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南京市居民减盐、减油、减糖综合干预效果评价

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目的 评价南京市居民减盐、减油、减糖(简称"三减")综合干预效果,为制定"三减"策略提供科学依据.方法 采用多阶段整群随机抽样方法,于2021年选取南京市8个区240户居民,以≥2岁家庭成员作为研究对象进行"三减"综合干预,为期6个月.干预前后,通过问卷调查≥12岁研究对象"三减"知识和行为,采用连续3d24h称重法调查家庭烹调盐、烹调油和烹调糖摄入量.结果 资料完整的229户家庭纳入分析,干预后每标准人日烹调盐摄入量[M(P25,P75)]为7.63(4.96,12.00)g,低于干预前摄入量[10.18(6.44,16.37)g];烹调油摄入量为28.9(513.06,48.99)g,低于干预前摄入量[32.75(20.46,53.82)g];烹调糖摄入量为3.02(0.00,6.73)g,高于干预前摄入量[2.47(0.00,5.93)g].干预前后每标准人日烹调盐、油、糖摄入量差异均有统计学意义(均P<0.05).纳入461名≥12岁调查对象发现,不同性别、年龄、文化程度的人群干预后"三减"知识得分较干预前均提高,差异均有统计学意义(均P<0.05);除12~<18岁组和小学及以下文化程度组,其余组别人群干预后"三减"行为得分较干预前均提高,差异均有统计学意义(均P<0.05).干预后调查对象对盐和食用油摄入量标准、高盐高油高糖危害等知识知晓率高于干预前,对坚持使用限盐勺和控油壶等行为较干预前提高,对食用腌腊制品和煎炸烤食物行为较干预前改善,差异均有统计学意义(均P<0.05).结论 "三减"综合干预可以有效提高居民盐、油、糖相关知识知晓率,减少烹调盐和烹调油摄入量,但在后续"三减"干预工作中,强调减盐的同时应重点加大减油和减糖的干预力度,促进居民形成良好的饮食习惯.
Evaluation on comprehensive intervention effects of salt reduction,oil reduction and sugar reduction among residents in Nanjing City
Objective To evaluate the effect of comprehensive intervention in reducing salt,oil and sugar("three reductions")for residents in Nanjing City,so as to provide scientific basis for formulating the"three reductions"strategy.Methods A multistage cluster random sampling method was used to select 240 households from 8 districts of Nanjing City in 2021,and the family members aged ≥2 years were selected as the subjects for the"three reductions"comprehensive intervention,which lasted for 6 months.The"three reductions"knowledge and behavior of the subjects aged ≥12 years old were investigated by questionnaire,and the intake of cooking salt,cooking oil and cooking sugar was investigated by using 24-hour weighing method for 3 consecutive days before and after the intervention.Results A total of 229 families with complete data were included in the analysis.After intervention,the per standard person day intake of cooking salt[M(P25,P75)]was 7.63(4.96,12.00)g,which was lower than before intervention,which was 10.18(6.44,16.37)g.The per standard person day intake of cooking oil was 28.9(513.06,48.99)g,which was lower than before intervention,which was 32.75(20.46,53.82)g.The per standard person day intake of cooking sugar was 3.02(0.00,6.73)g,which was higher than before intervention,which was 2.47(0.00,5.93)g.There were significant differences in the intake of cooking salt,cooking oil and cooking sugar per standard person-day before and after the intervention(all P<0.05).Totally 461 respondents aged ≥12 years old were included in the survey,and it was found that the scores of"three reductions"knowledge of different groups of people,such as gender,age group and education level,after intervention were higher than before intervention,and the differences were statistically significant(all P<0.05).In addition to 12-<18 years old group and primary school education and below,the"three reductions"behavior scores of the other groups were higher after intervention than before intervention,and the differences were statistically significant(all P<0.05).After the intervention,the survey subjects'awareness of salt and edible oil intake standards and the hazards of high salt,oil and sugar was higher than that before the intervention,and their adherence to salt limiting spoon and oil control pot was higher than that before the intervention,and the behavior of eating preserved products and frying and baking food was improved than that before the intervention,with statistical significance(all P<0.05).Conclusion"Three reductions"comprehensive intervention can effectively improve the awareness rate of salt,oil,and sugar related knowledge among residents,and reduce the intake of cooking salt and cooking oil.However,in the follow-up"three reductions"intervention work,we should focus on increasing intervention efforts to reduce oil and sugar while emphasizing salt reduction,promoting the formation of good dietary habits of residents.

Salt reductionOil reductionSugar reductionInterventionEffect evaluation

王小燕、金迪、陈林、李小成、郭宝福

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南京医科大学附属南京疾病预防控制中心营养与食品卫生科,江苏南京 210003

南京医科大学公共卫生学院,江苏南京 211166

减盐 减油 减糖 干预 效果评价

南京市卫生科技发展项目

YKK19123

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(11)