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新疆伊犁地区60岁以上农村居民膳食炎症与衰弱的关系

赵辉,  符文慧,  迪丽胡玛尔·艾力,  罗涛,  乔婷婷,  张国珍,  戴江红

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文章导航 > 中华疾病控制杂志  > 2023 >  27(6): 722-725
赵辉, 符文慧, 迪丽胡玛尔·艾力, 罗涛, 乔婷婷, 张国珍, 戴江红. 新疆伊犁地区60岁以上农村居民膳食炎症与衰弱的关系[J]. 中华疾病控制杂志, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
引用本文: 赵辉, 符文慧, 迪丽胡玛尔·艾力, 罗涛, 乔婷婷, 张国珍, 戴江红. 新疆伊犁地区60岁以上农村居民膳食炎症与衰弱的关系[J]. 中华疾病控制杂志, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
shu
ZHAO Hui, FU Wenhui, AILI Dilihumaer, LUO Tao, QIAO Tingting, ZHANG Guozhen, DAI Jianghong. Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
Citation: ZHAO Hui, FU Wenhui, AILI Dilihumaer, LUO Tao, QIAO Tingting, ZHANG Guozhen, DAI Jianghong. Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
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新疆伊犁地区60岁以上农村居民膳食炎症与衰弱的关系

doi: 10.16462/j.cnki.zhjbkz.2023.06.018
  • 1.

    新疆医科大学公共卫生学院流行病与卫生统计学教研室，乌鲁木齐 830017

  • 2.

    新疆特殊环境与健康研究重点实验室，乌鲁木齐 830011

  • 3.

    新疆维吾尔自治区疾病预防控制中心免疫规划科，乌鲁木齐 830000

  • 4.

    新疆医科大学护理学院妇产科护理教研室，乌鲁木齐 830017

基金项目: 

新疆特殊环境与健康研究重点实验室开发课题 SKL-SEHR-2021-07

国家自然科学基金 82160640

国家重点研发计划 2017YFC0907203

详细信息
    通讯作者:

    戴江红，E-mail：epi102@sina.com

  • 中图分类号: R181

Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang

  • 1.

    Department of epidemiology and statistics, School of Public Health, Xinjiang Medical University, Urumqi 830017, China

  • 2.

    Key Laboratory of Special Environment and Health Research in Xinjiang, Urumqi 830011, China

  • 3.

    Institute for immunization planning, Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention, Urumqi 830000, China

  • 4.

    Department of Obstetrics and Gynecology Nursing, School of Nursing, Xinjiang Medical University, Urumqi 830017, China

Funds: 

Founding from Key Laboratory of Special Environment and Health Research in Xinjiang SKL-SEHR-2021-07

