上海市自报高血压者膳食与血压控制情况的关系
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摘要
【目的】了解上海市自报高血压者的膳食摄入与血压控制情况的关系,为开展膳食指导提供依据。【方法】利用2013年上海市慢性病及其危险因素监测数据,采用多因素logistic回归分析膳食摄入情况与血压控制情况的关系。【结果】6 327名研究对象纳入分析,上海市自报高血压者血压控制率为37.62%。多因素分析发现,与推荐摄入量相比,水产类摄入不足(OR=0.884,95%CI:0.782～1.000)或超量(OR=0.820,95%CI:0.689～0.977)以及畜禽类摄入不足(OR=0.881,95%CI:0.789～0.983)与高血压控制率低相关。【结论】上海市自报高血压者膳食结构不尽合理,应加强居民膳食指南的宣贯,倡导合理膳食,适量摄入水产品、瘦肉、禽肉等优质蛋白,以有效控制血压。
[Objective] To investigate the relationship between dietary intake and control rate of blood pressure in self-reported hypertension in Shanghai,and to provide the basis for dietary guidance. [Methods] The data from Shanghai Non-communicable and Chronic Disease(NCD) Surveillance in 2013 were used to analyze the relationship between dietary intake and control rate of blood pressure in self-reported hypertension in Shanghai by logistic regression. [Results] Totally 6 327 residents were recruited in the study.The control rate of blood pressure was 37.62%.Low blood pressure control rate was related to inadequate dietary intake of aquatic food(insufficient intake OR=0.884,95%CI:0.782-1.000;excessive intake OR=0.820,95%CI:0.689-0.977)and insufficient dietary intake of meat and poultry(OR=0.881,95%CI:0.789-0.983). [Conclusion] Dietary intake among self-reported hypertensive patients in Shanghai is not quite healthy.Health education on dietary guidance and rational diet should be strengthened.Adequate intake of aquatic food and meat and poultry should be recommended for effective control of blood pressure.
[Objective] To investigate the relationship between dietary intake and control rate of blood pressure in self-reported hypertension in Shanghai,and to provide the basis for dietary guidance. [Methods] The data from Shanghai Non-communicable and Chronic Disease(NCD) Surveillance in 2013 were used to analyze the relationship between dietary intake and control rate of blood pressure in self-reported hypertension in Shanghai by logistic regression. [Results] Totally 6 327 residents were recruited in the study.The control rate of blood pressure was 37.62%.Low blood pressure control rate was related to inadequate dietary intake of aquatic food(insufficient intake OR=0.884,95%CI:0.782-1.000;excessive intake OR=0.820,95%CI:0.689-0.977)and insufficient dietary intake of meat and poultry(OR=0.881,95%CI:0.789-0.983). [Conclusion] Dietary intake among self-reported hypertensive patients in Shanghai is not quite healthy.Health education on dietary guidance and rational diet should be strengthened.Adequate intake of aquatic food and meat and poultry should be recommended for effective control of blood pressure.
引文
[1]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
[2]郑杨,姜帅,郭雁飞,等.我国中老年人群主要慢性病及危险因素分析[J].上海预防医学,2016,28(6):353-357.
[3]程旻娜,王玉恒,严青华,等.2013年上海市年龄≥18岁居民高血压流行现状[J].中华高血压杂志,2017,25(5):451-455.
[4]NISSINEN A,B?THIG S,GRANROTH H,et al.Hypertension in developing countries[J].World Health Stat Quart,1988,41(3-4):141-154.
[5]代小维,梅放,王萍,等.广州成人膳食n-6/n-3脂肪酸比值与心血管疾病危险因素的关系[J].营养学报,2012,34(2):114-118.
[6]上海市疾病预防控制中心.上海市慢性病及其危险因素监测报告-2013[M].上海:上海科学普及出版社,2014.
[7]汪媛,姜勇,张梅,等.中国成年人自报高血压准确度[J].中华流行病学杂志,2009,30(4):414-416.
[8]中国超重/肥胖医学营养治疗专家共识编写委员会.中国超重/肥胖医学营养治疗专家共识(2016年版)[J].中华糖尿病杂志,2016,8(9):525-540.
[9]中国营养学会、中国居民膳食指南2016[M].北京:人民卫生出版社,2016.
[10]WILLIAMS B,MANCIA G,SPIERING W,et al.2018 ESC/ESH Guidelines for the management of arterial hypertension[J].Eur Heart J,2018,39(33):3021-3104.
[11]WU L,SUN D,HE Y.Fruit and vegetables consumption and incident hypertension:dose-response meta-analysis of prospective cohort studies[J].J Hum Hypertens,2016,30(10):573-580.
[12]方宁远.高盐饮食与盐敏感性高血压[J].中华老年医学杂志,2016,35(3):239-242.
[13]杨丽天,马永胜,杜晓霞,等.迪庆州不同民族高血压患者的膳食分析[J].中国慢性病预防与控制,2015,23(5):378-380.
[14]徐胜平,张德楷,喻同琦,等.湖北麻城市居民膳食摄入与高血压关系研究[J].公共卫生与预防医学,2015,26(2):54-57.
