肉类消费与肥胖:减少健康不平等的气候友好型方法

L. Sares-Jäske, H. Tapanainen, Liisa Valsta, Peppi Haario, S. Männistö, M. Vaalavuo
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引用次数: 0

摘要

气候变化、健康不平等和肥胖是 21 世纪公共卫生面临的重大挑战。红肉和加工肉类(RPM)的消费与肥胖风险增加和气候影响增大有关。同时,教育不平等不仅存在于红肉和加工肉类的消费和肥胖中,也存在于其他健康行为中。因此,我们调查了在RPM消费与肥胖之间的关联中是否存在教育不平等,同时还考虑了健康行为(体育锻炼、蔬菜、豆类和水果消费、饮酒和吸烟)作为潜在的混杂因素和效应调节因素。研究采用经过验证的食物频率问卷来确定膳食摄入量。身高和体重由训练有素的研究护士测量。在女性(p < 0.001)和男性(p < 0.001)中,肥胖的几率随着 RPM 消费量的增加而增加,在每个教育组别中都是如此,与其他不利的健康行为无关。只有在受过基础教育的男性中,转速消耗量类别之间的差异没有统计学意义。与受教育程度高、RPM 消费量最低的人群相比,受教育程度低、RPM 消费量最高的人群患肥胖症的几率更高(女性的几率比(95% 置信区间):7.5(2.7-20.4);男性:5.3(2.5-11.1))。针对生态负担沉重的不健康饮食模式,有助于减少健康不平等和减缓气候变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meat consumption and obesity: A climate‐friendly way to reduce health inequalities
Climate change, health inequalities and obesity are considerable public health challenges of the 21st century. Red and processed meat (RPM) consumption is associated with an increased risk of obesity and with higher climate impact. At the same time, educational inequalities exist not only in RPM consumption and obesity but also in other health behaviours. Thus, we investigated whether educational inequalities exist in the association between RPM consumption and obesity, while also considering health behaviours (physical activity, vegetable, legume and fruit consumption, alcohol consumption and smoking) as potential confounding and effect modifying factors.The FinHealth 2017 Study data, including 4494 participants aged 18–74 years, were used. A validated food frequency questionnaire was employed to determine dietary intake. Height and weight were measured by trained study nurses. Linear and logistic regression models were used.Odds of obesity increased along with RPM consumption in women (p < 0.001) and men (p < 0.001) and in each educational group regardless of other unfavourable health behaviours. Only in men with basic education were the differences between RPM consumption categories not statistically significant. Compared to those with high education and the lowest RPM consumption, those with basic education and the highest RPM consumption had multiple odds of obesity (odds ratio (95% confidence interval) among women: 7.5 (2.7–20.4); among men: 5.3 (2.5–11.1)).High RPM consumption appears to be associated with obesity independently of other unfavourable health behaviours or education, yet the odds are higher with basic education. Targeting unhealthy dietary patterns with heavy ecological burden could help reduce both health inequalities and mitigate climate change.
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