首页|2008-2018年北京城区某体检人群膳食多样化和膳食质量变化趋势

2008-2018年北京城区某体检人群膳食多样化和膳食质量变化趋势

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目的 了解2008-2018年北京城区某体检人群膳食多样化及膳食质量变化趋势.方法 选择2008-2018年在北京某体检中心完成体检问卷的北京城区居民为研究对象,利用半定量食物频率问卷计算主要食物组每日摄入量,根据2010年全国人口普查数据中北京市≥20岁城市居民性别和年龄构成对膳食多样化评分-9分类(diet diversity score-9 classification,DDS9)和中国膳食平衡指数(Chinese diet balance index,DBI_16)的得分和指标百分率标准化,采用Meta回归分析探究变化趋势.结果 共纳入224 178人次,标准化后DDS9得分11年间增加0.2分,达标率从5.1%增至7.4%(P<0.001).2008-2018年北京城区居民DBI_16总分呈上升趋势(β=0.16,P<0.001),对应达标率从4.9%降至3.8%,其中正端分中高度摄入过量率从43.7%增至54.3%(β=1.07,P<0.001),负端分适宜率从 79.3%增至 83.1%(β=0.35,P<0.001),膳食质量距的各百分率无长期变化趋势(P>0.05).结论 2008-2018年北京市城区居民膳食摄入不足的问题有所改善,膳食摄入过量的问题逐年加重,膳食多样化状况不佳.应采取干预措施指导居民理解膳食多样化、促进居民膳食均衡、提高膳食质量.
Trend analysis on dietary diversity and quality among urban residents with health examination in Beijing from 2008 to 2018
Objective To explore the long-term trend of dietary diversity and quality among Beijing urban residents with health examinations from 2008 to 2018.Methods The urban residents who completed physical examination questionnaires in a physical examination center in Beijing between 2008 and 2018 were selected.A semi-quantitative food frequency questionnaire was used to calculate the daily intakes of major food groups.The scores and index percentages of diet diversity score-9 classification(DDS9)and Chinese diet balance index(DBI_16)were standardized to the gender and age composition of urban residents aged 20 and above in Beijing from the 2010 national census data,and meta-regression analysis was used to explore the long-term trend.Results Among the 224 178 subjects,the standardized DDS9 score increased by 0.2 over 11 years,with the qualified rate rising from 5.1%to 7.4%(P<0.001).From 2008 to 2018,DBI_16 total score for urban residents in Beijing showed an increasing trend(β=0.16,P<0.001),while the corresponding qualified rate decreased from 4.9%to 3.8%.The moderate or severe surplus of food intake rate increased from 43.7%to 54.3%(β=1.07,P<0.001),and the qualified rate of the low bound score increased from 79.3%to 83.1%(β=0.35,P<0.001),but no significant long-term trend was observed in any rate of dietary quality distance(P>0.05).Conclusions From 2008 to 2018,the insufficient dietary intake of Beijing's urban residents improves,while the excessive dietary intake worses year after year,and the average dietary diversity is poor.Intervention measures,such as promoting a balanced diet and improving dietary quality,should be implemented to guide residents toward dietary diversity.

Dietary qualityDietary diversityLong-term trend

史洪静、陈媛媛、吕筠、孙点剑一、满塞丽麦、王晓娜、李立明、王波、余灿清

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北京大学公共卫生学院流行病与卫生统计学系,重大疾病流行病学教育部重点实验室,北京 100191

北京大学医学部美年公众健康研究院,北京 100191

北京大学公众健康与重大疫情防控战略研究中心,北京 100191

北京美兆健康体检中心,北京 100191

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膳食质量 膳食多样化 长期变化趋势

国家自然科学基金国家自然科学基金国家自然科学基金国家自然科学基金

81973125821929018219290482192900

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(3)
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