[15]张晴晴,徐子淇,孙俞莉,等.长春市18～79岁居民高血压患病状况及影响因素城乡对比分析[J].中华疾病控制杂志,2014,18(1):5-9.
[16]WANG H F,FOX C S,TROY L M,et al.Longitudinal association of dairy consumption with the changes in blood pressure and the risk of incident hypertension:the Framingham Heart Study[J].Br J Nutr,2015,114(11):1887-1899.
[17]郭在清,王伟业.湖北省两地区3408名中老年人群高血压患病率及影响因素分析[J].中国预防医学杂志,2015,16(6):450-453.
[18]王玉洁,舒正,孙凤,等.台湾地区成年人膳食模式与高血压相关关系探讨[J].卫生研究,2012,41(3):363-368.
[19]李双飞,姚公元,杨少洁,等.深圳市社区居民膳食摄入与高血压关系[J].实用预防医学,2012,19(2):169-170.
[20]ZHANG Y,ZHANG D Z.Red meat,poultry,and egg consumption with the risk of hypertension:a meta-analysis of prospective cohort studies[J].J Hum Hypertens,2018,32(7):507-517.
[21]SAYER R D,WRIGHT A J,CHEN N N,et al.Dietary approaches to stop hypertension diet retains effectiveness to reduce blood pressure when lean pork is substituted for chicken and fish as the predominant source of protein[J].Am J Clin Nutr,2015,102(2):302-308.
[2]郑杨,姜帅,郭雁飞,等.我国中老年人群主要慢性病及危险因素分析[J].上海预防医学,2016,28(6):353-357.
[3]程旻娜,王玉恒,严青华,等.2013年上海市年龄≥18岁居民高血压流行现状[J].中华高血压杂志,2017,25(5):451-455.
[4]NISSINEN A,B?THIG S,GRANROTH H,et al.Hypertension in developing countries[J].World Health Stat Quart,1988,41(3-4):141-154.
[5]代小维,梅放,王萍,等.广州成人膳食n-6/n-3脂肪酸比值与心血管疾病危险因素的关系[J].营养学报,2012,34(2):114-118.
[6]上海市疾病预防控制中心.上海市慢性病及其危险因素监测报告-2013[M].上海:上海科学普及出版社,2014.
[7]汪媛,姜勇,张梅,等.中国成年人自报高血压准确度[J].中华流行病学杂志,2009,30(4):414-416.
[8]中国超重/肥胖医学营养治疗专家共识编写委员会.中国超重/肥胖医学营养治疗专家共识(2016年版)[J].中华糖尿病杂志,2016,8(9):525-540.
[9]中国营养学会、中国居民膳食指南2016[M].北京:人民卫生出版社,2016.
[10]WILLIAMS B,MANCIA G,SPIERING W,et al.2018 ESC/ESH Guidelines for the management of arterial hypertension[J].Eur Heart J,2018,39(33):3021-3104.
[11]WU L,SUN D,HE Y.Fruit and vegetables consumption and incident hypertension:dose-response meta-analysis of prospective cohort studies[J].J Hum Hypertens,2016,30(10):573-580.
[12]方宁远.高盐饮食与盐敏感性高血压[J].中华老年医学杂志,2016,35(3):239-242.
[13]杨丽天,马永胜,杜晓霞,等.迪庆州不同民族高血压患者的膳食分析[J].中国慢性病预防与控制,2015,23(5):378-380.
[14]徐胜平,张德楷,喻同琦,等.湖北麻城市居民膳食摄入与高血压关系研究[J].公共卫生与预防医学,2015,26(2):54-57.
[15]张晴晴,徐子淇,孙俞莉,等.长春市18～79岁居民高血压患病状况及影响因素城乡对比分析[J].中华疾病控制杂志,2014,18(1):5-9.
[16]WANG H F,FOX C S,TROY L M,et al.Longitudinal association of dairy consumption with the changes in blood pressure and the risk of incident hypertension:the Framingham Heart Study[J].Br J Nutr,2015,114(11):1887-1899.
[17]郭在清,王伟业.湖北省两地区3408名中老年人群高血压患病率及影响因素分析[J].中国预防医学杂志,2015,16(6):450-453.
[18]王玉洁,舒正,孙凤,等.台湾地区成年人膳食模式与高血压相关关系探讨[J].卫生研究,2012,41(3):363-368.
[19]李双飞,姚公元,杨少洁,等.深圳市社区居民膳食摄入与高血压关系[J].实用预防医学,2012,19(2):169-170.
[20]ZHANG Y,ZHANG D Z.Red meat,poultry,and egg consumption with the risk of hypertension:a meta-analysis of prospective cohort studies[J].J Hum Hypertens,2018,32(7):507-517.
[21]SAYER R D,WRIGHT A J,CHEN N N,et al.Dietary approaches to stop hypertension diet retains effectiveness to reduce blood pressure when lean pork is substituted for chicken and fish as the predominant source of protein[J].Am J Clin Nutr,2015,102(2):302-308.