(3.239.56.184) 您好!臺灣時間:2021/05/19 06:14
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:::

: 
twitterline
研究生:黃雅鈴
研究生(外文):Huang, Ya-Ling
論文名稱:台灣地區國人含糖飲料攝取狀況與慢性疾病之相關性研究
論文名稱(外文):Intake of Sugar-sweetened Beverages and Its Association with Chronic Disease in Taiwan
指導教授:高美丁高美丁引用關係
指導教授(外文):Kao, Mei-Ding
口試委員:王瑞蓮翁瑤棽
口試委員(外文):Wang, Jui-LineWeng, Yao-Lin
口試日期:100.07.21
學位類別:碩士
校院名稱:靜宜大學
系所名稱:食品營養學系
學門:醫藥衛生學門
學類:營養學類
論文種類:學術論文
論文出版年:2011
畢業學年度:99
語文別:中文
論文頁數:131
中文關鍵詞:含糖飲料2005-2008國民營養健康狀況變遷調查
外文關鍵詞:Sugar-sweetened beveragesNutrition and Health Survey in Taiwan 2005-2008
相關次數:
  • 被引用被引用:5
  • 點閱點閱:2391
  • 評分評分:
  • 下載下載:172
  • 收藏至我的研究室書目清單書目收藏:0
背景與目的:含糖飲料攝取的增加是全球的趨勢,許多歐美研究指出含糖飲料攝取可能與多種代謝、心血管慢性病有關,但之間的關係尚不明確,且國內相關的研究文獻也較為缺乏。因此本研究目的是以國內的調查資料探討台灣地區國人含糖飲料攝取狀況與慢性疾病之相關性研究。方法:本研究使用2005-2008國民營養健康狀況變遷調查資料庫,該資料庫包含對台灣地區民眾進行飲食內容與行為的紀錄、人體測量、臨床血液生化量測等體檢資料。本研究選取資料庫中19歲以上樣本,完成全部問卷及體檢內容且符合研究條件者共1542人。研究變項含基本人口學資料、人體測量、含糖飲料攝取、二十四小時飲食回憶、血液生化值與疾病。統計使用多元線性迴歸探討飲料攝取與腰圍、血壓與血清尿酸值間的關係,並使用多元邏輯斯迴歸探討含糖飲料攝取對罹患肥胖、高血壓與高尿酸血症風險的影響。結果:受試者的含糖飲料攝取頻率平均為每週3.9次,男性為4.6次,女性為3.2次。而迴歸模型以年齡、性別、心血管−代謝疾病、每日營養熱量攝取等變項做為控制因子。由R2值顯示線性迴歸能預測含糖飲料攝取對腰圍、血壓與血清尿酸值之解釋程度(R2: 0.12-0.35),且邏輯斯回歸亦能預測含糖飲料攝取對罹患肥胖、高血壓與高尿酸血症的風險(R2: 0.05-0.24)。由線性迴歸係數發現除了血清尿酸值外,含糖飲料的攝取會使腰圍與血壓出現微幅增加的傾向,但未達顯著水準。由邏輯斯回歸勝算比發現含糖飲料攝取並未顯著地影響罹患肥胖、高血壓與高尿酸血症的風險。結論:本研究初步發現在控制影響因子後,成人含糖飲料的攝取會使腰圍與血壓出現微幅增加的傾向,但不影響罹患肥胖、高血壓與高尿酸血症的風險。依據本研究之結果以及過去文獻之發現,建議成人應減少含糖飲料的攝取以降低腰圍與血壓值上升的現象。
Background and purpose: Increased consumption of sugar-sweetened beverages (SSB) is a worldwide trend. Studies have shown that SSB consumption associates with the risk of cardiovascular and metabolic diseases, despite the relations were not yet conclusive and evidences from domestic researches remain scarce. Therefore, this study aims to investigate the relation between SSB intake and the risk of chronic diseases. Method: We analyze data from the Nutrition and Health Survey in Taiwan 2005-2008, which containing dietary habits questionnaire, 24-hour food recall, anthropometric measures and blood biochemical tests. Total 1542 adult (age > 19) subjects who completed both questionnaire and physiological measures were recruited. We analyzed variables including basic demographics, anthropometrics, SSB intake, dietary profile, 24-hours food recall, blood biochemical measures, blood pressure and cardiovascular-metabolic diseases. Linear regression is used to exam the relation between SSB intake and waist circumference, blood pressure and serum uric acid; logistic regression is used to exam the effect of SSB intake on the risk of obesity, hypertension and hyperuricemia. Results: The averaged SSB intake frequency is 3.9 per week (male: 4.6; female: 3.2). After adjusting age, sex, diseases and dietary profile, the regression models could predict the waist circumference, blood pressure , serum uric acid (R2: 0.12-0.35), and the risk of obesity, hypertension, hyperuricemia (R2: 0.05-0.24). In the linear regression model, SSB consumption shows a trend of increasing the waist circumference blood pressure, but no significant difference. In the logistic regression model, SSB consumption does not significantly increase the risk of obesity, hypertension and hyperuricemia. Conclusion: Our preliminary results show that SSB consumption has a trend to increase the waist circumference and blood pressure slightly, but does not affect of risk of obesity, hypertension and hperuricemia. Based on our results and current evidences, we suggest that adult people should reduce the intake of SSB to prevent the elevation of waist circumference and blood pressure.
