| Objectives Through this study,we can know the dietary intake and the prevalence of chronic diseases among population aged 45-60 y in Hefei,Anhui Province,and further explore the association between childhood nutritional environment and dietary behaviors,and the cause of chronic diseases in adulthood.It could provide early strategies for the prevention and treatment of chronic diseases.Methods Through the cross-sectional survey,the sample was selected from the medical center for physical examination,Anhui Province Hospital of Armed Police Forces from January 2012 to June 2012.A questionnaire survey was conducted to investigate the general characteristics of subjects,childhood dietary intake,adulthood eating behavior and dietary intake,and health-related behaviors.Subjects were measured for height,weight,and blood pressure,and body mass index was calculated.Serum was used to detect fasting blood glucose,blood lipid and uric acid levels.Data was input by Epi Data and statistical analysis of data was performed by using SPSS 16.0.Continuity data was compared by ANOVA or Kruskal-Wallis H test.The morbidity of obesity,diabetes,hypertension,hypertriglyceridemia and hypercholesterolemia in different group was compared by using chi-square test.The risk factors of disease were analyzed by multivariate logistic regression.According to the status of childhood dietary intake,the population will be divided into three groups: people who lacked of animal food intake and were based on coarse grains from 4-10 y were defined as childhood undernutrition group;people who lacked of animal and were based on coarse grain from 4-10 y,and contained animal food intake and refined grain-based from 11-18 y were defined as nutrition improvement group;people who had animal food intake and refined grain from 0-18 y were defined as better nutrition group.The better nutrition group was taken as the reference,to discuss the effect of nutritional environment in childhood on chronic diseases in adulthood.Results A total of 1659 subjects were enrolled in this study,including 976 males(58.8%)and 683 females(41.2%).The average age of the population was 51.0 ± 4.6 years,mostly in the 45-49 years(40.0%).Compared with the physical and biochemical indexes in different nutrition groups,among male population: the differences of height and weight among different groups of nutritional status have statistical significance(P<0.05).There was no statistical difference in BMI,waist circumference and hip circumference.There was no statistical difference in systolic blood pressure and diastolic blood pressure among the three groups(P>0.05).On the other serum markers,except the total cholesterol was statistically significant(P=0.037),There was no significant difference in other measurements.Among female population: There was a significant difference in height among different childhood nutritional status groups(P=0.01).There was no statistical difference in weight and BMI among the three groups.There was significant difference among the three groups in terms of waist circumference and hip circumference(P<0.05).In terms of LDL cholesterol,different nutrition groups also showed statistical difference(P<0.007).In other serum indicators,there was no statistical difference among the three groups.After adjusting for age,education,overweight/obesity and dietary intake,the prevalence of hypertension in the undernutrition and nutritional improvement groups was 1.58 times higher than that in the better nutrition group(OR=1.58,95%CI:1.04-2.41,P<0.05)and 1.69-fold(OR=1.69,95%CI:1.05-2.71,P<0.05)in male population.In the female population,the risk of hypertension in nutritional deficiencies and nutritional improvement groups were 1.54-fold(OR=1.54,95%CI:1.02-2.27,P<0.05)and 1.68-fold(OR=1.62,95%CI:1.03-2.59,P<0.05).However,for diabetes,obesity,hypercholesterolemia or hypertriglyceridemia,our results did not found difference between the three groups both in male and female.Conclusions Lack of nutrition during childhood can lead to poor dietary behavior during the middle-aged period of,and the risk of hypertension is increased as a result of both.Whether male or female,children who have experienced nutritional deficiencies still have the risk of developing hypertension even if they have nutritional improvements.In childhood,the body's growth and development are in a critical period,the relevant eating behaviors are gradually formed,and the above results suggest that we should pay attention to the nutritional status of childhood,it is important for scientific prevention of chronic diseases. |
PDF Full Text Request