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1.
目的 了解山东省中小学生维生素A营养状况及影响因素,为制定干预措施提供科学依据。方法 采用分层随机抽样,对山东省3 540名中小学生开展问卷调查、体格检查和实验室检测,并对维生素A影响因素进行logistic回归分析。结果 山东省中小学生维生素A均值为(374.61±105.38)μg/L,维生素A缺乏率为1.6%(95%CI:1.2%~2.1%),边缘性缺乏率为21.6%(95%CI:20.2%~22.9%)。多因素logistic回归分析显示,农村[OR=1.880(95%CI:1.546~2.285)]、看护人文化程度为小学及以下[OR=1.625(95%CI:1.212~2.024)]、不吃动物性食物[OR=1.480(95%CI:1.132~1.793)]、不吃深色蔬菜[OR=1.893(95%CI:1.316~2.453)]与维生素A缺乏呈正相关;城市[OR=0.234(95%CI:0.152~0.332)]、静态用眼时间小于60 min[OR=0.618(95%CI:0.394~0.965)]、初中生[OR=0.495(95%CI:0.397~0.617)]、高中生[OR...  相似文献   

2.
目的 分析新冠疫情居家期间中小学生含糖饮料消费行为与家庭饮食行为的相关性,为预防中小学生肥胖发生提供家庭易行建议。方法 采取整群分层随机抽样方法,抽取成都市五所学校6 884名中小学生,采用问卷调查方式收集其基础人口学资料及饮食模式、食物消费变化,使用单因素卡方检验和多因素logistic回归进行统计分析。结果 新冠疫情居家期间中小学生含糖饮料消费减少率为54.4%。多因素logistic回归分析显示,在家里做饭吃频率[OR=1.558(95%CI:1.099~2.210,P=0.013)]、在家烘焙频率[OR=1.972(95%CI:1.439~2.703,P<0.001)]、蔬菜消费量[OR=0.455(95%CI:0.263~0.784,P<0.001)]与含糖饮料消费行为呈负相关,主食消费量[OR=3.110(95%CI:1.894~5.108,P<0.001)]、水果消费量[OR=2.055(95%CI:1.268~3.329,P<0.001)]与含糖饮料消费行为呈正相关。结论 家庭饮食行为与含糖饮料消费行为存在相关关系。调整家庭饮食行为,为干预青少年...  相似文献   

3.
目的 了解南阳市大学生痤疮患病情况及影响因素,为痤疮的预防提供科学依据。方法 采用多级整群随机抽样方法,对南阳市大学生进行问卷调查,内容包括一般情况、痤疮患病情况及影响因素等。结果 痤疮总患病率为67.68%,其中男性患病率为66.90%,女性患病率为68.36%;单因素分析显示:痤疮与便秘[OR=2.901,95%CI(1.593,5.282)]、化妆品的使用[OR=1.676,95%CI(1.050,2.676)]、油性皮肤[OR=1.750,95%CI(1.311,2.335)]、阳性家族史[OR=1.502,95%CI(1.165,1.937)]、精神紧张[OR=2.362,95%CI(1.469,3.799)]、烟酒[OR=1.845,95%CI(1.321,2.575)]、喜食甜食[OR=1.346,95%CI(1.038,1.745)]或油腻食物[OR=1.389,95%CI(1.092,1.767)]有统计学意义(P≤0.05),logistic回归分析发现,便秘、油性皮肤、精神紧张、烟酒与痤疮有统计学意义。结论 痤疮是南阳市大学生的常见病,受多种因素影响,针对患病情况及影响因素,开展健康教育工作。  相似文献   