中文摘要…………………………………………….................................1
英文摘要…………………………………………..................................3
致謝………………………………………………....................................5
目錄…………………………………………….....................................6
表目錄……………………………………………………………………….8
第一章 緒論………………………………………….……………....10
第一節 研究動機………………………………………………..10
第二節 研究目的………………………………………………..12
第二章 文獻回顧…………………………………………………....13
第一節 國人常見慢性病之簡介…....................……………..13
第二節 常見慢性病的成因與危險因子……….………………..20
第三節 含糖飲料之簡介……………………………….....…..33
第四節 含糖飲料對健康之影響…………………..............38
第三章 材料與方法……………………………………................44
第一節 資料庫介紹…………….………….……….………….44
第二節 研究架構………………………………………………...46
第三節 研究對象……………………………….……………...48
第四節 問卷資料架構及體檢內容……………………………..49
第五節 統計分析…………………………….……..……….51
第四章 結果………………………………...........................53
第一節 資料基本描述…………………………....……..…53
第二節 變項間關係…………………………………...……55
第三節 飲料對腰圍、血壓與血清尿酸值的影響…........57
第四節 飲料對肥胖、高血壓與高尿酸血症風險的影響.....64
第五章 討論…………………………………………………….....71
第一節 國內成人的含糖飲料攝取情形…………….……...72
第二節 含糖飲料對腰圍、血壓與血清尿酸值之影響………..75
第三節 含糖飲料對肥胖、高血壓與高尿酸血症影響......…….79
第四節 限制…………………………………….………….…...82
第六章 結論與建議…………………………………….…......84
第七章 參考文獻……………………………….....................85
附錄:實驗結果圖表………………………….........................94

Amato D, García-Contreras F, Paniagua R. Carbonated beverage consumption
and bone fractures. Arch Pediatr Adolesc Med. 2001;155:200-1
Apovian CM. Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA. 2004;292:927-34
Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM, et al. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension. 2006;47:296-308
Barquera S, Hernandez-Barrera L, Tolentino ML, Espinosa J, Ng SW, Rivera JA, et al. Energy intake from beverages is increasing among Mexican adolescents and adults. J Nutr. 2008;138:2454-61
Beunza JJ, Martínez-González MA, Ebrahim S, Bes-Rastrollo M, Núñez J, Martínez JA, et al. Sedentary behaviors and the risk of incident hypertension: the SUN Cohort. Am J Hypertens. 2007;20:1156-62
Blaustein MP. Sodium ions, calcium ions, blood pressure regulation, and
hypertension: a reassessment and a hypothesis. Am J Physiol. 1977;232:C165-73
Bleyer AJ, Shemanski LR, Burke GL, Hansen KJ, Appel RG. Tobacco, hypertension, and vascular disease: risk factors for renal functional decline in an older population. Kidney Int. 2000;57:2072-9
Block G. Foods contributing to energy intake in the US: Data from NHANES III and NHANES 1999-2000. J Food Compos Anal. 2004;17:439-47
Bomback AS, Derebail VK, Shoham DA, Anderson CA, Steffen LM, Rosamond WD, et al. Sugar-sweetened soda consumption, hyperuricemia, and kidney disease. Kidney Int. 2010;77:609-16
Brown CD, Higgins M, Donato KA, Rohde FC, Garrison R, Obarzanek E, et al. Body mass index and the prevalence of hypertension and dyslipidemia. Obes Res. 2000;8:605-19
Burt VL, Whelton P, Roccella EJ, Brown C, Cutler JA, Higgins M, et al. Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension. 1995;25:305-13
Carretero OA, Oparil S. Essential hypertension. Part I: definition and etiology. Circulation. 2000;101:329-35
Chen L, Caballero B, Mitchell DC, Loria C, Lin PH, Champagne CM, et al. Reducing consumption of sugar-sweetened beverages is associated with reduced blood pressure: a prospective study among United States adults. Circulation. 2010;121:2398-406
