Abstract
刘如如,赵亚玲,颜虹,党少农,庞松涛,王欣,王飞.利用修订膳食平衡指数评价陕西省汉中农村地区居民膳食质量[J].Chinese journal of Epidemiology,2014,35(10):1087-1090
利用修订膳食平衡指数评价陕西省汉中农村地区居民膳食质量
Using the revised Chinese diet balance index Quality of Diet to evaluate the quality of diet among rural residents in Hanzhong,Shaanxi province and relative influencing factors
Received:May 07, 2014  
DOI:10.3760/cma.j.issn.0254-6450.2014.10.002
KeyWord: 膳食质量  修订膳食平衡指数  影响因素  农村地区
English Key Word: Diet quality  Diet balance index revised  Influencing factors  Rural residents
FundProject:美国中华医学基金会(CMB)(08-925)
Author NameAffiliationE-mail
Liu Ruru Xi'an Center for Disease Control and Prevention, Xi'an 710054, China
Faculty of Public Health, School of Medicine, Xi'an Jiaotong University 
 
Zhao Yaling Faculty of Public Health, School of Medicine, Xi'an Jiaotong University  
Yan Hong Faculty of Public Health, School of Medicine, Xi'an Jiaotong University  
Dang Shaonong Faculty of Public Health, School of Medicine, Xi'an Jiaotong University tjdshn@mail.xjtu.edu.cn 
Pang Songtao Xi'an Center for Disease Control and Prevention, Xi'an 710054, China  
Wang Xin Xi'an Center for Disease Control and Prevention, Xi'an 710054, China  
Wang Fei Xi'an Center for Disease Control and Prevention, Xi'an 710054, China  
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Abstract:
      目的 采用修订中国膳食平衡指数(DBI-07)评价陕西省汉中地区农村居民膳食质量,并探讨其影响因素。方法 2010 年采用半定量食物频率问卷对汉中地区18~80 岁农村居民膳食进行横断面调查。采用DBI-07 相关指标评价膳食质量;应用多因素线性回归方法,分析影响摄入不足和摄入过量的影响因素。结果 共调查2 241人,其中65%以上被调查村民的谷薯类、调味品摄入量平均水平超过推荐量;动物性食物、蛋奶类和蔬菜水果存在明显摄入不足。人群平均负端分(DBI_LBS)和正端分(DBI_HBS)分别为24.83和5.70,中度摄入不足(25≤DBI_LBS≤36)和摄入过量(14≤DBI_HBS≤19)的比例分别为33.4%和51.0%。家庭人口数、文化程度、财富指数、参加体育锻炼、劳动强度和已戒烟是摄入不足的保护因素(P<0.05);中等经济水平、饮酒(≥2 次/周)、男性、年龄和吸烟(>15 支/日)是摄入过量的危险因素(P<0.05);家庭人口数和高中及以上学历是摄入过量的保护因素(P<0.05)。结论 陕西省汉中地区农村居民膳食结构不均衡,以摄入量不足为主,同时存在部分食物摄入过量,有必要在不同人群中开展有针对性的干预措施。
English Abstract:
      Objective To evaluate the quality of diet among rural residents in Hanzhong,Shaanxi province and to investigate the relative factors. Methods A cross-sectional survey on dietary status together with a semi-quantitative food frequency questionnaire were conducted among rural residents aged between 18 and 80 in Hanzhong of Shaanxi,in 2010. Quality of diet was evaluated by using DBI-07 scoring and evaluating system. Linear regression models were developed to identify factors related to under or over intakes. Results 2 241 rural residents were under study. 65% of the residents'daily intake of grains,oil and salt exceeded the RNI while animal food,diary food,eggs,vegetables and fruits were under,to some extent. The average values of DBI_LBS and DBI_HBS were 24.83 and 5.70. The proportions of moderate under-intake (25≤DBI_LBS≤36) and moderate over-intake(14≤DBI_HBS≤19)were 33.4% and 51.0%. Factors as family number,education level,fortune index,physical activity,higher labor intensity seemed to be protective for dietary under intake (P<0.05). Moderate fortune index,drinking alcohol(more than once a week),being male,age and smoking status(>15 cigarettes per day)were risk factors for over-intake of diet(P<0.05). Factors as larger family size and having had education above the levels senior school were significantly and negatively associated with the over-intake of diet(P<0.05). Conclusion The main diet problem among the rural residents was related to under-intaken but over-intake did exist to some extents. Our study results called for specific intervention in improving the quality of diet among the residents in Hanzhong.
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