通过问卷调查和人体测量两个部分了解调查对象的社会人口学信息、膳食信息及患病情况,采用SPSS25.0软件进行方差分析、线性回归x2检验、趋势x2检验,采用Logistic回归模型分析蔬菜和水果摄入的影响因素.结果 宝鸡市15岁及以上居民日均蔬菜摄入量为352.3 g(95%CI:348.0~356.5 g),水果摄入量为104.6 g(95%CI:102.8~106.4 g);蔬菜和水果的摄入不足率分别为 52.6%(95%CI:52.0%~53.2%)和 82.9%(95%CI:82.4%~83.4%).女性蔬菜摄入量低于男性(F=4.03,P=0.045),但水果摄入量高于男性(F=15.65,P<0.001),与男性相比女性水果摄入不足可能性更低(OR=0.84,95%C/:0.78~0.89).离异/丧偶/分居者(F=6.21和44.30,P=0.002和<0.001)、农林渔牧业(F=13.34和132.01,均P<0.001)蔬菜和水果的摄入量最少.蔬菜和水果摄入量随年龄增加逐渐减少(t=-5.98和-17.81,均P<0.001),随文化程度(t=9.21和27.02,均P<0.001)和年收入(t=12.92和12.86,均P<0.001)增加呈上升趋势;水果的摄入量随BMI上升呈下降趋势(t=-2.21,P=0.027).60岁及以上者(OR=1.10,95%CI:1.02~1.20)、肥胖人群(OR=1.17,95%CI:1.04~1.32)、冠心病患者(OR=1.27,95%CI:1.14~1.43)蔬菜摄入不足可能性更高;其他慢性病者(OR=1.20,95%CI:1.06~1.35)、冠心病患者(OR=1.21,95%CI:1.01~1.45)水果摄入不足可能性更高.结论 宝鸡市居民蔬菜摄入量达到膳食指南推荐水平,水果摄入量仍处于较低水平.需要重点关注男性、60岁以上居民、离异/丧偶/分居者、低收入、低文化程度、农林渔牧业、肥胖人群以及已患慢性病、冠心病者的蔬菜和水果摄入水平,实施针对性的干预措施,提高蔬菜和水果的摄入量.
Objective To understand the current status of vegetable and fruit intake and its influencing factors among residents of Baoji City,and to provide scientific evidence for dietary guidance.Methods Chronic disease and risk factor surveillance was conducted in Baoji City during 2022-2023.A multi-stage cluster random sampling method was used to select 26 200 participants.Social demographic information,dietary habits,and health conditions were collected through questionnaires and physical measurements.SPSS 25.0 software was used to perform variance analysis,linear regression,chi square test,trend chi square test.Logistic regression analysis was used to analyze the influencing factors of vegetable and fruit intake.Results The average daily vegetable intake of residents aged 15 and above in Baoji City was 352.3 g(95%CI:348.0-356.5 g),and fruit intake was 104.6 g(95%CI:102.8-106.4 g).The insufficiency rates of vegetable and fruit intake were 52.6%(95%CI:52.0%-53.2%)and 82.9%(95%CI:82.4%-83.4%),respectively.Vegetable intake in females was lower than that in males(F=4.03,P=0.045),while fruit intake was higher than that in males(F=15.65,P<0.001).Compared with males,the likelihood of insufficient fruit intake was lower in females(OR=0.84,95%CI:0.78-0.89).Divorced,widowed,or separated individuals(F=6.21 and 44.30,P=0.002 and<0.001)and those working in agriculture,forestry,fishing,and animal husbandry(F=13.34 and 132.01,both P<0.001)had the lowest intake of vegetables and fruits.Vegetable and fruit intake decreased with age(t=-5.98 and-17.81,both P<0.001),while it increased with higher educational level(t=9.21 and 27.02,both P<0.001)and higher annual income(t=12.92 and 12.86,both P<0.001).Fruit intake decreased as BMI increased(t=-2.21,P=0.027).Residents aged 60 and above(OR=1.10,95%CI:1.02-1.20),those with obesity(OR=1.17,95%CI:1.04-1.32),and those with coronary heart disease(OR=1.27,95%CI:1.14-1.43)had a higher likelihood of insufficient vegetable intake.Those with other chronic diseases(OR=1.20,95%CI:1.06-1.35)and coronary heart disease(OR=1.21,95%CI:1.01-1.45)had a higher likelihood of insufficient fruit intake.Conclusions The vegetable intake of residents in Baoji City has reached the recommended level of the dietary guidelines,while the fruit intake remains at a relatively low level.It is necessary to focus on males,residents over 60 years old,divorced/widowed/separated individuals,those with low income and education level,workers in agriculture,forestry,fishing and animal husbandry,obese individuals,as well as those with chronic diseases and coronary heart disease,in order to implement targeted interventions and improve vegetable and fruit intake.

Dietary intakeVegetablesFruitInsufficient intakeInfluencing factors

赵丽、王红林、邓峰、杨彪

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宝鸡市疾病预防控制中心慢病科,宝鸡 721006

膳食摄入量 蔬菜 水果 摄入不足 影响因素

2024

国际流行病学传染病学杂志
中华医学会,浙江省医学科学院

国际流行病学传染病学杂志

CSTPCD
影响因子:0.424
ISSN:1673-4149
年,卷(期):2024.51(6)