(3.227.0.150) 您好!臺灣時間:2021/05/08 09:10
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:鍾岱妤
研究生(外文):Dai-Yu
論文名稱:台灣老年人飲食型態與代謝症候群相關性之探討
論文名稱(外文):The relationship between food pattern and metabolic syndrome in the elderly in Taiwan
指導教授:葉志嶸葉志嶸引用關係
指導教授(外文):Chih-Jung Yeh
學位類別:碩士
校院名稱:中山醫學大學
系所名稱:公共衛生學系碩士班
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:87
相關次數:
  • 被引用被引用:3
  • 點閱點閱:343
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:1
研究背景:代謝症候群(Metabolic Syndrome)為一群代謝異常因子聚集的現象,且這些因子為心血管疾病之代謝因子。代謝症候群亦會增加罹患心血管疾病、糖尿病之罹病的風險與死亡率及全死因死亡率。而老年人代謝症候群之盛行率相當高,顯示代謝症候群為老年人一非常重要之健康議題。
研究目的:探討台灣65歲以上之老年人,飲食型態、飲食習慣及飲食禁忌行為與代謝症候群及其代謝因子之相關性。
材料與方法:本研究採用「1999年至2000年台灣地區老人營養健康狀況調查」的資料,共754位個案。使用因素分析從25項食物中萃取出不同飲食型態,並以羅吉斯迴歸分析飲食型態、飲食習慣及禁忌行為與代謝症候群及其代謝因子之相關性。
結果:本研究代謝症候群盛行率男性為16.12%,女性26.69%。並發現於男女性中攝取較多肉類,以及女性攝取豐富的豆製品及魚類之飲食型態,與代謝症候群及其代謝因子之較低風險有關。飲食習慣部分男生多吃肥肉或皮、多吃油炸食物、加調味料或以醬菜配飯(麵)會增加患有代謝因子之機率。禁忌行為量表發現女性對於飲食的忌諱較男性多
結論:本研究觀察出因健康而改變飲食之可能性,因此,近一步探索不同年齡層、種族或性別之特有飲食型態,及其與代謝因子之相關;以及建議政府推動健康飲食之相關概念,訂定有益代謝症候群之飲食型態,將對代謝症候群與心臟血管疾病之防治食物上有很大之助益


Background-Metabolic syndrome was a cluster of metabolic abnormalities which were related to cardiovascular risk factors. It increased risk of morbidity and mortality from cardiovascular disease (CVD), type 2 diabetes mellitus and all-cause death. Metabolic syndrome has become one of the major public health challenges, because of high prevalence among elderly.
Aims-The aims of our study were to examine the relationship between food patterns, dietary habits and food restriction behavior and metabolic syndrome among elderly aged 65 years or older in Taiwan.
Methods-Total of 754 eligible elderly were recruited from the Elderly Nutrition and Health Survey in Taiwan between 1999 and 2000. Factor analysis was performed to extract food patterns from 25 food groups. Associations between the extracted food patterns, dietary habits and food restriction behavior and metabolic syndrome were examined using logistic regression model.
Results-The prevalence of metabolic syndrome were 16.12% of males and 26.69%of females, respectively. The consumption of a meat in males and females, and both soy products and fish in females were inversely associated with metabolic syndrome and metabolic abnormalities. Higher intakes of high fat meat, fried foods, dips and pickles were positively associated with the metabolic syndrome. We found that more frequent food restriction behavior were among females than males.
Conclusions-Our study found that people may change their dietary habits because of self-consciousness of healthy status. Therefore we suggested that future study would examine the relationship between specific food patterns and metabolic syndrome at specific age, sex and ethnicity populations. Additionally, we recommend that government organizations should promote concept of health-diet and make dietary guidelines which were helpful for deceased risk of metabolic syndrome.


摘要......................................................II
第壹章、前言...............................................1
第貳章、文獻探討...........................................2
第一節 代謝症候群.......................................2
第二節 飲食型態.........................................5
第三節 代謝症候群與飲食型態.............................6
第參章、研究目的...........................................9
第肆章、材料與方法........................................10
第一節 研究對象........................................10
第二節 資料收集........................................11
第三節 代謝症候群定義..................................15
第四節 分析方法........................................16
第伍章、結果.............................................19
第一節 基本特性之分佈..................................19
第二節 因素分析........................................22
第三節 相關性分析......................................23
第陸章、討論.............................................32
第柒章、結論與建議.......................................37
第捌章、參考文獻.........................................39


1.行政院主計處, 人口統計, 行政院主計處, 2007.