4.
尿石症危险因素人群病例对照研究   总被引:8,自引:1,他引:7       下载免费PDF全文
目的 探索尿石症发病的危险因素,为人群预防提供依据。方法 选取深圳市尿石症现况调查发现的334例患者为病例组,721名健康者为对照组,进行尿石症危险因素人群病例对照研究;采用非条件logistic回归对34个变量进行分析,采用Falconer回归法估算遗传变。结果 尿石症病例组和对照组配比条件均衡可比,单因素logistic回归分析共有17个变量有统计学意义,但最终进入模型的因素有10个,其中4个变量为尿石症发病危险因素,OR值大小依次为既往泌尿系慢性炎症史(OR=4.09,95%CI:1.38-12.14),一级亲属尿石症史(OR=2.61,95%CI:1.70-4.01)和多食动物蛋白质(OR=2.14,95%CI:1.71-2.69),暴露日照时间长(OR=1.39,95%CI:1.16-1.66);而较高文化程度(OR=0.46,95%CI:0.29-0.73),日引水量多(OR=0.59,95%CI:0.48-0.72),饮果汁(OR=0.41,95%CI:0.18-0.94),多食奶及奶制品(OR=0.82,95%CI:0.68-0.99),多食蔬菜(OR=0.70,95%CI:0.55-0.91)和多食水果(OR=0.78,95%CI:0.64-0.94)6个变量为尿石症发病的保护因素。一级亲属尿石症患病率病例组高于对照组,尿石症分离比为0.0109,95%CI:0.0050-0.0168,一级亲属尿石症的遗传度为28.48%,男,女分别为32.06%和24.60%。结论 尿石症主要受饮食习惯影响,尿石症家族史和社会经济状况也与发病有关。  相似文献   

5.
尿石症危险因素病例对照研究   总被引:3,自引:0,他引:3  
目的:探讨尿石症发病危险因素和保护因素,为人群预防提供依据。方法:采用基于医院的病例对照研究。选取尿石症新发病人并按1:1配对,应用Foxpro5.0建立数据库,SPSS7.5进行数据分析。结果:67个因素中22个人选单因素条件Logistic回归模型,最终进行多因素条件Logistic回归模型的变量共12个,可划归5类,即社会经济状况,家庭尿石症病史,工作条件,生活和饮食习惯,营养素等,尿石症的危险因素包括家庭年人均收入高(OR=1.026,OR95%CI=1.010-1.042),一级亲属尿石症病史(6.429,2.899-14.255)习惯性饮水较水(1.9144,1.272-2.881),口味偏咸(6.948,2.124-22.723),喜吃甜食(8.464,1.821-39.337),高蛋白质(1.752,1.423-2.158),高脂肪(1.236,1.056-1.448)和高磷(1.380,1.184-1.609)尿石症发病的保护因素包括日饮水饮数较多(0.771,0.614-0.967),高碳水化合物(0.640,0.531-0.772)、高膳食纤维(0.722,0.618-0.843)和高维生素C(0.763,0.641-0.907)。结论:尿石症发病主要受饮食习惯和营养因素影响,而社会经济状况和尿石症家族史的作用也不可忽视。  相似文献   

6.
目的综合评价中国居民胃癌的危险因素,为胃癌的预防控制决策提供参考依据。方法应用Meta分析方法对国内23篇有关胃癌主要危险因素的病例-对照研究结果进行定量综合分析;Review manager4.2进行一致性检验及合并OR值和95%置信区间的计算。结果各因素合并OR值分别为:胃癌家族史OR=5.39(95%CI:2.83~10.25);胃病史OR=5.71(95%:3.64~8.95);饮酒OR=2.92(95%CI:1.57~5.45);吸烟OR=2.36(95%CI:1.60~3.49);高盐饮食OR=2.42(95%CI:1.51~3.86);盐渍食品OR=4.06(95%CI:2.37~6.97);烫食OR=2.46(95%CI:1.30~4.64);饮食不规律OR=2.29(95%CI:1.44~3.65)。结论影响中国胃癌发生的危险因素为家族史、胃病史、饮酒、吸烟、高盐饮食、盐渍食品、烫食和饮食不规律,为胃癌的饮食干预提供了科学依据。  相似文献   

7.
目的探讨山西省东南部地区居民饮食、行为等各种影响因素与食管癌发生的关系。方法在山西省东南部地区, 采用以人群为基础的 1︰2 配对病例对照研究方法, 对 101 例食管癌患者和 202 例对照进行问卷调查, 采用单因素和多因素条件 Logistic 回归对所获资料进行分析。结果 BMI 指数过低 (OR = 2.85, 95%CI: 0.96~8.27)、吸烟 (OR =3.08, 95%CI: 0.94~10.03)、饮酒 (OR = 3.12, 95%CI: 1.16-8.68)、常吃咸鱼腊肉 (OR = 8.68, 95%CI: 2.12~35.48)、喜食烫食 (OR = 5.69, 95%CI: 2.20~14.75) 可能是食管癌的危险因素; 常吃肉蛋禽奶 (OR = 0.20, 95%CI: 0.08~0.49)可能是食管癌的保护因素。结论生活习惯和饮食习惯是本地区食管癌的主要危险因素之一, 应对其采取综合性的预防措施。  相似文献   

