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Nutritional adequacy and dietary disparities in an adult Caribbean population of African descent with a high burden of diabetes and cardiovascular disease.
Food Science & Nutrition ( IF 3.9 ) Pub Date : 2020-02-05 , DOI: 10.1002/fsn3.1363
Rachel M Harris 1, 2 , Angela M C Rose 1 , Nita G Forouhi 3 , Nigel Unwin 1, 3
Affiliation  

The Caribbean island of Barbados has a high burden of diabetes and cardiovascular disease. Dietary habits were last described in 2005. A representative population‐based sample (n = 363, aged 25–64 years) provided two nonconsecutive 24‐hr dietary recalls in this cross‐sectional study. Mean daily nutrient intakes were compared with the Dietary Guidelines for Americans. Subgroup differences by age, sex, and educational level were examined using logistic regression. High sugar intakes exist for both sexes with 24% (95% CIs 18.9, 30.0) consuming less than the recommended <10% of energy from added sugars (men 22%; 15.0, 31.6; women 26%; 18.9, 33.7). Sugar‐sweetened beverages provide 43% (42.2%, 44.4%) of total sugar intake. Inadequate dietary fiber intakes (men 21 g, 18.2, 22.8; women 18 g, 16.7, 18.9) exist across all age groups. Inadequate micronutrient intake was found in women for calcium, folate, thiamine, zinc, and iron. Older persons (aged 45–64 years) were more likely to report adequacy of dietary fiber (OR = 2.7, 1.5, 4.8) and iron (OR = 3.0, 1.7, 5.3) than younger persons (aged 25–44). Older persons (aged 45–64 years) were less likely to have an adequate supply of riboflavin (OR = 0.4, 0.2, 0.6) than younger persons. Men were more likely to have adequate intakes of iron (OR = 13.0, 6.1, 28.2), folate (OR = 2.4, 1.3, 4.6), and thiamine (OR = 3.0, 1.5, 5.0) than women. Education was not associated with nutrient intake. The Barbadian diet is characterized by high sugar intakes and inadequate dietary fiber; a nutrient profile associated with an increased risk of obesity, type 2 diabetes, and related noncommunicable diseases.

中文翻译:

非洲人后裔的成年加勒比海人口的营养充足和饮食差异,糖尿病和心血管疾病负担沉重。

加勒比海巴巴多斯岛患有糖尿病和心血管疾病。饮食习惯在2005年有代表性的人群样本(上次描述ñ = 363,年龄25-64岁)在此横断面研究中提供了两次非连续的24小时饮食召回。将平均每日营养摄入量与《美国人饮食指南》进行了比较。使用逻辑回归分析按年龄,性别和受教育程度划分的亚组差异。男女都有很高的糖摄入量,其中24%(95%CI 18.9,30.0)消耗的糖分低于建议的<10%的补充糖分能量(男性22%; 15.0,31.6;女性26%; 18.9,33.7)。加糖饮料占总糖摄入量的43%(42.2%,44.4%)。在所有年龄段中,膳食纤维摄入量不足(男性21 g,18.2、22.8;女性18 g,16.7、18.9)。女性钙,叶酸,硫胺素,锌和铁的微量营养素摄入不足。老年人(45-64岁)更有可能报告膳食纤维是否充足(OR = 2.7,1。5、4.8)和铁(OR = 3.0、1.7、5.3)比年轻人(25​​-44岁)高。与年轻人相比,老年人(45-64岁)拥有充足的核黄素(OR = 0.4、0.2、0.6)的可能性较小。男性比女性更有可能摄入充足的铁(OR = 13.0、6.1、28.2),叶酸(OR = 2.4、1.3、4.6)和硫胺素(OR = 3.0、1.5、5.0)。教育与营养摄入无关。巴巴多斯饮食的特点是高糖摄入和膳食纤维不足。与肥胖,2型糖尿病和相关非传染性疾病风险增加相关的营养状况。男性比女性更有可能摄入充足的铁(OR = 13.0、6.1、28.2),叶酸(OR = 2.4、1.3、4.6)和硫胺素(OR = 3.0、1.5、5.0)。教育与营养摄入无关。巴巴多斯饮食的特点是高糖摄入和膳食纤维不足。与肥胖,2型糖尿病和相关非传染性疾病风险增加相关的营养状况。男性比女性更有可能摄入充足的铁(OR = 13.0、6.1、28.2),叶酸(OR = 2.4、1.3、4.6)和硫胺素(OR = 3.0、1.5、5.0)。教育与营养摄入无关。巴巴多斯饮食的特点是高糖摄入和膳食纤维不足。与肥胖,2型糖尿病和相关非传染性疾病风险增加相关的营养状况。
更新日期:2020-02-05
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