2.Eckel, R.H., S.M. Grundy, and P.Z. Zimmet, The metabolic syndrome. Lancet, 2005. 365: p. 1415-28.
3.Hanson, R.L., G. Imperatore, P.H. Bennett, and W.C. Knowler, Components of the "metabolic syndrome" and incidence of type 2 diabetes. Diabetes, 2002. 51: p.3120-7.
4.Isomaa, B., P. Almgren, T. Tuomi, B. Forsen, K. Lahti, M. Nissen, M.R. Taskinen, and L. Groop, Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care, 2001. 24: p. 683-9.
5.Lakka, H.M., D.E. Laaksonen, T.A. Lakka, L.K. Niskanen, E. Kumpusalo, J. Tuomilehto, and J.T. Salonen, The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA, 2002. 288: p. 2709-16.
6.Rutter, M.K., J.B. Meigs, L.M. Sullivan, R.B. D''Agostino, Sr., and P.W. Wilson, C-reactive protein, the metabolic syndrome, and prediction of cardiovascular events in the Framingham Offspring Study. Circulation, 2004. 110: p. 380-5.
7.Cameron, A.J., J.E. Shaw, and P.Z. Zimmet, The metabolic syndrome: prevalence in worldwide populations. Endocrinol Metab Clin North Am, 2004. 33: p.351-75, table of contents.
8.行政院衛生署國民健康局. 台灣地區高血壓、高血糖、高血脂盛行率調查期末報告. 2002 [cited 2008 0622];Available from: http://www.bhp.doh.gov.tw/health91/pdf/3H/09.pdf.
9.行政院衛生署國民健康局, 代謝症候群防制工作手冊. 2007.
10.Alberti, K.G., P. Zimmet, and J. Shaw, The metabolic syndrome--a new worldwide definition. Lancet, 2005. 366: p. 1059-62.
11.Balkau, B. and M.A. Charles, Comment on the provisional report from the WHO consultation. European Group for the Study of Insulin Resistance (EGIR). Diabet Med, 1999. 16: p. 442-3.
12.Alberti, K.G. and P.Z. Zimmet, Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998. 15: p. 539-53.
13.Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation, 2002. 106: p. 3143-421.
14.Lemieux, I., A. Pascot, C. Couillard, B. Lamarche, A. Tchernof, N. Almeras, J. Bergeron, D. Gaudet, G. Tremblay, D. Prud''homme, A. Nadeau, and J.P. Despres, Hypertriglyceridemic waist: A marker of the atherogenic metabolic triad (hyperinsulinemia; hyperapolipoprotein B; small, dense LDL) in men? Circulation, 2000. 102: p.179-84.
15.Grundy, S.M., Hypertriglyceridemia, insulin resistance, and the metabolic syndrome. Am J Cardiol, 1999. 83: p. 25F-29F.
16.WHO. The Asia-Pacific Perspective: Redefining Obesity and its Treatment. 2000 [cited 2008 0625];Available from: https://asso.org.au/profiles/profs/reportsguides/obesity/371.
17.Tan, C.E., S. Ma, D. Wai, S.K. Chew, and E.S. Tai, Can we apply the National Cholesterol Education Program Adult Treatment Panel definition of the metabolic syndrome to Asians? Diabetes Care, 2004. 27: p. 1182-6.
18.行政院衛生署國民健康局. 成人(20歲以上)代謝症候群之判定標準. 2006 [cited 2008 5/15];Available from: http://www.bhp.doh.gov.tw/BHPnet/Portal/Them_Show.aspx?Subject=200712250023&Class=2&No=200712250123
19.Zimmet, P., K.G. Alberti, and J. Shaw, Global and societal implications of the diabetes epidemic. Nature, 2001. 414: p. 782-7.
20.Ford, E.S., W.H. Giles, and W.H. Dietz, Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA, 2002. 287: p. 356-9.
21.Hwang, L.C., C.H. Bai, and C.J. Chen, Prevalence of obesity and metabolic syndrome in Taiwan. J Formos Med Assoc, 2006. 105: p. 626-35.
22.Gu, D., K. Reynolds, X. Wu, J. Chen, X. Duan, R.F. Reynolds, P.K. Whelton, and J. He, Prevalence of the metabolic syndrome and overweight among adults in China. Lancet, 2005. 365: p. 1398-405.
