50万人数据:预防心肌代谢性疾病只能看DASH和地中海饮食?中国饮食模式也能!

2021-09-14 MedSci原创 MedSci原创

50万中国成年人的饮食模式与心脏代谢疾病:一项10年队列研究!

心肌代谢性疾病,包括血管疾病(CVD)和糖尿病,占全球5700万例死亡中的34%,占2016年中国1000万例死亡总数的45%。饮食是心脏代谢性疾病发病机制中一个关键且可改变的生活方式危险因素。如地中海饮食和DASH饮食,已被证明可以直接或通过降低血压预防高危人群的心肌代谢性疾病。

饮食模式对心肌代谢疾病的影响在西方人群中得到了很好的研究。然而,对于描述中国独特饮食习惯的饮食模式与心肌代谢疾病的关联,仍缺乏足够的证据。本研究旨在确定中国人口的主要饮食模式,并调查它们与心肌代谢疾病的关联。

本次研究中的477465名参与者中,有59.1%为女性,43.0%是城市居民,招募时平均年龄为51.1岁(标准偏差:10.5岁)。两个保留因素解释了42.2%的总变异。第一个因素被称为"传统北方饮食",其特点为小麦、其他主食和鸡蛋的摄入量高,乳制品摄入量适中,大米和腌制蔬菜的摄入量低。第二个因素被称为"现代饮食模式",大量摄入新鲜水果,肉类,家禽,鱼,奶制品和大豆。

饮食模式得分较高的参与者多为男性、受过良好教育的非吸烟者,且血压较低(表1)。那些坚持传统北方饮食模式的人更有可能是农村居民,但每周饮酒的可能性较小。采用现代饮食模式的参与者更多居住在城市地区,更年轻,体育活动不活跃,有心血管疾病和糖尿病的家族史。

经过中位数为10.5年(460万人年)的随访后,CKB研究跟踪了137,715例CVD(包括8870例 MCE、9758例HS和42,667例IS)和17,412例糖尿病(非糖尿病人群)。

 

在跟踪调查了10.5年(460万人年)的中位数之后,中国卡多利生物库(CKB)研究跟踪了137,715例CVD(包括8870例MSE、9758例HS和42,667例IS)和17,412例糖尿病病例(在非糖尿病人群中)。传统北方饮食模式与主要心肌代谢性疾病成反比(表2)。与最低五分之一人群相比,北方传统饮食模式最高五分之一人群的心血管疾病多变量校正HRHR 0.92(95%CI,0.89+0.95)(线性趋势:P< 0.001)。MCE对应的HRs (95%CIs)为0.92 (0.81,1.05),HS为0.78 (0.68-0.89),IS为0.86(0.81 - 0.92),糖尿病为0.85(0.76-0.94)(线性趋势P值: MCE, 0.118; 其他终点< 0.001)。

与此同时,现代饮食模式与主要心脏代谢性疾病之间也存在着负相关关系(表3)。最高与最低水平比较的调整HRs值为:CVD 0.89 (95%CI, 0.86-0.92), MCE 0.88 (0.77-0.99), HS 0.67 (0.59-0.77),IS为0.85(0.80-0.89)(所有线性趋势P值均≤0.001)。依从性最高的参与者比依从性最低者患糖尿病的风险低11% (95%CI, 3-19%)(线性趋势P: 0.015)。

在排除在前2年随访中出现的终点或添加使用他汀类药物或阿司匹林的调整后,结果仍无实质性变化。与不坚持任何一种饮食模式相比,同时坚持两种模式与较低的CVD风险(0.83,0.79-0.87)和HS风险(0.65,0.52-0.80)相关(交互P分别< 0.001和0.012)。两种模式的参与者患MCE(0.75, 0.62-0.92)、IS(0.81, 0.74-0.89)和糖尿病(0.77,0.66-0.89)的风险也较低,但倍增效应不显著。

对于传统的北方模式,HS和IS的风险女性比男性更强(交互P: 0.032和0.020)。同时,传统北方模式与HS和糖尿病之间的关联程度在高血压个体中比非高血压个体更为明显(交互P:<0.001)。坚持现代模式的女性比男性在 MCE 风险方面有较大的降低(交互 P:< 0.001)。与非糖尿病患者相比,现代模式导致的 HS 和 IS 风险降低较低(交互 P:分别为 0.027 和 < 0.001)。

