[Status and dietary factor correlations of metabolic syndrome in elderly aged 65 years and above in rural Beijing in 2023].

Dan Yao, Dongmei Yu, Jianying Sun, Nan Yao, Xiuwen Wu, Wei Piao
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Abstract

Objective: To explore the prevalence of metabolic syndrome(MS) and its association with dietary factors in elderly people aged 65 years and above in rural Beijing.

Methods: From May to June 2023, 600 elderly aged 65 and above were selected in Daxing District of Beijing using multi-stage cluster random sampling. After informed consent, basic information, physical status, dietary status, and nutritional and biochemical indicators were obtained. Composition ratios were used to describe the sample composition between subgroups, chi-square test was used to compare the differences in MS prevalence between the subgroups of each factor, and multivariate logistic regression was used to analyze the association between each factor and MS.

Results: A total of 596 valid subjects were included in this study, including 249 males(41.8%) and 347 females(58.2%). The total prevalence of MS was 72.5%(n=432), and the number of the subjects with 3 MS components was 226(37.9%). In addition, the composition ratio of total subjects with all the MS components was 9.1%(n=54). The composition ratios of excessive intake of livestock meat, oil, salt were 63.3%(n=377), 18.0%(n=107) and 22.2%(n=132), respectively. In total subjects, after adjusted by age, education levels, family annual income, BMI, family history of hypertension and diabetes, and smoking, the positive correlations between MS and milk and eggs intake were detected. Comparing the subjects with insufficient intake, the OR of excessive/sufficient intake subjects were 3.990(95%CI 1.718-9.267) and 4.556(95%CI 1.770-11.727), respectively. For genders, only the positive correlation between MS and milk intake was detected in males(OR=6.346, 95%CI 1.223-32.932), and the positive correlations between MS and milk(OR=3.844, 95%CI 1.284-11.509) and eggs(OR=12.089, 95%CI 2.918-50.085) intake were detected in females.

Conclusion: In elderly people with a higher intake of livestock meat, cooking oil and cooking salt, excessive intake of milk and eggs increased the prevalence of MS.

[2023年北京农村65岁及以上老年人代谢综合征现状及饮食因素相关性分析]。
目的:探讨北京农村65岁及以上老年人代谢综合征(MS)患病率及其与饮食因素的关系。方法:采用多阶段整群随机抽样方法,于2023年5 - 6月在北京市大兴区选取600名65岁及以上老年人。经知情同意后,获取基本信息、身体状况、饮食状况、营养生化指标。采用组成比描述亚组间样本组成,采用卡方检验比较各因子亚组间MS患病率的差异,采用多因素logistic回归分析各因子与MS的相关性。结果:共纳入有效受试者596例,其中男性249例(41.8%),女性347例(58.2%)。MS总患病率为72.5%(n=432),其中有3种MS成分的受试者226人(37.9%)。此外,所有MS成分在总受试者中的构成率为9.1%(n=54)。畜禽肉、油、盐的过量摄取量组成比例分别为63.3%(n=377)、18.0%(n=107)和22.2%(n=132)。在全部受试者中,经年龄、受教育程度、家庭年收入、BMI、高血压、糖尿病家族史、吸烟等因素调整后,MS与牛奶和鸡蛋摄入量呈正相关。与摄入不足组相比,摄入过量/充足组的OR分别为3.990(95%CI 1.718-9.267)和4.556(95%CI 1.770-11.727)。在性别上,仅男性MS与牛奶摄入量呈正相关(OR=6.346, 95%CI 1.223 ~ 32.932),女性MS与牛奶摄入量(OR=3.844, 95%CI 1.284 ~ 11.509)和鸡蛋摄入量(OR=12.089, 95%CI 2.918 ~ 50.085)呈正相关。结论:在畜禽肉、食用油、盐摄入量较高的老年人中,过量摄入牛奶和鸡蛋增加了MS的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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