8.
  目的  探讨我国成人尿石症患病的影响因素。  方法  于2013年5月-2014年7月,采用多阶段分层整群随机抽样,在全国随机抽7个省/直辖市,14个区/县的11个社区和19个自然村进行面对面问卷调查,包括泌尿系超声检查、血常规、尿常规和血液生化检查等。  结果  有效问卷9 310例中,尿石症患者1 447例,患病率为15.5%(1 447/9 310);在14个地区之间的患病率有差异(χ2=711.523,P < 0.001),最低为山西农村(0.76%),最高为广东农村(35.99%)。零模型结果显示各地区尿石症患病有统计学聚集性(t=2.48,P=0.027),且组内相关系数ICC=48.74%。随机效应模型结果显示男性(OR=1.235,95%CI:1.082~1.411,P=0.005)、年龄增长(OR=1.101,95%CI:1.047~1.158,P=0.001)、糖尿病史(OR=1.411,95%CI:1.192~1.670,P=0.001)、结石家族史(OR=1.867,95%CI:1.500~2.323,P < 0.001)、低密度脂蛋白(low density lipoprotein,LDL)(OR=1.150,95%CI:1.050~1.260,P=0.006)、饮咖啡(OR=1.352,95%CI:1.065~1.716,P=0.017)、饮碳酸饮料(OR=1.547,95%CI:1.203~1.990,P=0.002)等为尿石症发生的危险因素,食醋酸(OR=0.567,95%CI:0.498~0.645,P < 0.001)和适量食用豆类(OR=0.726,95%CI:0.628~0.839,P < 0.001)等为尿石症发生的保护因素。  结论  尿石症患病具有地方聚集性,生活环境和饮食习惯影响尿石症的形成。  相似文献   

9.
胆石症危险因素的病例对照研究   总被引:6,自引:0,他引:6  
目的 探讨与胆石症有关的危险因素。方法 对合肥市区1998年8月-12月间的341例胆石症新发病人进行1:1配对病例对照研究,采用条件Logistic回归分析。结果 男性:服治疗冠心病的药物(OR=5.30,95%CI:2.20-8.33);体重指数(OR=1.97,OR95%CI=1.26-3.41);女性:绝经年数(OR=2.67,OR95%CI=1.75-5.00);孕次(OR=1.71,OR95%CI=1.26-3.01);就寝时间(OR=0.63,OR95%CI=0.25-0.92);25a以后体重变化OR=1.43,OR95%CI=1.03-3.43。结论 肥胖和多次妊娠仍是胆石症的危险因素;男、女胆石症的危险因素有差别。肥胖和治疗冠心病的药可能是男性胆石症的危险因素;25a以后体重明显增加、22时以前就寝、绝经年数及多次妊娠可能是女性胆石症的危险因素。  相似文献   

10.
目的 探讨老年糖尿病患者述情障碍现状并分析其影响因素。方法 通过方便抽样的方法选取三所三甲医院180名老年糖尿病患者为研究对象,采用一般情况调查表、多伦多述情障碍量表以及Barthel指数评定量表对其调查。采用χ2检验和logistic回归进行相关统计分析。结果 老年糖尿病患者述情障碍的发生率为45%,主要表现为情感识别障碍和情感表达障碍。logistic回归结果显示,文化程度为小学[OR = 2.536,95%CI = (1.847,3.482)]、初中[OR = 1.529,95%CI = (1.082,2.159)]、在职[OR = 8.777,95%CI = (0.984,78.309)]、日常生活能力中为轻度依赖[OR = 2.044,95%CI = (1.154,3.620],中度依赖[OR = 2.337,95%CI = (1.811,3.016)],重度依赖[OR = 4.570,95%CI = (3.268,6.389)];合并其他疾病[OR = 3.939,95%CI = (2.363,6.535)];有并发症[OR = 1.683,95%CI = (1.024,2.779)]的患者更容易发生述情障碍。结论 老年糖尿病患者述情障碍发生率高且程度较严重,护理人员应加强对患者的社会支持及心理支持,以提高患者的情感认知能力、自我管理能力及社会适应能力,从而提高患者的生活质量。  相似文献   