本研究从50万中国成年人的数据中总结了传统的北方饮食模式,其特点是主要摄入小麦、其他主食和鸡蛋、适量摄入奶制品、少吃大米和腌制蔬菜;而现代饮食模式的特色为大量摄入新鲜水果,肉类,家禽,鱼,奶制品和大豆。坚持这两种饮食模式都与降低 CVD、MCE、HS、IS 和糖尿病风险有关。值得注意的是,符合这两种饮食模式的参与者的 CVD 风险降低了 17%,HS 风险降低了 35%。

总之,坚持传统北方饮食模式或现代饮食模式与中国成年人患CVD和糖尿病的风险较低有关。中国的饮食模式整合了传统食品,如豆制品。因此,饮食建议可以包括常见的当地食物,这将更有效地预防心脏代谢疾病。未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。

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    2021-10-07 sodoo
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    2021-11-09 tm10051981
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likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=973e5603541, createdName=ms8000000025759398, createdTime=Tue Sep 14 08:31:53 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
  4. 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createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Thu Sep 16 17:51:25 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051614, encodeId=eb60105161443, content=未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 20:22:35 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301327, encodeId=918e130132e8c, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, 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    2021-09-16 健康达人

    地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!

    0

  5. 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createdName=tm10051981, createdTime=Tue Nov 09 04:51:25 CST 2021, time=2021-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1983381, encodeId=11ba19833813c, content=<a href='/topic/show?id=b53d5124ee4' target=_blank style='color:#2F92EE;'>#心肌代谢#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51247, encryptionId=b53d5124ee4, topicName=心肌代谢)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=284b425, createdName=zll0625, createdTime=Sat Feb 19 00:51:25 CST 2022, time=2022-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1025893, encodeId=dad2102589354, content=地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Thu Sep 16 17:51:25 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051614, encodeId=eb60105161443, content=未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 20:22:35 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301327, encodeId=918e130132e8c, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1514828, encodeId=7ab8151482884, content=<a href='/topic/show?id=388a10124247' target=_blank style='color:#2F92EE;'>#饮食模式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101242, encryptionId=388a10124247, topicName=饮食模式)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28de10689201, createdName=ms6519009802973839, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575547, encodeId=2df415e55479d, content=<a href='/topic/show?id=cd9941326bc' target=_blank style='color:#2F92EE;'>#地中海#</a>, 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likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=973e5603541, createdName=ms8000000025759398, createdTime=Tue Sep 14 08:31:53 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
    2021-09-15 小小的丁香花