23.Park, Y.W., S. Zhu, L. Palaniappan, S. Heshka, M.R. Carnethon, and S.B. Heymsfield, The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Arch Intern Med, 2003. 163: p. 427-36.
24.Panagiotakos, D.B., C. Pitsavos, C. Chrysohoou, J. Skoumas, D. Tousoulis, M. Toutouza, P. Toutouzas, and C. Stefanadis, Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study. Am Heart J, 2004. 147: p. 106-12.
25.Lidfeldt, J., P. Nyberg, C. Nerbrand, G. Samsioe, B. Schersten, and C.D. Agardh, Socio-demographic and psychosocial factors are associated with features of the metabolic syndrome. The Women''s Health in the Lund Area (WHILA) study. Diabetes Obes Metab, 2003. 5: p. 106-12.
26.Panagiotakos, D.B., C. Pitsavos, Y. Skoumas, and C. Stefanadis, The association between food patterns and the metabolic syndrome using principal components analysis: The ATTICA Study. J Am Diet Assoc, 2007. 107: p. 979-87.
27.Wilson, P.W., R.B. D''Agostino, H. Parise, L. Sullivan, and J.B. Meigs, Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation, 2005. 112: p. 3066-72.
28.Hong, Y., X. Jin, J. Mo, H.M. Lin, Y. Duan, M. Pu, D.L. Wolbrette, and D. Liao, Metabolic syndrome, its preeminent clusters, incident coronary heart disease and all-cause mortality--results of prospective analysis for the Atherosclerosis Risk in Communities study. J Intern Med, 2007. 262: p. 113-22.
29.Hu, G., T.A. Lakka, H.M. Lakka, and J. Tuomilehto, Lifestyle management in the metabolic syndrome. Metab Syndr Relat Disord, 2006. 4: p. 270-86.
30.Hu, F.B., Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol, 2002. 13: p. 3-9.
31.Randall, E., J.R. Marshall, S. Graham, and J. Brasure, Patterns in food use and their associations with nutrient intakes. Am J Clin Nutr, 1990. 52: p. 739-45.
32.Willett, W.C., NUTRUTIONAL EPIDEMIOLOGY. second ed. 1998, New York: Oxford University University, Inc.
33.Kant, A.K., B.I. Graubard, and A. Schatzkin, Dietary patterns predict mortality in a national cohort: the National Health Interview Surveys, 1987 and 1992. J Nutr, 2004. 134: p. 1793-9.
34.Kant, A.K., A. Schatzkin, B.I. Graubard, and C. Schairer, A prospective study of diet quality and mortality in women. JAMA, 2000. 283: p. 2109-15.
35.McCullough, M.L., D. Feskanich, M.J. Stampfer, E.L. Giovannucci, E.B. Rimm, F.B. Hu, D. Spiegelman, D.J. Hunter, G.A. Colditz, and W.C. Willett, Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance. Am J Clin Nutr, 2002. 76: p. 1261-71.
36.Lutsey, P.L., L.M. Steffen, and J. Stevens, Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study. Circulation, 2008. 117: p. 754-61.
37.Yoo, S., T. Nicklas, T. Baranowski, I.F. Zakeri, S.J. Yang, S.R. Srinivasan, and G.S. Berenson, Comparison of dietary intakes associated with metabolic syndrome risk factors in young adults: the Bogalusa Heart Study. Am J Clin Nutr, 2004. 80: p. 841-8.
38.Council, S.S.H. and M.o.H.a.W.o. Greece, Dietary guidelines for adults in Greece. Arch Hellenic Med, 1999. 16: p. 516-524.
39.Tortosa, A., M. Bes-Rastrollo, A. Sanchez-Villegas, F.J. Basterra-Gortari, J.M. Nunez-Cordoba, and M.A. Martinez-Gonzalez, Mediterranean diet inversely associated with the incidence of metabolic syndrome: the SUN prospective cohort. Diabetes Care, 2007. 30: p. 2957-9.
40.Esposito, K., R. Marfella, M. Ciotola, C. Di Palo, F. Giugliano, G. Giugliano, M. D''Armiento, F. D''Andrea, and D. Giugliano, Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA, 2004. 292: p. 1440-6.
41.Appel, L.J., M.W. Brands, S.R. Daniels, N. Karanja, P.J. Elmer, and F.M. Sacks, Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension, 2006.47:p.296-308.
42.Svetkey, L.P., D. Simons-Morton, W.M. Vollmer, L.J. Appel, P.R. Conlin, D.H. Ryan, J. Ard, and B.M. Kennedy, Effects of dietary patterns on blood pressure: subgroup analysis of the Dietary Approaches to Stop Hypertension (DASH) randomized clinical trial. Arch Intern Med, 1999. 159: p. 285-93.