11.
There has been widespread speculation about whether nutritional deficiencies increase the susceptibility to arsenic health effects. This is the first study to investigate whether dietary micronutrient and macronutrient intake modulates the well-established human risk of arsenic-induced skin lesions, including alterations in skin pigmentation and keratoses. The study was conducted in West Bengal, India, which along with Bangladesh constitutes the largest population in the world exposed to arsenic from drinking water. In this case-control study design, cases were patients with arsenic-induced skin lesions and had < 500 microg/L arsenic in their drinking water. For each case, an age- and sex-matched control was selected from participants of a 1995-1996 cross-sectional survey, whose drinking water at that time also contained < 500 microg/L arsenic. Nutritional assessment was based on a 24-hr recall for major dietary constituents and a 1-week recall for less common constituents. Modest increases in risk were related to being in the lowest quintiles of intake of animal protein [odds ratio (OR) = 1.94; 95% confidence interval (CI), 1.05-3.59], calcium (OR = 1.89; 95% CI, 1.04-3.43), fiber (OR = 2.20; 95% CI, 1.15-4.21), and folate (OR = 1.67; 95% CI, 0.87-3.2). Conditional logistic regression suggested that the strongest associations were with low calcium, low animal protein, low folate, and low fiber intake. Nutrient intake was not related to arsenic exposure. We conclude that low intake of calcium, animal protein, folate, and fiber may increase susceptibility to arsenic-caused skin lesions. However, in light of the small magnitude of increased risks related to these dietary deficiencies, prevention should focus on reducing exposure to arsenic.  相似文献   

12.
Objective: Although some earlier studies have indicated an association between dietary/urinary sodium and bone mass density (BMD), bone mass content (BMC), and the risk of osteoporosis (OS), findings are still conflicting. The aim of this study was to summarize the relation of dietary/urinary sodium with BMD, BMC, and the risk of OS.

Methods: We conducted a systematic search up to April 2017 in PubMed/MEDLINE, SCOPUS, and Web of Science to find relevant studies. Articles with cross-sectional and cohort designs in which odds ratios (ORs), correlations (r), or beta coefficients were reported for the association between dietary/urinary sodium and OS, BMD, or BMC were included.

Results: Pooling 11 effect sizes with a total of 39,065 people showed that higher sodium consumption significantly increased the risk of OS (OR = 1.20; 95% confidence interval [CI], 1.02–1.41; p = 0.026), with high heterogeneity among studies (I2 = 68.0%; p = 0.001). Subgroup analyses showed significantly higher risk of OS in premenopausal women (OR = 1.31; 95% CI, 1.01–1.69; p = 0.036), in participants with a mean age older than 50 years (OR = 1.15; 95% CI, 1.04–1.28; p = 0.005), in dietary sodium intake subgroup (OR = 1.45; 95% CI, 1.19–1.77; p < 0.001), and in individuals with adjustment for energy (OR = 1.77; 95% CI, 1.38–2.27; p < 0.001). The correlation coefficients showed no significant association between urinary sodium and BMD (r = ?0.46; 95% CI, ?0.74 to ?0.18; p = 0.02).

Conclusions: We found a positive association between sodium intake and the risk of OS, while no association was found with urinary sodium. Furthermore, there was no significant correlation between sodium intake and BMD. Due to high heterogeneity in this research, more studies are suggested.  相似文献   