    未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。

    0

  6. 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createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Thu Sep 16 17:51:25 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051614, encodeId=eb60105161443, content=未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 20:22:35 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301327, encodeId=918e130132e8c, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1514828, encodeId=7ab8151482884, content=<a href='/topic/show?id=388a10124247' target=_blank style='color:#2F92EE;'>#饮食模式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101242, encryptionId=388a10124247, topicName=饮食模式)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28de10689201, createdName=ms6519009802973839, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575547, encodeId=2df415e55479d, content=<a href='/topic/show?id=cd9941326bc' target=_blank style='color:#2F92EE;'>#地中海#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41326, encryptionId=cd9941326bc, topicName=地中海)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=303116130321, createdName=wgx311, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051186, encodeId=5e8810511865a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=2d785605234, createdName=ms4000000114765638, createdTime=Tue Sep 14 16:51:20 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050177, encodeId=b10010501e75f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=973e5603541, createdName=ms8000000025759398, createdTime=Tue Sep 14 08:31:53 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
    2021-09-15 kksonne
  7. [GetPortalCommentsPageByObjectIdResponse(id=1989606, encodeId=676019896065b, content=<a href='/topic/show?id=5e202543023' target=_blank style='color:#2F92EE;'>#代谢性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25430, encryptionId=5e202543023, topicName=代谢性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6cc1239, createdName=sodoo, createdTime=Thu Oct 07 02:51:25 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1784100, encodeId=e2f11e84100b0, content=<a href='/topic/show?id=82d25e154b' target=_blank style='color:#2F92EE;'>#DASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5715, encryptionId=82d25e154b, topicName=DASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76fa353, createdName=tm10051981, createdTime=Tue Nov 09 04:51:25 CST 2021, time=2021-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1983381, encodeId=11ba19833813c, content=<a href='/topic/show?id=b53d5124ee4' target=_blank style='color:#2F92EE;'>#心肌代谢#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51247, encryptionId=b53d5124ee4, topicName=心肌代谢)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=284b425, createdName=zll0625, createdTime=Sat Feb 19 00:51:25 CST 2022, time=2022-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1025893, encodeId=dad2102589354, content=地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Thu Sep 16 17:51:25 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051614, encodeId=eb60105161443, content=未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 20:22:35 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301327, encodeId=918e130132e8c, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1514828, encodeId=7ab8151482884, content=<a href='/topic/show?id=388a10124247' target=_blank style='color:#2F92EE;'>#饮食模式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101242, encryptionId=388a10124247, topicName=饮食模式)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28de10689201, createdName=ms6519009802973839, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575547, encodeId=2df415e55479d, content=<a href='/topic/show?id=cd9941326bc' target=_blank style='color:#2F92EE;'>#地中海#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41326, encryptionId=cd9941326bc, topicName=地中海)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=303116130321, createdName=wgx311, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051186, encodeId=5e8810511865a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=2d785605234, createdName=ms4000000114765638, createdTime=Tue Sep 14 16:51:20 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050177, encodeId=b10010501e75f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=973e5603541, createdName=ms8000000025759398, createdTime=Tue Sep 14 08:31:53 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
  8. [GetPortalCommentsPageByObjectIdResponse(id=1989606, encodeId=676019896065b, content=<a href='/topic/show?id=5e202543023' target=_blank style='color:#2F92EE;'>#代谢性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25430, encryptionId=5e202543023, topicName=代谢性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6cc1239, createdName=sodoo, createdTime=Thu Oct 07 02:51:25 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1784100, encodeId=e2f11e84100b0, content=<a href='/topic/show?id=82d25e154b' target=_blank style='color:#2F92EE;'>#DASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5715, encryptionId=82d25e154b, topicName=DASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76fa353, createdName=tm10051981, createdTime=Tue Nov 09 04:51:25 CST 2021, time=2021-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1983381, encodeId=11ba19833813c, content=<a href='/topic/show?id=b53d5124ee4' target=_blank style='color:#2F92EE;'>#心肌代谢#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51247, encryptionId=b53d5124ee4, topicName=心肌代谢)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=284b425, createdName=zll0625, createdTime=Sat Feb 19 00:51:25 CST 2022, time=2022-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1025893, encodeId=dad2102589354, content=地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Thu Sep 16 17:51:25 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051614, encodeId=eb60105161443, content=未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 20:22:35 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301327, encodeId=918e130132e8c, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1514828, encodeId=7ab8151482884, content=<a href='/topic/show?id=388a10124247' target=_blank style='color:#2F92EE;'>#饮食模式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101242, encryptionId=388a10124247, topicName=饮食模式)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28de10689201, createdName=ms6519009802973839, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575547, encodeId=2df415e55479d, content=<a href='/topic/show?id=cd9941326bc' target=_blank style='color:#2F92EE;'>#地中海#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41326, encryptionId=cd9941326bc, topicName=地中海)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=303116130321, createdName=wgx311, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051186, encodeId=5e8810511865a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=2d785605234, createdName=ms4000000114765638, createdTime=Tue Sep 14 16:51:20 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050177, encodeId=b10010501e75f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=973e5603541, createdName=ms8000000025759398, createdTime=Tue Sep 14 08:31:53 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
    2021-09-15 wgx311
  9. [GetPortalCommentsPageByObjectIdResponse(id=1989606, encodeId=676019896065b, content=<a href='/topic/show?id=5e202543023' target=_blank style='color:#2F92EE;'>#代谢性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25430, encryptionId=5e202543023, topicName=代谢性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6cc1239, createdName=sodoo, createdTime=Thu Oct 07 02:51:25 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1784100, encodeId=e2f11e84100b0, content=<a href='/topic/show?id=82d25e154b' target=_blank style='color:#2F92EE;'>#DASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5715, encryptionId=82d25e154b, topicName=DASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76fa353, 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createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Thu Sep 16 17:51:25 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051614, encodeId=eb60105161443, content=未来的研究中可以生成一个基于传统北方和现代饮食模式特征的饮食指数,以评估中国人口的整体饮食质量,其趋势和潜在的健康效益。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 20:22:35 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301327, encodeId=918e130132e8c, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1514828, encodeId=7ab8151482884, content=<a href='/topic/show?id=388a10124247' target=_blank style='color:#2F92EE;'>#饮食模式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101242, encryptionId=388a10124247, topicName=饮食模式)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28de10689201, createdName=ms6519009802973839, createdTime=Wed Sep 15 08:51:25 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575547, encodeId=2df415e55479d, content=<a href='/topic/show?id=cd9941326bc' target=_blank style='color:#2F92EE;'>#地中海#</a>, 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likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=973e5603541, createdName=ms8000000025759398, createdTime=Tue Sep 14 08:31:53 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
    2021-09-14 ms4000000114765638

    学习了

    0

  10. 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    2021-09-14 ms8000000025759398

    学习了

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