肥胖女性膳食营养素摄入与高血压关系

目的 探讨肥胖女性膳食营养素摄入与高血压的关系。方法 在黑龙江省哈尔滨市随机选择9个人口流动性小的社区,采用食物频率问卷法(FFQ)对肥胖女性进行膳食调查,计算每日膳食中营养素摄入量并测定身高、体重、血压、血糖、血脂。结果 共调查肥胖女性283人,其中高血压患病率为43.62%,空腹血糖异常和2h-糖耐量异常患病率分别为12.8%和18.1%,高甘油三酯血症、高胆固醇血症、低-高密度脂蛋白胆固醇血症(HDL-C)、高-低密度脂蛋白胆固醇血症(LDL-C)的患病率分别为30.04%,13.07%,48.41%和58.30%;多因素分析结果表明,与高血压相关的膳食因素中,碳水化合物、钠是高血压的危险因素,动物性蛋白质、核黄素、尼克酸、钙、磷、锌、镁、钾、动物性铁是高血压的保护因素。结论 肥胖女性应合理地调整膳食中营养素的摄入以防治高血压。

Relationship between dietary nutrients and hypertension in obese women

Objective To explore the relationship between dietary nutrients and hypertension in Chinese obesewomen.Methods Dietary data were collected by using food-frequency questionnaire (FFQ)in nine random ized community of Harbin The height,weight,blood pressure,blood glucose and blood lipid of all participants were detected.Results Two hundred and eighty three obese women were recmited.The prevalence rate of hypertension was 43.62%,and the prevalence rates of abnounal fasting plasm a glucose and 2-hour glucose tolerance,hypertriglyceridemia,hypercholesterolemia,low HDL-C and high LDL-C were 12.8%,18.1%,30.04,13.07%,48.41% and 58.3%,respectively among the women Multi-variate analysis indicated that carbohydrate and sodium intakes were the risk factors of hypertension Aninalprotein,riboflavin,niacin,calcium,phosphoms,zinc,magnesium,potassium and aninal iron were the protective factors for hypertension.Conclusion The intakes of dietary nutrients in obesewomen should be adjusted for the inprovement of their hypertension.