43.Azadbakht, L., P. Mirmiran, A. Esmaillzadeh, T. Azizi, and F. Azizi, Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care, 2005. 28: p. 2823-31.
44.Bilsborough, S.A. and T.C. Crowe, Low-carbohydrate diets: what are the potential short- and long-term health implications? Asia Pac J Clin Nutr, 2003. 12: p. 396-404.
45.Larosa, J.C., A.G. Fry, R. Muesing, and D.R. Rosing, Effects of high-protein, low-carbohydrate dieting on plasma lipoproteins and body weight. J Am Diet Assoc, 1980. 77: p. 264-70.
46.Vernon, M.C., B. Kueser, M. Transue, H.E. Yates, W.S. Yancy, and E.C. Westman, Clinical experience of a carbohydrate-restricted diet for the metabolic syndrome. Metab Syndr Relat Disord, 2004. 2: p. 180-6.
47.Accurso, A., R.K. Bernstein, A. Dahlqvist, B. Draznin, R.D. Feinman, E.J. Fine, A. Gleed, D.B. Jacobs, G. Larson, R.H. Lustig, A.H. Manninen, S.I. McFarlane, K. Morrison, J.V. Nielsen, U. Ravnskov, K.S. Roth, R. Silvestre, J.R. Sowers, R. Sundberg, J.S. Volek, E.C. Westman, R.J. Wood, J. Wortman, and M.C. Vernon, Dietary carbohydrate restriction in type 2 diabetes mellitus and metabolic syndrome: time for a critical appraisal. Nutr Metab (Lond), 2008. 5: p. 9.
48.Bravata, D.M., L. Sanders, J. Huang, H.M. Krumholz, I. Olkin, and C.D. Gardner, Efficacy and safety of low-carbohydrate diets: a systematic review. JAMA, 2003. 289: p. 1837-50.
49.潘文涵. 國民營養健康狀況變遷調查. 台灣地區營養調查之沿革 [cited 2008 5/15];Available from: http://www.ibms.sinica.edu.tw/~pan/nahsit/history.htm.
50.潘文涵. 台灣地區老人營養健康狀況調查1999~2000. 簡介 [cited 2008 5/15];Available from: http://www.ibms.sinica.edu.tw/~pan/nahsit/nahsit2/oldman-book/CH1.htm.
51.潘文涵. 台灣地區老人營養健康狀況調查1999~2000. 抽樣設計 [cited 2008 5/15];Available from: http://www.ibms.sinica.edu.tw/~pan/nahsit/nahsit2/oldman-book/CH2.htm.
52.潘文涵, 洪永泰, 蕭寧馨, 林薇, 李世代, 邱正芬, 林盟喬, 陳思遠, 吳淑瓊, 杭極敏, 黃登源, 張欣儀, 杜素豪, 章雅惠, 葉文婷, and 蘇淑真, 台灣地區老人營養健康狀況調查1999-2000-調查設計、執行方式、及內容, 行政院衛生署食品衛生處.
53.林薇, 李雅雯, and 李蘭, 台灣地區老人營養健康狀況調查1999-2000-老年人飲食營養知識、態度與行為調查結果, 行政院衛生署食品衛生處.
54.呂金河編譯 and S.S. 原著, 多變量分析 (Applied Multivariate Techniques). 初版 ed. 民94年8月, 台中: 滄海書局.
55.葉志嶸, 以多層次分析模式探討家庭層次及個人層次因素對肥胖指標之影響, in 流行病學研究所2003, 國立臺灣大學: 台北.
56.Panagiotakos, D.B., C. Pitsavos, and C. Stefanadis, Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis, 2006. 16: p. 559-68.
57.Balder, H.F., M. Virtanen, H.A. Brants, V. Krogh, L.B. Dixon, F. Tan, S. Mannisto, R. Bellocco, P. Pietinen, A. Wolk, F. Berrino, P.A. Van den Brandt, A.M. Hartman, and R.A. Goldbohm, Common and country-specific dietary patterns in four European cohort studies. J Nutr, 2003. 133: p. 4246-51.
58.Wirfalt, A.K. and R.W. Jeffery, Using cluster analysis to examine dietary patterns: nutrient intakes, gender, and weight status differ across food pattern clusters. J Am Diet Assoc, 1997. 97: p. 272-9.