National Natural Science Foundation of China 82160640

National Key Research and Development Plan 2017YFC0907203

More Information

    摘要
  • 摘要:   目的  探讨新疆伊犁地区60岁以上农村居民膳食炎症与衰弱的关系。  方法  2019年1―5月新疆伊犁地区霍城县招募的1 682名60岁以上居民为研究对象，进行问卷调查及体格检查，通过能量调整膳食炎症指数(energy-density dietary inflammatory index, EDII)和衰弱指数(frailty index, FI)评价其膳食炎症及衰弱状况，logistic回归分析模型分析膳食炎症与衰弱的关系。  结果  衰弱前期及衰弱患病率分别为50.65%和8.98%，男性、维吾尔族、文化程度低、家庭年均收入低、单身及体力活动少人群衰弱及衰弱前期患病率较高。EDII与衰弱和衰弱前期均相关，调整性别、民族、家庭年均收入、婚姻状况及体力活动后，随着EDII评分增大衰弱前期和衰弱患病风险有上升趋势(均P趋势 < 0.05)，EDII按三分位数分组的T2、T3组衰弱前期和衰弱患病风险分别是T1组的1.37倍(95% CI: 1.04~1.82, P=0.027)和2.18倍(95% CI: 1.26~3.76, P=0.005)、1.32倍(95% CI: 1.02~1.72, P=0.036)和2.17倍(95% CI: 1.28~3.68, P=0.004)。  结论  膳食炎症与衰弱前期及衰弱相关，膳食可能通过炎症效应参与衰弱的发生发展。
    Abstract:   Objective  This study aims to investigate the association between dietary inflammation and frailty among rural residents over 60 years old in Yili, Xinjiang.  Methods  A total of 1 682 residents over 60 years old were recruited from Huocheng County, Yili Region, Xinjiang, from January to May, 2019. A questionnaire survey and physical examination were conducted. Dietary inflammation and frailty of subjects were evaluated by energy-density dietary inflammatory index (EDII) and frailty index. A logistic regression analysis model was employed to analyze the relationship between dietary inflammation and frailty.  Results  The prevalence of prefrailty and frailty were 50.65% and 8.97%, respectively. These rates were higher among males, Uygurs, individuals with lower education levels, lower annual family income, those who were divorced, widowed, or unmarried, and subjects who engaged in less physical activity. After adjusting for gender, ethnicity, family annual income, marital status and physical activity, the risk of prefrailty and frailty increased with the EDII score (all Ptrend < 0.05). Individuals in EDII tertiles T2 (versus T1) were more likely to be pre-frailty (OR=1.37, 95% CI: 1.04-1.82, P=0.027) and frailty (OR=2.18, 95% CI: 1.26-3.76, P=0.005). Individuals in EDII T3 also had greater odds of pre-frailty (OR=1.32, 95% CI: 1.02-1.72, P=0.036) and frailty (OR=2.17, 95% CI: 1.28-3.68, P=0.004).  Conclusions   Dietary inflammation is associated with pre-frailty and frailty, and diet may participate in the occurrence and development of frailty through inflammatory effects.
    • HTML全文

  • 表  1  不同人口学及膳食炎性特征人群的衰弱状况

    Table  1.   Frailty in populations with different demographic and dietary inflammatory features

    特征 不衰弱[人数(占比/%)] 衰弱前期[人数(占比/%)] 衰弱[人数(占比/%)] 合计[人数(占比/%)] Z/H值 P值
    人数(n) 679(40.37) 852(50.65) 151(8.98) 1 682
    性别 7.727 < 0.001
      女 414(47.64) 418(48.10) 37(4.26) 869
      男 265(32.60) 434(53.38) 114(14.02) 813
    民族 92.032 < 0.001
      汉族 196(51.85) 171(45.24) 11(2.91) 378
      回族 199(39.25) 274(54.04) 34(6.71) 507
      维吾尔族 134(27.86) 257(53.43) 90(18.71) 481
      哈萨克族 133(46.18) 140(48.61) 15(5.21) 288
      其他 17(60.71) 10(35.72) 1(3.57) 28
    文化程度 1.706 0.088
      小学及以下 568(39.70) 727(50.80) 136(9.50) 1 431
      初中及以上 109(44.13) 123(49.80) 15(6.07) 247
    家庭年均收入/万元 23.497 < 0.001
      ＜1 97(31.39) 170(55.02) 42(13.59) 309
      1~＜2 332(43.62) 360(47.31) 69(9.07) 761
      ≥2 234(40.84) 301(52.53) 38(6.63) 573
    婚姻状况 6.782 < 0.001
      已婚 597(43.80) 668(49.01) 98(7.19) 1 363
      离婚/丧偶/未婚 81(25.80) 181(57.64) 52(16.56) 314
    体力活动 7.569 < 0.001
      轻型 503(36.40) 734(53.11) 145(10.49) 1 382
      中型/重型 162(59.55) 104(38.24) 6(2.21) 272
    EDII 20.573 < 0.001
      T1 227(47.69) 224(47.06) 25(5.25) 476
      T2 194(36.40) 277(51.97) 62(11.63) 533
      T3 258(38.34) 351(52.15) 64(9.51) 673
    注：1. 文化程度缺失4人、家庭年均收入缺失39人、婚姻状况缺失5人、体力活动缺失28人。2. 性别、文化程度、婚姻状况、体力活动采用Mann-Whitney U检验，民族、家庭年均收入和EDII采用Kruskal-Wallis检验。3. EDII：能量调整膳食炎症指数；T1：抗炎膳食组；T2：中性膳食组；T3：促炎膳食组。
    下载: 导出CSV

