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辛辣食物摄入增加超重和肥胖的风险
引用本文:徐倩,闫世春,王驰,于波,周雪,栾青,那立欣. 辛辣食物摄入增加超重和肥胖的风险[J]. 卫生研究, 2019, 0(3): 374-379
作者姓名:徐倩  闫世春  王驰  于波  周雪  栾青  那立欣
作者单位:哈尔滨医科大学公共卫生学院;黑龙江省疾病预防控制中心;哈尔滨市南岗区疾病预防控制中心
基金项目:国家重点研发计划精准医学研究重点专项(No.2016YFC0900500;2016YFC0900501);香港Kadoorie Charitable基金;英国Wellcome Trust(No.202922/Z/16/Z;088158/Z/09/Z;104085/Z/14/Z)
摘    要:目的探究人群中辛辣食物摄入与超重和肥胖的关系,为肥胖膳食预防提供理论依据。方法本研究数据来自中国慢性病前瞻性研究(China Kadoorie Biobank,CKB)哈尔滨市2004—2008年的横断面人群,采用整群随机抽样方法纳入57 555名30~79岁(男性23 254人,女性34 301人)研究对象。通过面对面问卷调查获得人口学信息及吸烟、饮酒等生活习惯信息,采用食物频率问卷获取各类食物包括辛辣食物摄入信息,体格检查获得身高、体重等指标,并应用Logistic回归方法分析辛辣食物摄入及其与偏爱肉食/素食膳食习惯的交互作用对超重与肥胖风险的影响。结果与摄入辛辣食物频率低的人群相比,摄入辛辣食物频率高的人群超重和肥胖的风险在男性中增加了29%(OR=1.285,95%CI 1.251~1.319,P<0.001),在女性中增加了33%(OR=1.329,95%CI 1.294~1.364,P<0.001)。与摄入微辣食物的人群相比,摄入极辣食物人群男女超重和肥胖的风险分别增加了20%(OR=1.198, 95%CI 1.137~1.259,P=0.011)和19%(OR=1.194, 95%CI 1.141~1.247,P=0.003)。在男性人群中,偏好肉食,且辛辣食物摄入频率及程度高的人群,超重和肥胖的风险最高,偏好肉食/素食的膳食习惯与辛辣食物摄入两因素间存在交互作用(P<0.001)。结论辛辣食物的摄入可能增加超重和肥胖的风险,同时减少辛辣食物和肉食的摄入可能能够更有效地预防超重和肥胖。

关 键 词:辛辣食物  超重和肥胖  膳食习惯

Spicy food intake increases the risk of overweight and obesity
Xu Qian,Yan Shichun,Wang Chi,Yu Bo,Zhou Xue,Luan Qing,Na Lixin. Spicy food intake increases the risk of overweight and obesity[J]. Journal of hygiene research, 2019, 0(3): 374-379
Authors:Xu Qian  Yan Shichun  Wang Chi  Yu Bo  Zhou Xue  Luan Qing  Na Lixin
Affiliation:(Public Health College of Harbin Medical University,Harbin 150081,China;Heilongjiang Provincial Center for Disease Control and Prevention,Harbin 150030,China;Harbin Nangang District Center for Disease Control and Prevention,Harbin 150056,China)
Abstract:OBJECTIVE To explore the relationship between spicy food intake and overweight or obesity in the population,and provide theoretical basis for dietary prevention of obesity.METHODS The data of this study was collected from the cross-sectional population of China Kadoorie Biobank(CKB)in Harbin from 2004 to 2008.A cluster random sampling method was used to select 57 555 subjects aged 30-79(23 254 males and 34 301 females).Demographic information and habits information such as smoking and drinking were obtained by face-to-face questionnaires.Food frequency questionnaires were used to obtain information on various foods including spicy food intake.Physical examination was used to obtain indicators of height and weight.Logistic regression method was used to analyze the influence of spicy food intake and its interaction with predilection for meat/vegetarian diet on the risk of overweight and obesity.RESULTSCompared with people who intake spicy foods with low frequency,the risk of overweight and obesity in people with a high frequency of intake spicy foods increased by 29%(OR=1.285,95%CI 1.251-1.319,P<0.001)in males and 33%(OR=1.329,95%CI 1.294-1.364,P<0.001)in females.Compared with the people who intake spicy food with a slightly intensity,the risk of overweight and obesity in males and females with a extremely intensity of intake spicy foods increased by 20%(OR=1.198,95%CI 1.137-1.259,P=0.011)and 19%(OR=1.194,95%CI 1.141-1.247,P=0.003),respectively.In the male population,the risk of overweight and obesity was the highest among those who preferred meat and had high frequency and degree of spicy food intake.There was an interaction between meat/vegetarian preference and spicy food intake(P<0.001).CONCLUSION Intake spicy food can increase the risk of overweight and obesity,while reducing the intake of spicy foods and meats can be more effective in prevent overweight and obesity.
Keywords:spicy food  overweight and obesity  dietary habits
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