13.
Soy milk has become a popular substitute for dairy milk with important health claims. We hypothesized that soy milk, based on its nutrient composition, is comparable to dairy products and, therefore, beneficial for bone health. To test this hypothesis, we examined the benefit of soy milk and dairy products intake on bone health using broadband ultrasound attenuation of the calcaneus. Postmenopausal white women (n = 337) who had completed a lifestyle and dietary questionnaire at enrollment into the Adventist Health Study-2 had their calcaneal broadband ultrasound attenuation measured 2 years later. The association between osteoporosis (defined as a T-score <−1.8) and some dietary factors (soy milk, dairy) and selected lifestyle factors was assessed using logistic regression. In a multivariable model adjusted for demographics, hormone use, and other dietary factors, osteoporosis was positively associated with age (odds ratio [OR] = 1.08; 95% confidence interval [CI], 1.06-1.12) and inversely associated with body mass index (OR = 0.91; 95% CI, 0.86-0.97) and current estrogen use (OR = 0.27; 95% CI, 0.13-0.56). Compared with women who did not drink soy milk, women drinking soy milk once a day or more had 56% lower odds of osteoporosis (OR = 0.44; 95% CI, 0.20-0.98; Ptrend = .04). Women whose dairy intake was once a day or more had a 62% reduction in the likelihood of having osteoporosis (OR = 0.38; 95% CI, 0.17-0.86; Ptrend = .02) compared with women whose dairy intake was less than twice a week. Among individual dairy products, only cheese showed an independent and significant protection (OR = 0.28; 95% CI, 0.12-0.66; Ptrend = .004) for women eating cheese more than once per week vs those who ate cheese less than once a week. We concluded that osteoporosis is inversely associated with soy milk intake to a similar degree as dairy intake after accounting for age, body mass index, and estrogen use.  相似文献   

14.
目的 利用膳食模式进行饮食行为分析并探讨其影响因素。方法 采用多阶段分层抽样方法,对某区18~79岁的居民进行调查。采用食物频数调查表了解居民膳食情况,利用因子分析法建立膳食模式,无序多分类Logistic回归法分析膳食模式的影响因素。结果 被调查居民3 624人中有5种主要膳食模式,分别命名为肉类模式、果汁饮料模式、主食酒水模式、传统模式和蛋奶模式。单因素分析结果发现文化程度、职业类型、性别、年龄与膳食模式得分关联均有统计学意义(均有P<0.05)。多分类Logistic分析结果显示:肉类模式得分与文化程度呈正相关(P=0.003,OR=1.841,95%CI:1.234~2.748),与女性呈负相关(P<0.001,OR=0.428,95%CI:0.315~0.582);果汁饮料模式得分与年龄(P<0.001,OR=0.946,95%CI:0.932~0.961)、女性(P=0.020,OR=0.694,95%CI:0.510~0.943)、患有糖尿病(P=0.013,OR=0.456,95%CI:0.246~0.846)呈负相关;主食酒水模式与女性负相关(P<0.001,OR=0.083,95%CI:0.058~0.118),与从事体力活动性工作正相关(P=0.027,OR=1.529,95%CI:1.050~2.228);传统模式与家人共同生活(P=0.005,OR=1.636,95%CI:1.160~2.305)正相关,与学生负相关(P=0.027,OR=0.091,95%CI:0.011~0.765);蛋奶模式与年龄(P<0.001,OR=1.036,95%CI:1.021~1.051)、女性(P<0.001,OR=1.922,95%CI:1.414~2.612)、文化程度(P<0.001,OR=2.598,95%CI:1.759~3.837)呈正相关。结论 居民的饮食行为会受到年龄、性别、文化程度、职业等因素的影响,应根据不同人群的膳食模式特点,为其提供针对性的健康教育与行为干预。  相似文献   

15.
The objective of the present study is to explore the association between lower urinary tract symptoms (LUTS) and dietary isoflavone in elderly men. In a large prospective cohort of 2000 Chinese men, the association between dietary isoflavone and LUTS were studied using standardized structured questionnaires. Dietary intake was assessed by a modified version of the Block FFQ. LUTS were assessed by the Chinese version of the International Prostatic Symptoms Score. Demographic, lifestyle and other medical information were also collected and were adjusted for in the analysis. After excluding 299 men with history of bladder surgery, bladder or prostate cancer or who were current users of medication for urinary problems, the association between LUTS and dietary isoflavone was explored. A total of 96.2 % of subjects reported some consumption of genistein, glycitein or daidzein. In ordinal multinominal logistic regression, subjects with dietary total isoflavone of more than 5.1 mg were significantly less likely to suffer from more severe LUTS (dietary intake from 5.1 to 9.5 mg: OR 0.59; 95 % CI 0.44, 0.80; from 9.6 to 14.3 mg: OR 0.81; 95 % CI 0.61, 1.09; from 14.4 to 21.7 mg: OR 0.68; 95 % CI 0.51, 0.92; 21.8 mg and above: OR 0.73; 95 % CI 0.54, 0.98) after adjustment for covariates. In this cross-sectional study, we showed a strong inverse association between dietary intake of isoflavone and the risk of LUTS.  相似文献   

