文章摘要
田小草,汪韶洁,李善鹏,郭彧,卞铮,吕思禄,曲文英,刘吉本,高汝钦,逄增昌,李立明,陈铮鸣.青岛市成年人水果摄入与脑卒中发病关联的前瞻性研究[J].中华流行病学杂志,2019,40(5):515-520
青岛市成年人水果摄入与脑卒中发病关联的前瞻性研究
Association between fruit consumption and stroke in adults in Qingdao:a prospective study
投稿时间:2018-10-08  
DOI:10.3760/cma.j.issn.0254-6450.2019.05.005
中文关键词: 水果摄入;脑卒中;前瞻性研究
英文关键词: Fruit consumption;Stroke;Prospective study
基金项目:国家重点研发计划精准医学究专项(2016YFC0900500,2016YFC0900501,2016YFC0900504);香港Kadoorie Charitable基金;英国Wellcome Trust(202922/Z/16/Z,088158/Z/09/Z,104085/Z/14/Z)
作者单位E-mail
田小草 青岛市疾病预防控制中心 青岛市预防医学研究院 266033  
汪韶洁 青岛市疾病预防控制中心 青岛市预防医学研究院 266033  
李善鹏 青岛市疾病预防控制中心 青岛市预防医学研究院 266033  
郭彧 中国医学科学院, 北京 100730 guoyu@kscdc.net 
卞铮 中国医学科学院, 北京 100730  
吕思禄 青岛市李沧区疾病预防控制中心 266041  
曲文英 青岛市李沧区中心医院预防保健科 266041  
刘吉本 青岛市李沧区永清路社区卫生服务中心预防保健科 266041  
高汝钦 青岛市疾病预防控制中心 青岛市预防医学研究院 266033 gaoruqin@sohu.com 
逄增昌 青岛市疾病预防控制中心 青岛市预防医学研究院 266033  
李立明 北京大学公共卫生学院流行病与卫生统计学系 100191  
陈铮鸣 英国牛津大学临床与流行病研究中心纳菲尔德人群健康系 OX3 7LF  
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中文摘要:
      目的 了解青岛市居民的水果摄入情况,探讨水果摄入与脑卒中发病的关联。方法 利用中国慢性病前瞻性研究项目(CKB)青岛项目点30~79岁调查对象的基线信息和随访获得的脑卒中发病事件,采用Cox比例风险回归模型,评估水果摄入与脑卒中发病风险之间的关联。结果 基线共调查35 509人,男女性别比为1∶1.27,年龄(50.3±10.2)岁。水果摄入频率较高的研究对象更年轻,更多的是女性、文化程度高和家庭收入高的人群(均P<0.05)。本研究随访过程共观察到脑卒中发病事件1 011例,脑卒中发病密度为387.63/10万人年。多因素Cox回归分析结果显示,在调整了相关混杂因素之后,增加水果的摄入频率对脑卒中发病具有保护作用。与几乎不吃水果的研究对象相比,≥4次/周频率组的研究对象脑卒中发病的风险降低了44%(HR=0.56,95% CI:0.50~0.62,P<0.05),在男性和女性中分别降低了46%(HR=0.54,95% CI:0.46~0.64)和42%(HR=0.58,95% CI:0.52~0.69)(均P<0.05)。进一步调整研究对象的腰围、BMI、SBP和随机血糖,没有改变水果摄入对于脑卒中发病的保护作用。结论 增加水果摄入能降低脑卒中的发病风险,我国居民应增加水果摄入,建立更健康合理的饮食习惯。
英文摘要:
      Objective To understand the fruit consumption of adults of Qingdao and examine the association between fruit consumption and stroke. Methods We analyzed baseline data and stroke incidence of the participants who were aged 30-79 years and had been enrolled into the China Kadoorie Biobank (CKB) study from Qingdao city. Cox proportional hazards regression model was conducted to estimate the association of fruit consumption with risk of stroke. Results A total of 35 509 participants were investgated in the baseline survey. Ratio of male to female was 1:1.27, and the average age was (50.3±10.2) years. Respondents with higher frequency of fruit consumption were younger, more women, with higher education level and higher income (P<0.05). A total of 1 011 new cases of stroke were observed, with a stroke incidence of 387.63/100 000 person-years. Multivariate Cox regression analysis showed that fruit consumption had a protective effect on stroke incidence. Compared to the respondents who never consumed fruit, respondents who consumed fruit more than 4 days per week had a 44% lower risk of stroke incidence (HR=0.56, 95%CI:0.50-0.62, P<0.05), and the risk reduced by 46% (HR=0.54, 95%CI:0.46-0.64, P<0.05) and 42% (HR=0.58, 95%CI:0.52-0.69, P<0.05) in male and female, respectively. Further adjustment for WC, BMI, SBP and random blood glucose did not change the association. Conclusion Increasing fruit consumption can effectively decrease the risk of stroke. People should increase fruit consumption advisably to set up reasonable and healthy dietary habits.
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