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中国城乡成人居民谷类摄入与高血压

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目的:探索中国城市和农村成年居民各类主食的摄入量与高血压关联。方法:依据中国健康与营养调查纵向队列研究,共纳入18岁及以上成人6701人。膳食信息采用连续3d 24h回顾法收集。采用多元cox回归模型,分析各类主食摄入量与高血压发病风险的关系。结果:农村居民高血压发病率(38。57%)高于城市居民(27。09%)。城市居民多元cox回归分析显示,随着大米及制品摄入量增加,发生高血压的风险降低(P-趋势=0。009)。农村居民多元cox回归分析显示,随着面粉及制品摄入量增加,发生高血压的风险升高(P-趋势=0。0017)。与摄入量第1分位相比,第2~4分位水平发生高血压的风险比分别是1。201、1。422、1。534。结论:农村居民高血压发病率高于城市居民。城市居民大米及制品摄入量与高血压发生呈负相关,农村居民面粉及制品摄入量与高血压发生风险呈正相关。
Cereal Consumption and Hypertension Among Urban and Rural Adults in China
[Objective]To explore regional disparities in the association between cereal consumption and hypertension incidence among Chinese adults.[Method]Based on the longitudinal China Health and Nutrition Survey,a total of 6 701 participants aged 18 years and over were selected for final analysis.Dietary intake was assessed by 24 hour-recall over three consecutive days.Cox proportional hazards regression models were used to explore the association between cereal consumption and hypertension.[Result]The mean follow-up time was 6.54 person-years.Hypertension incidence was higher in rural residents(38.57%)than urban residents(27.09%).In urban,multivariate cox regression analysis showed that rice consumption was inversely associated with hypertension risk.In rural,the intake of wheat and wheat products was positively associated with hypertension risk(P-trend=0.001 7).Compared with the lowest quartile,the HR(95%CI)of incident hypertension risk for quartiles 2-4 was 0.97(0.81-1.17),1.07(0.89-1.28),and 1.29(1.08-1.54)in the final multivariable model.[Conclusion]Hypertension incidence is high among rural residents than urban residence.The intake of rice and rice products is inversely associated with incidence risk of hypertension in urban.The intake of wheat and wheat products is positively as-sociated with incidence risk of hypertension in rural.

cerealhypertensionregional disparity

李亚茹、王楠、葛智文、丁冰杰、王佳、洪忠新

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首都医科大学附属北京友谊医院营养科,北京 100050

谷类 高血压 城乡差异

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(5)