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男性和女性饮食和生活方式的改变与长期体重增加的关系
Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men


Dariush Mozaffarian ... 其他 • 2011.06.23
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摘要


背景

特定饮食习惯及其他生活方式行为可能会影响“少吃多运动”这一看似简单明了的防止长期体重增长策略的成功。

 

方法

我们进行了包括3个独立队列的前瞻性调查,这些队列包括120,877名在基线时无慢性疾病及肥胖的美国女性和男性,随访期分别为1986—2006年、1991—2003年以及1986—2006年。每4年我们对生活方式因素的变化与体重的变化之间的关系进行一次评估,并且对年龄、每个周期的基线体质指数及所有生活方式因素进行多变量校正。队列特异性和性别特异性的分析结果相似,因而采用一种反变量加权荟萃分析将全部结果汇总。

 

结果

在每4年期间,参与者平均增重为3.35 lb(1 lb=0.454 kg)(第5至95百分位数为-4.1~12.4)。基于个体饮食成分每天消耗增加,与4年体重变化最相关的是薯片(1.69 lb)、土豆(1.28 lb)、含糖饮料(1.00 lb)、未加工的红肉(0.95 lb)以及加工的肉类(0.93 lb),而蔬菜(-0.22 lb)、全谷类(-0.37 lb)、水果(-0.49 lb)、坚果(-0.57 lb)和酸奶(-0.82 lb)则与之成负相关(每个比较的P≤0.005)。总饮食量变化与体重变化的显著相关(3.93 lb,饮食变化,在各五分位数区间)。其他生活方式因素,包括体力活动(-1.76 lb,在各五分位数区间)、饮酒(每天0.41 lb/次)、吸烟(新戒烟者为5.17 lb;既往吸烟者为0.14 lb),睡眠(睡眠时间<6小时或>8小时,增重较多),以及看电视(每天0.31 lb/h)也分别与体重变化相关(P<0.001)。

 

结论

特定饮食和生活方式与慢性体重增加独立相关,并有累积效应,这对预防肥胖策略是有意义的(由美国国家卫生研究院[National Institutes of Health]等资助)。





作者信息

Dariush Mozaffarian, M.D., Dr.P.H., Tao Hao, M.P.H., Eric B. Rimm, Sc.D., Walter C. Willett, M.D., Dr.P.H., and Frank B. Hu, M.D., Ph.D.
From the Division of Cardiovascular Medicine (D.M.) and Channing Laboratory (D.M., E.B.R., W.C.W., F.B.H.), Brigham and Women's Hospital and Harvard Medical School; and the Departments of Epidemiology (D.M., T.H., E.B.R., W.C.W., F.B.H.) and Nutrition (D.M., E.B.R., W.C.W., F.B.H.), Harvard School of Public Health — all in Boston. Address reprint requests to Dr. Mozaffarian at 665 Huntington Ave., Bldg. 2-319, Boston, MA 02115, or at dmozaffa@hsph.harvard.edu.

 

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