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研究生:邱瓊玉
研究生(外文):ChiungYu
論文名稱:飲食習慣與慢性腎臟病之關係探討
論文名稱(外文):The association between Diet and Chronic Kidney Disease
指導教授:高森永高森永引用關係
指導教授(外文):Kao, Senyeong
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:2010
畢業學年度:98
語文別:中文
論文頁數:245
中文關鍵詞:慢性腎臟病飲食習慣
外文關鍵詞:Chronic Kidney Disease (CKD)Diet
相關次數:
  • 被引用被引用:3
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我國末期腎臟病人口與日俱增,依據美國腎臟登錄系統統計年報顯示,自2003年起我國之末期腎臟病發生率、盛行率已名列世界第一及第二。此外,雖然末期腎臟病病患人口僅佔全體健康保險人口約0.15%,但每年卻耗用超過7.2%之全民健康保險費用,對台灣社會與經濟各層面莫不造成沉重負擔。目前國人對慢性腎臟病 (Chronic Kidney Disease, CKD) 對健康的影響認識不深,而預防的部分更是不知如何著手。
本研究採病例對照研究設計,選自全國北中南地區共12家醫院之確診為慢性腎臟病的個案1,500人,對照組來源為醫院或社區健檢之成人,收案數為2,952人;採結構式問卷收集資料,請受訪者回憶過去曾經有過連續超過3個月以上的疾病史及飲食習慣等,在控制其他的干擾因子後,探討飲食習慣與慢性腎臟病之間的關係。
研究結果顯示,吃比較鹹食物的人可能有較高罹患CKD的風險(OR=1.258),有喝地下水或井水習慣的人罹患CKD的風險也較高(OR=2.261);而有喝咖啡習慣的人罹患CKD的風險較無此習慣的受試者來得低(OR=0.539)。根據本研究結果,建議預防慢性腎臟病的發生,國人應減少鹽分的攝取,早期預防來避免疾病的發生,是需要努力的方向。
The burden of chronic kidney disease (CKD) is growing. The incidence of end stage renal disease (ESRD) was 384 per million population in 2003 in Taiwan, which was the greatest incidence in the world. Moreover, a recent study found that the prevalence of persons with decreased glomerular filtration rate (GFR; 60 mL/min/1.73 m2[1.0 mL/s/1.73 m2]) was 6.9% in Taiwan. Fortunately, the large burden of CKD does not appear to be inevitable; there are many reasons to believe it can be reduced substantially. The very high prevalence of CKD and incidence of ESRD in Taiwan makes the study of risk factors for CKD a high priority issue in Taiwan's health care system.
We used case-controlled study, cases were 1,500 CKD patients and control group were 2,952 subjects. Used questionnaire to ask interviewers to recall disease history and eating habit for 3 months continuously in the past, after controlling other factors, analysis the association between eating habit and chronic kidney disease.
The result show that whose who eat saltier food may have higher risk of suffering from CKD (OR =1.258), drink groundwater get higher risks of CKD (OR =2.261); drink coffee at lower risk of CKD than have non-coffee consumption persons (OR =0.539). According to this result of study, propose preventing the emergence of the chronic kidney disease can be detected and treated and that adverse outcomes of CKD can be prevented or delayed.
表目錄 III
圖目錄 VI
附錄目錄 VII
中文摘要 VIII
Abstract IX
第一章 緒 論 1
第一節 問題背景 1
第二節 研究動機 6
第三節 研究之必要性與重要性 7
第四節 研究目的 8
第二章 文獻探討 9
第一節 腎臟病變之致病機轉及疾病自然史 9
第二節 性別、年齡與慢性腎臟病之關係 13
第三節 教育程度與慢性腎臟病之關係 14
第四節 疾病史與慢性腎臟病之關係 15
第五節 飲食習慣與慢性腎臟病之關係 16
第三章 研究方法與步驟 17
第一節 研究架構 17
第二節 研究假設 18
第三節 研究變項操作型定義 19
第四節 研究對象 22
第五節 研究工具 23
第六節 資料收集方法與步驟 24
第七節 資料處理方法 25
第八節 研究流程 27
第四章 研究結果 28
第一節 收案結果 28
第二節 罹患慢性腎臟病之飲食習慣分析 30
第三節 慢性腎臟病與高危險群性飲食習慣之分析 39
第四節 慢性腎臟病與健康對照組飲食習慣之分析 42
第五節 不同期別飲食習慣與慢性腎臟病之分析 46
第五章 討論 57
第一節 個人基本特質與慢性腎臟病之關係探討 57
第二節 飲食習慣與慢性腎臟病之關係探討 60
第三節 研究限制與缺失 62
第六章 結論與建議 63
第一節 結論 63
第二節 建議 64
參考文獻 66
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