16.
Vitamin D has recently emerged as a potentially protective agent against colorectal neoplasia. We assessed the associations between dietary vitamin D, plasma 25-hydroxyvitamin D [25(OH)D], dietary calcium, and colorectal adenomas in a large screening sigmoidoscopy-based case-control study in Southern California. Because conversion of serum 25(OH)D to serum 1,25-vitamin D is highly regulated by serum calcium, we also assessed modification of the 25(OH)D-adenoma association by calcium intake. Cases were 473 subjects with a primary adenoma, and controls were 507 subjects who had no adenomas at sigmoidoscopy and no history of adenomas. Compared with those in the lowest quartile of intake, those in the highest quartile of dietary vitamin D had an adjusted odds ratio (OR) of 0.83 [95% confidence interval (CI) = 0.49-1.41] and those in the highest quartile of dietary calcium had an OR of 0.82 (95% CI = 0.49-1.25). There was a suggestion that plasma 25(OH)D may be protective in this population (OR for highest vs. lowest quartile = 0.74, 95% CI = 0.51-1.09). A significant protective effect of 25(OH)D was clearly evident only in those with calcium intakes below (OR = 0.40 for highest vs. lowest quartile, 95% CI = 0.22-0.71, p for trend = 0.005) and above (OR = 1.17, 95% CI = 0.69-1.99, p for trend = 0.94) the median calcium intake.  相似文献   

17.
  目的  探讨孕期膳食维生素C摄入与子痫前期(preeclampsia,PE)及其临床亚型的关系。  方法  选取2012年3月1日—2016年9月30日于山西医科大学第一医院妇产科住院分娩的孕妇为研究对象,其中861例PE孕妇作为病例组,7 987例非PE孕妇作为对照组,收集其一般人口学特征、疾病史、家族史及孕期膳食摄入情况等。采用非条件logistic回归分析模型分析孕期膳食维生素C摄入对PE及其临床亚型的发生风险的影响。  结果  调整孕妇年龄、文化程度等影响因素后,孕妇孕早期膳食维生素C摄入达到Q3水平(OR=0.80, 95% CI: 0.64~0.99)、孕晚期达到Q3水平(OR=0.78, 95% CI: 0.63~0.97)会降低PE的发生风险。按照孕前BMI进行分层后,孕前BMI < 24.0 kg/m2的孕妇孕早期膳食维生素C摄入达到Q3水平(OR=0.73, 95% CI: 0.55~0.96)、孕中期达到Q3水平(OR=0.71, 95% CI: 0.54~0.93)、孕晚期达到Q3水平(OR=0.67, 95% CI: 0.51~0.88)是PE的保护因素。进一步探讨不同孕前BMI孕妇膳食维生素C摄入与PE临床亚型的关系后发现,孕前BMI < 24.0 kg/m2的孕妇孕晚期膳食维生素C摄入达到Q3水平(OR=0.66, 95% CI: 0.47~0.93)会降低晚发型子痫前期(late-onset preeclampsia, LOPE)的发生风险。  结论  孕前BMI < 24.0 kg/m2的孕妇Q3水平的膳食维生素C摄入可降低PE的发生风险,尤其是对于LOPE。  相似文献   

18.
Abstract

Dietary polyphenols, including flavonoids, are abundantly present in a healthy and balanced diet. Evidence for their role in preventing non-communicable diseases is emerging. We examined the association between estimated habitual intake of dietary flavonoid and obesity in a cohort study. After adjusting for potential confounding factors, inverse association between total flavonoid intake and excess weight (BMI?≥25) was found (OR?=?0.66, 95% CI: 0.45, 0.99); among individual classes of flavonoids, only flavanones were inversely associated with excess body weight (OR?=?0.68, 95% CI: 0.48, 0.97). However, when considering adjustment for dietary factors (adherence to the Mediterranean diet), the associations were no more significant. When considering obesity as the outcome (BMI?≥30), individuals with high intake of total flavonoids and flavonols resulted less likely to be obese (OR?=?0.38, 95% CI: 0.21, 0.66 and OR?=?0.63, 95% CI: 0.39, 0.99, respectively), even after adjustment for confounding factors. The results of the present study add to the current literature further evidence of the association between higher flavonoid intake and decreased body weight. Further studies are needed to confirm retrieved association.  相似文献   

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