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研究生:李新陸
研究生(外文):Lee Shin Lu
論文名稱:台灣地區老人飲食中維生素D攝取與代謝症候群之探討
論文名稱(外文):The relation of intakes of vitamin D in diet and metabolic syndrome in elderly Taiwanese
指導教授:李美璇李美璇引用關係
指導教授(外文):Lee Meei Shyuan
學位類別:碩士
校院名稱:國防醫學院
系所名稱:公共衛生學研究所
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:76
中文關鍵詞:維生素D國民營養調查代謝症候群老人
外文關鍵詞:vitamin Dnational nutrition surveymetabolic syndromeelderly
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背景:代謝症候群與壓力、生活型態、飲食、運動、肥胖(尤其是腹部肥胖)等因素有關。另外,維生素D主要是維持體內礦物質恆定與正常骨質發展有關。近年國外研究發現維生素D與慢性疾病有關。但國內維生素D與疾病之研究非常有限,故加以探討老人飲食中維生素D攝取與代謝症候群之關係。
目的:探討台灣老人飲食中維生素D攝取情形及老人飲食中維生素D
攝取與代謝症候群之關係
方法:以國民營養健康狀況變遷老人調查1999-2000資料為研究材料。利用24小時飲食回憶問卷估算老人飲食中維生素D攝取量,而補充劑含維生素D的部分則利用飲食頻率問卷計算每日食用次數並且參考市售營養補充劑含量估算之。以其個人總攝取量探討與代謝症候群之關係。估算維生素D數值參考美國、日本、芬蘭等國家食物成份資料庫中維生素D數值加以配合台灣飲食成分換算修改之。
結果:老人教育程度越高、經濟狀況越好,維生素D攝取值越高,有趨勢存在。有抽菸習慣者在維生素D攝取會低於沒有抽菸習慣者,而含維生素D補充劑攝取方面,隨著年齡越大,維生素D攝取值也越高。代謝症候群方面。維生素D攝取與HDL呈現正相關,隨著維生素D攝取越高,HDL有上升的趨勢;維生素D攝取與TG、血糖、腰圍呈負相關,隨著維生素D攝取越高,TG、血糖、腰圍有下降的趨勢。危險性方面,隨著維生素D攝取越高,HDL、TG異常的危險性有下降的趨勢。
結論:代謝症候群指標危險性,隨著維生素D攝取越高,HDL異常、
TG異常的危險性有下降的趨勢。
Abstract
Background: The metabolic syndrome (MS) is related to stress, lifestyle, diet, physical activity and obesity (especially central obesity). Vitamin D status was known to be related to bone mineral. Vitamin D deficiency has been found a risk factor for chronic diseases. There was limited vitamin D research in Taiwan.

Purpose: To estimate vitamin D intakes and its relationship to MS elderly Taiwanese.

Method: Data collected in the Elderly Nutrition and Health Survey in Taiwan (Elderly NAHSIT), 1999-2000, have been used in the present study to examine the possible effects of vitamin D on MS and its components. From a 24-hour dietary recall and a food frequency questionnaire, have been estimated vitamin D by using the food compositon data of other countries, such as United States, Japan and Finland.

Result: Eldery with higher education and better economic status has higher vitamin D intake. There is a significant p value for trend. Smokers consumed less vitamin D than non-smokers. Vitamin D supplementation usage was increased along with age. Vitamin D intakes showed a positive correlation with serum HDL and triglycerides concentrations. In the components of MS, vitamin D was significantly inversely associated with prevalence of the abnormal HDL and TG concentrations.

Conclusion: In the presnt thesis, results indicated that vitamin D intakes may be associated with lower prevalence of the abnormal HDL and TG concentrations in MS.
目錄
正文目錄 1
表目錄 3
中文摘要 4
Abstract 6
正文目錄
第一章 背景及研究目的 7
壹、背景 7
貳、研究目的 9
第二章 文獻探討 10
第一節 代謝症候群定義 10
壹、1998 世界衛生組織(WHO)定義 12
貳、2001 美國膽固醇教育計畫NCEP ATP III定義 13
参、2005 國際糖尿病聯合會定義 13
肆、台灣地區代謝症候群指標 14
第二節 維生素D來源及其功能 15
壹、維生素D介紹及吸收 15
貳、維生素D攝取量及缺乏症 16
参、維生素D的生理作用 17
第三節 維生素D與疾病之關係 19
壹、人體內維生素D狀態 19
貳、維生素D與心血管疾病 19
参、維生素D與糖尿病 20
第四節 維生素D與代謝症候群組成因子之關係 22
壹、維生素D與高血壓 22
貳、維生素D與胰島素阻抗 23
参、維生素D與代謝症候群之關係 23
第三章 研究問題與假設 26
第一節 研究問題 26
第二節 研究假設 27
第四章 材料與方法 28
第一節 研究設計 28
第二節 研究對象及基本資料 29
第三節 研究工具 30
第四節 統計方法 33
壹、描述性統計 33
貳、分析性統計 33
第五章 結果 34
第一節 研究對象基本資料分佈及維生素D攝取情形 34
壹、基本變項描述 34
貳、影響維生素D攝取之預測因子 36
第二節 維生素D攝取與代謝症候群指標關係 38
壹、基本攝取分佈 38
貳、維生素D攝取與代謝症後群指標之相關 39
參、維生素D攝取四分位與代謝症候群指標之關係 40
肆、維生素D攝取與代謝症候群危險性之關係 41
第六章 討論 42
第一節、研究對象與基本資料分佈 42
壹、人口學變項 42
貳、社經地位 43
肆、日常活動量 44
第二節、維生素D攝取與代謝症候群指標關係之探討 46
壹、血糖與血壓 46
参、血脂方面 49
肆、維生素D攝取與代謝症候群風險性 51
第三節、研究限制 54
第七章 結論 55
第八章 參考文獻 56


表目錄
表5-1.國民營養健康狀況變遷老人調查1999-2000年基本資料分佈情形及維生素D攝取平均概況 62
表5-2. 國民營養健康狀況變遷老人調查1999-2000年影響維生素D攝取之預測因子 65
表5-3.代謝症候群指標分佈情形及維生素D攝取平均概況 67
表5-4.女性代謝症候群有無與基本資料分佈情形概況 69
表5-5.男性代謝症候群有無與基本資料分佈情形概況 70
表5-6.維生素D攝取與代謝症候群指標之相關性 71
表5-7.女性維生素D攝取四分位與代謝症候群指標之關係 72
表5-8.男性維生素D攝取四分位與代謝症候群指標之關係 73
表5-9.女性維生素D攝取四分位與代謝症候群指標危險性之探討 74
表5-10.男性維生素D攝取四分位與代謝症候群指標危險性之探討 75
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