Clin Nutr:啥?米吃多了也会增加非酒精性脂肪性肝病风险?

2016-10-11 Mechront 译 MedSci原创

通过改变生活方式预防非酒精性脂肪性肝病(NAFLD)是一个重要的公共卫生问题。来自软饮料的碳水化合物的摄入量对该疾病的影响,已经得到大量研究。鉴于饮食习惯的差异,对于东亚国家,来自饮食中(比如米饭、面包、面条)的碳水化合物可能会远超过软饮料,对NAFLD患病率的影响可能会更大。 我们对中年日本人进行了研究,评估大米、面包和面条的摄入量,以及总体碳水化合物摄入量,与NAFLD患病率之间的关系。

通过改变生活方式预防非酒精性脂肪性肝病(NAFLD)是一个重要的公共卫生问题。来自软饮料的碳水化合物的摄入量对该疾病的影响,已经得到大量研究。鉴于饮食习惯的差异,对于东亚国家,来自饮食中(比如米饭、面包、面条)的碳水化合物可能会远超过软饮料,对NAFLD患病率的影响可能会更大。

我们对中年日本人进行了研究,评估大米、面包和面条的摄入量,以及总体碳水化合物摄入量,与NAFLD患病率之间的关系。

本项横断面研究纳入了977名男性和1467名女性,年龄40-69岁,通过验证的饮食问卷调查获取参与者的饮食信息。非酒精性脂肪肝的诊断是基于以下标准:腹部超声存在脂肪肝,女性酒精摄入量低于20克/天、男性小于30克/天,排除其他肝脏疾病。

数据显示,男性和女性的NAFLD患病率分别为34.9% (n=341)和11.7% (n=171)。对于女性,碳水化合物的摄入量与NAFLD患病率呈正相关(p-trend=0.008);大米摄入量也与女性NAFLD患病率呈正相关:摄入量最高组与最低组相比,OR值为1.87 (95% CI: 1.03, 3.41; p-trend=0.006)。但是这些联系对于男性就不存在。无论男女,面包和面条的摄入量与NAFLD患病率无关。

结果表明,碳水化合物和大米的摄入量与日本女性的NAFLD患病率呈正相关。

原始出处:

Ryoko Tajima.et al.Association between rice, bread, and noodle intake and the prevalence of non-alcoholic fatty liver disease in Japanese middle-aged men and women.Clin Nutr.Published online: October 8, 2016

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    2017-03-17 qjddjq
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createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
  4. 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createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
    2016-10-29 晨曦欲语

    赞一个

    0

  5. 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createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
    2016-10-16 ylzr123

    看来是要少吃米饭啦!赞一个!好文章拜读了,认真学习了,继续关注研究。

    0

  6. 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createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
    2016-10-16 ylzr123

    看来是要少吃米饭啦!赞一个!好文章拜读了,认真学习了,继续关注研究。

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo4jbias8haG43qWXQUefZI4aYLDxZjibZYAiba9rD9vuiau7CFDSgcq1v4MXnjic0IIo2LNlLDkpfxQdJA/0, createdBy=512e1971494, createdName=晨曦欲语, createdTime=Sat Oct 29 06:53:01 CST 2016, time=2016-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=148822, encodeId=063e1488228d, content=看来是要少吃米饭啦!赞一个!好文章拜读了,认真学习了,继续关注研究。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sun Oct 16 15:10:18 CST 2016, time=2016-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=148821, encodeId=ae9d14882166, content=看来是要少吃米饭啦!赞一个!好文章拜读了,认真学习了,继续关注研究。, beContent=null, objectType=article, channel=null, 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  8. 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createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
    2016-10-14 1de48adem68(暂无匿称)

    什么都可以拿来研究(?_?)

    0

  9. 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createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
    2016-10-14 1e10c84am36(暂无匿称)

    不错,继续学习

    0

  10. 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GetPortalCommentsPageByObjectIdResponse(id=148134, encodeId=fcee14813457, content=什么都可以拿来研究(?_?), beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI9X140JXPuaKWWY7pcpOQCp6jSFssJq9bMmib99rYzz8SfbLfY5pUjllibm9p9j97e04VpDTJCq8uw/132, createdBy=5a171686354, createdName=1de48adem68(暂无匿称), createdTime=Fri Oct 14 13:12:46 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=148078, encodeId=b8c21480e88d, content=不错,继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Oct 14 10:18:16 CST 2016, time=2016-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147118, encodeId=1e1014e11801, content=值得继续研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161003/IMG57F1CE4724D2E2574.jpg, createdBy=c2eb1960303, createdName=drmike, createdTime=Wed Oct 12 17:21:46 CST 2016, time=2016-10-12, status=1, ipAttribution=)]
    2016-10-12 drmike

    值得继续研究!

    0

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