科拉古尔部落妇女的饮食摄入与代谢综合征

R. Durga Priyadarshini, D. Annette Beatrice
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摘要

随着印度部落人群中代谢综合征患病率的增加,本研究旨在评估印度泰米尔纳德邦塞勒姆地区Yercaud街区的Kolagur部落妇女代谢综合征的发病率,并研究其饮食摄入量的差异。随机选择了100名年龄在18-60岁之间的妇女,并使用结构化问卷获得了与她们的社会人口统计资料有关的信息。使用适当的验证工具评估人体测量、生化、临床和饮食参数。使用Diet Cal软件计算营养摄入量,使用' R'统计软件进行统计分析。在100名部落妇女中,26%被诊断患有代谢综合征,主要流行于40-60岁年龄组(53.8%)。代谢综合征最常见的特征是低高密度脂蛋白胆固醇(88.5%)。两组部落妇女的社会人口特征没有显著差异。代谢综合征女性在所有人体测量参数上均有显著差异,平均BMI (p<0.000)、平均腰臀比(p<0.000)和平均体脂(p<0.000)均高于无代谢综合征女性。代谢综合征患者的平均空腹血糖(p<0.000)、平均甘油三酯(p<0.000)、平均总胆固醇与高密度脂蛋白胆固醇之比(p=0.0007)、平均收缩压水平(p<0.000)和平均舒张压水平(p<0.000)显著升高,平均高密度脂蛋白胆固醇显著降低(p=0.011)。在膳食摄入量方面,代谢综合征女性的平均能量摄入量(p=0.012)和碳水化合物摄入量(p=0.034)显著低于无代谢综合征女性。这些结果意味着需要一个更大样本量的队列来更深入地了解合理的饮食-疾病关系。旨在治疗患有代谢综合征的妇女的长期干预措施对于预防非传染性疾病的发生至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dietary Intake and Metabolic Syndrome in Kolagur Tribal Women, Yercaud
With increasing prevalence of metabolic syndrome among tribal population in India, the present study aimed to assess the incidence of metabolic syndrome and examine the differences in the dietary intake of tribal women residing in Kolagur, a hamlet in Yercaud block, Salem district, Tamil Nadu, India. One hundred women between the age of 18-60 years were randomly selected and information pertaining to their socio-demographic profile were elicited using a structured questionnaire. Anthropometric, biochemical, clinical and dietary parameters were assessed using appropriate validated tools. Nutrient intake was computed using Diet Cal software and the statistical analysis was done using ‘R' statistical software. Of the 100 tribal women, 26% were diagnosed with metabolic syndrome majorly prevalent among the age group of 40-60 years (53.8%). The most common feature of metabolic syndrome was low HDL cholesterol (88.5%). There were no significant differences in the socio-demographic profile of tribal women from both groups. Women with metabolic syndrome were found to have significant difference in all the anthropometric parameters with higher mean BMI (p<0.000), mean waist-to-hip ratio (p<0.000) and mean body fat (p<0.000) than those without metabolic syndrome. The mean fasting plasma glucose (p<0.000), mean triglycerides (p<0.000), mean total cholesterol: HDL cholesterol ratio (p=0.0007), mean systolic blood pressure level (p<0.000) and mean diastolic blood pressure level (p<0.000) were significantly higher and mean HDL - cholesterol was significantly lower (p=0.011) among those with metabolic syndrome. With respect to dietary intake, the mean intake of energy (p=0.012) and carbohydrates (p=0.034) of women with metabolic syndrome were significantly lesser than those without metabolic syndrome. These results imply the need for a cohort with larger sample size to gain more insight into the plausible diet-disease relationship. Long term interventions aimed to treat women with metabolic syndrome is crucial to prevent the onset of non-communicable diseases.
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