    表  2  能量调整膳食炎症指数EDII与衰弱关系的logistic回归分析

    Table  2.   Logistic regression analysis of the relationship between EDII and frailty

    EDII分组 衰弱前期 衰弱
    OR值(95% CI) P值 P趋势 OR值(95% CI) P值 P趋势
    模型1
      T1 1.00 0.015 1.00 0.005
      T2 1.45(1.12~1.88) 0.005 2.90(1.76~4.80) < 0.001
      T3 1.38(1.08~1.76) 0.010 2.25(1.37~3.70) 0.001
    模型2
      T1 1.00 0.013 1.00 0.016
      T2 1.41(1.07~1.84) 0.013 2.32(1.36~3.95) 0.002
      T3 1.39(1.08~1.79) 0.010 2.31(1.37~3.88) 0.002
    模型3
      T1 1.00 0.044 1.00 0.048
      T2 1.37(1.04~1.82) 0.027 2.18(1.26~3.76) 0.005
      T3 1.32(1.02~1.72) 0.036 2.17(1.28~3.68) 0.004
    注：1. 模型1为单因素分析。2. 模型2调整性别和民族。3.模型3在模型2的基础上对家庭年均收入、婚姻状况及体力活动进行调整。4. T1：抗炎膳食组。5. T2：中性膳食组。6. T3：促炎膳食组。
    下载: 导出CSV

    表  3  不同膳食炎症状况的食物组特征

    Table  3.   Food group characteristics of different dietary inflammatory status

    种类 膳食摄入量(g/d) ① 合计 P值②
    T1组 T2组 T3组
    精致谷物 428.57(314.29, 485.24) 385.24(263.33, 464.29) 363.33(242.86, 470.48) 392.86(260.00, 470.95) < 0.001
    加工谷物 150.00(78.10, 200.00) 151.43(100.00, 203.33) 107.14(71.43, 174.76) 142.86(78.10, 200) < 0.001
    红肉 42.14(26.55, 66.43) 31.24(25.00, 50.00) 25.00(12.86, 35.71) 28.57(21.43, 46.43) < 0.001
    禽肉 39.05(6.67, 71.43) 6.67(3.33, 71.43) 6.67(3.33, 13.33) 6.67(3.33, 71.43) 0.001
    蛋类 28.57(3.33, 71.43) 28.57(3.33, 71.43) 3.33(0.00, 35.71) 13.81(0.00, 71.43) < 0.001
    蔬菜 357.86(292.00, 428.57) 305.24(231.24, 386.52) 240.17(186.43, 329.29) 299.60(219.43, 384.29) < 0.001
    牛奶 71.43(10.00, 185.24) 97.86(10.00, 185.24) 10.00(0.00, 30.00) 14.29(0.00, 142.86) 0.001
    水果 218.81(142.86, 321.43) 181.90(106.67, 264.29) 114.76(64.29, 195.24) 163.33(100.00, 263.33) < 0.001
    坚果 26.79(2.83, 42.86) 17.86(2.50, 35.712. 2.50(0.00, 15.372. 10.00(0.00, 30.36)< 0.001
    注：1. 加工谷物为油饼、油条、糕点等脂肪含量较高的加工谷物。2. T1组：抗炎膳食组。3. T2组：中性膳食组。4. T3组：促炎膳食组。①膳食摄入量用[M(P25, P75)]表示。②使用Kruskal-Wallis秩和检验分析组间差异。
    下载: 导出CSV
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  • 收稿日期:  2022-06-06
  • 修回日期:  2022-10-01
  • 网络出版日期:  2023-07-10
  • 刊出日期:  2023-06-10

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