我国40岁及以上居民反式脂肪酸摄入与轻度认知功能障碍的关联研究:基于中国健康与营养调查
CSTR:
作者:
作者单位:

1.中国疾病预防控制中心营养与健康所,国家卫生健康委公共营养与健康重点实验室,北京 100050;2.国家食品安全风险评估中心,国家卫生健康委食品安全风险评估重点实验室,北京 100022

作者简介:

贾小芳 女 研究员 研究方向为营养流行病学 E-mail:jiaxf@ninh.chinacdc.cn

通讯作者:

刘爱东 男 研究员 研究方向为营养流行病学 E-mail:liuad@chinacdc.cn

中图分类号:

R155

基金项目:

国民营养素需要评估、食物环境评价及应用(102393220020070000013);国家卫生健康委公共营养与健康重点实验室开放课题(WLKFZ2024XX);卫健策略项目-中国减少工业反式脂肪酸成本分析研究项目;美国国立卫生研究院(R01-HD30880);国家财政项目中国居民营养状况变迁的队列研究(13103110700015005)


Association of trans fatty acid intake with mild cognitive impairment in Chinese adults aged 40 years and older: results from the China Health and Nutrition Survey
Author:
Affiliation:

1.National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, NHC Key Laboratory of Public Nutrition and Health, Beijing 100050, China;2.China National Center for Food Safety Risk Assessment, NHC Key Laboratory of Food Safety Risk Assessment, Beijing 100022, China

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    摘要:

    目的 分析我国居民反式脂肪酸(TFA)摄入与轻度认知功能障碍(MCI)的关系。方法 利用中国健康与营养调查2018年调查数据,选择40岁及以上且具有完整人口学、生活方式、疾病史、膳食调查、认知评估和体格测量数据的个体作为研究对象。利用连续3 d 24 h膳食回顾法收集食物消费信息,结合各类食物中TFA含量数据,评估个体每天TFA摄入状况。采用简明精神状态检查(MMSE)中文量表评估调查对象总体认知功能并判定是否为MCI。采用多因素Logistic回归分析TFA摄入量或五等分组(<0.55、0.55~0.90、0.91~1.31、1.32~2.13和≥2.14 g/d)和MCI的关联,采用限制性立方样条分析二者的剂量-反应关系。结果 研究共纳入4 507人,膳食TFA摄入量中位数(P25,P75)1.09(0.64,1.84)g/d,MCI患病率19.1%。TFA五等分组MCI患病率分别为20.7%、19.2%、17.0%、16.8%和21.9%,组间差异有统计学意义(P=0.030 7)。调整混杂因素(年龄、性别、文化程度、家庭收入水平、婚姻状况、居住地、吸烟、饮酒、身体活动水平、能量摄入量、慢性病史和BMI)后,TFA摄入显著增加MCI的发生可能性(OR=1.057,95%CI:1.004~1.111),且TFA摄入量Q5组发生MCI可能性是Q1组的1.338倍(95%CI:1.031~1.739)。年龄与TFA对发生MCI的可能性存在交互作用(P=0.014 5),40~64岁人群TFA摄入量Q5组较Q1组发生MCI的可能性(OR=1.537,95%CI:1.074~2.212)高于≥65岁人群(OR=1.135,95%CI:0.763~1.688)。结论 较高的TFA摄入可能增加我国40岁及以上居民的MCI患病率。合理膳食、减少TFA摄入对降低MCI具有重要意义。

    Abstract:

    Objective To analyze the relationship between trans fatty acid (TFA) intake and mild cognitive impairment (MCI) in Chinese residents.Methods Based on the 2018 survey data of the China Health and Nutrition Survey, subjects aged ≥40 years and those with completed data of demographics, lifestyle, disease history, dietary survey, cognitive assessment and physical measurement were selected. Data on food consumption collected by three consecutive 24 h dietary recalls, combined with food TFA composition data were used to assess daily TFA intake amount. The Chinese version of Mini-Mental State Examination (MMSE) was employed to measure global cognitive function and MCI was further identified. The association between TFA intake amount or groups by quintiles (<0.55, 0.55~0.90, 0.91~1.31, 1.32~2.13 and ≥2.14 g/d) and MCI was analyzed by multivariate Logistic regression and their dose-response relationship was explored by restricted cubic spline.Results A total of 4 507 subjects were included. The median (P25, P75) intake of TFA was 1.09 (0.64, 1.84) g/d, with MCI prevalence was 19.1% overall. The prevalence of MCI across quintiles of TFA intake was 20.7%, 19.2%, 17.0%, 16.8% and 21.9%, respectively. The differences were significant (P=0.030 7). After adjusting for confounders (age, gender, education attainment, household income, marital status, residence, smoking, alcohol intake, physical activity, energy intake, choronic disease history and BMI), TFA intake significantly increased the likelihood of MCI (OR=1.057, 95%CI: 1.004-1.111). The probability of MCI in the Q5 group was 1.338 times higher than that in the Q1 group (95%CI: 1.031-1.739). There was an interaction between age and TFA intake on the likelihood of MCI (P=0.014 5), the likelihood of MCI in the Q5 group in subjects aged 40-64 years relative to Q1 (OR=1.537, 95%CI: 1.074-2.212) was higher than that in ≥65-year-old group (OR=1.135, 95%CI: 0.763-1.688).Conclusion Higher TFA intake may increase the prevalence of MCI in Chinese residents aged 40 years and older. Reasonable diet and reducing TFA intake are of great significance to decrease MCI.

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贾小芳,方海琴,杜文雯,苏畅,黄绯绯,张晓帆,何宇纳,王惠君,刘爱东.我国40岁及以上居民反式脂肪酸摄入与轻度认知功能障碍的关联研究:基于中国健康与营养调查[J].中国食品卫生杂志,2025,37(1):24-30.

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  • 收稿日期:2024-12-30
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  • 在线发布日期: 2025-05-16
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