59.Pryer, J.A., A. Cook, and P. Shetty, Identification of groups who report similar patterns of diet among a representative national sample of British adults aged 65 years of age or more. Public Health Nutr, 2001. 4:p.787-95.
60.Foster, G.D., H.R. Wyatt, J.O. Hill, B.G. McGuckin, C. Brill, B.S. Mohammed, P.O. Szapary, D.J. Rader, J.S. Edman, and S. Klein, A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med, 2003. 348: p. 2082-90.
61.Yamato, M., T. Shiba, M. Yoshida, T. Ide, N. Seri, W. Kudou, S. Kinugawa, and H. Tsutsui, Fatty acids increase the circulating levels of oxidative stress factors in mice with diet-induced obesity via redox changes of albumin. FEBS J, 2007. 274: p. 3855-63.
62.Zhan, S. and S.C. Ho, Meta-analysis of the effects of soy protein containing isoflavones on the lipid profile. Am J Clin Nutr, 2005. 81: p. 397-408.
63.Azadbakht, L., M. Kimiagar, Y. Mehrabi, A. Esmaillzadeh, F.B. Hu, and W.C. Willett, Soy consumption, markers of inflammation, and endothelial function: a cross-over study in postmenopausal women with the metabolic syndrome. Diabetes Care, 2007. 30: p. 967-73.
64.Azadbakht, L., M. Kimiagar, Y. Mehrabi, A. Esmaillzadeh, M. Padyab, F.B. Hu, and W.C. Willett, Soy inclusion in the diet improves features of the metabolic syndrome: a randomized crossover study in postmenopausal women. Am J Clin Nutr, 2007. 85: p. 735-41.
65.Eilat-Adar, S., J. Xu, U. Goldbourt, E. Zephier, B.V. Howard, and H.E. Resnick, Sex may modify the effects of macronutrient intake on metabolic syndrome and insulin resistance in American Indians: the strong heart study. J Am Diet Assoc, 2008. 108: p. 794-802.
66.Ebbesson, S.O., P.M. Risica, L.O. Ebbesson, J.M. Kennish, and M.E. Tejero, Omega-3 fatty acids improve glucose tolerance and components of the metabolic syndrome in Alaskan Eskimos: the Alaska Siberia project. Int J Circumpolar Health, 2005. 64: p. 396-408.
67.Ebbesson, S.O., M.E. Tejero, E.D. Nobmann, J.C. Lopez-Alvarenga, L. Ebbesson, T. Romenesko, E.A. Carter, H.E. Resnick, R.B. Devereux, J.W. MacCluer, B. Dyke, S.L. Laston, C.R. Wenger, R.R. Fabsitz, A.G. Comuzzie, and B.V. Howard, Fatty acid consumption and metabolic syndrome components: the GOCADAN study. J Cardiometab Syndr, 2007. 2: p. 244-9.
68.Lombardo, Y.B., G. Hein, and A. Chicco, Metabolic syndrome: effects of n-3 PUFAs on a model of dyslipidemia, insulin resistance and adiposity. Lipids, 2007. 42: p. 427-37.
69.Azadbakht, L., P. Mirmiran, A. Esmaillzadeh, and F. Azizi, Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults. Am J Clin Nutr, 2005. 82: p. 523-30.
70.Snijder, M.B., A.A. van der Heijden, R.M. van Dam, C.D. Stehouwer, G.J. Hiddink, G. Nijpels, R.J. Heine, L.M. Bouter, and J.M. Dekker, Is higher dairy consumption associated with lower body weight and fewer metabolic disturbances? The Hoorn Study. Am J Clin Nutr, 2007. 85: p. 989-95.
71.Guallar-Castillon, P., F. Rodriguez-Artalejo, N.S. Fornes, J.R. Banegas, P.A. Etxezarreta, E. Ardanaz, A. Barricarte, M.D. Chirlaque, M.D. Iraeta, N.L. Larranaga, A. Losada, M. Mendez, C. Martinez, J.R. Quiros, C. Navarro, P. Jakszyn, M.J. Sanchez, M.J. Tormo, and C.A. Gonzalez, Intake of fried foods is associated with obesity in the cohort of Spanish adults from the European Prospective Investigation into Cancer and Nutrition. Am J Clin Nutr, 2007. 86: p. 198-205.
72.Hoffmann, I.S. and L.X. Cubeddu, Salt and the metabolic syndrome. Nutr Metab Cardiovasc Dis, 2008.




QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