Chen Z, Boreham J. Smoking and cardiovascular disease. Semin Vasc Med. 2002;2:243-52
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JLJ, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560-72
Choi JW, Ford ES, Gao X, Choi HK. Sugar-sweetened soft drinks, diet soft drinks, and serum uric acid level: the Third National Health and Nutrition Examination Survey. Arthritis Rheum. 2008;59:109-16
Curhan GC, Forman JP. Sugar-sweetened beverages and chronic disease. Kidney Int. 2010;77:569-70
Dallongeville J, Marécaux N, Ducimetière P, Ferrières J, Arveiler D, Bingham A, et al. Influence of alcohol consumption and various beverages on waist girth and waist-to-hip ratio in a sample of French men and women. Int J Obes Relat Metab Disord. 1998;22:1178-83
Dhingra R, Sullivan L, Jacques PF, Wang TJ, Fox CS, Meigs JB, et al. Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community. Circulation. 2007;116:480-8
Dickson ME, Sigmund CD. Genetic basis of hypertension: revisiting angiotensinogen. Hypertension. 2006;48:14-20
Ebrahim S, Taylor F, Ward K, Beswick A, Burke M, Davey Smith G. Multiple risk factor interventions for primary prevention of coronary heart disease. Cochrane Database Syst Rev. 2011;19 (1):CD001561.
Esmaillzadeh A, Mirmiran P, Azizi F. Waist-to-hip ratio is a better screening measure for cardiovascular risk factors than other anthropometric indicators in Tehranian adult men. Int J Obes Relat Metab Disord. 2004;28:1325-32
Esposito K, Kastorini CM, Panagiotakos DB, Giugliano D. Prevention of type 2 diabetes by dietary patterns: a systematic review of prospective studies and meta-analysis. Metab Syndr Relat Disord. 2010;8:471-6
Evans AE, Springer AE, Evans MH, Ranjit N, Hoelscher DM. A descriptive study of beverage consumption among an ethnically diverse sample of public school students in Texas. J Am Coll Nutr. 2010;29:397-96
Farah V, Elased KM, Chen Y, Key MP, Cunha TS, Irigoyen MC, et al. Nocturnal hypertension in mice consuming a high fructose diet. Auton Neurosci. 2006;130:41-50
Feig DI, Kang DH, Johnson RJ. Uric acid and cardiovascular risk. N Engl J Med. 2008;359:1811-21
Feig DI, Kang DH, Nakagawa T, Mazzali M, Johnson RJ. Uric acid and hypertension. Curr Hypertens Rep. 2006;8:111-5
Forman JP, Choi H, Curhan GC. Fructose and vitamin C intake do not influence risk for developing hypertension. J Am Soc Nephrol. 2009;20:863-71
Freak-Poli R, Wolfe R, Peeters A. Risk of cardiovascular disease and diabetes in a working population with sedentary occupations. J Occup Environ Med. 2010;52:1132-7
Gersch MS, Mu W, Cirillo P, Reungjui S, Zhang L, Roncal C, et al. Fructose, but not dextrose, accelerates the progression of chronic kidney disease. Am J Physiol Renal Physiol. 2007;293:F1256-61
Grupp LA. The renin-angiotensin system: a multidimensional source of control over alcohol consumption. Alcohol Alcohol Suppl. 1991;1:421-6
Haddock RE, Hill CE. Sympathetic overdrive in obesity involves purinergic hyperactivity in the resistance vasculature. J Physiol. 2011;In press
Haddy FJ, Vanhoutte PM, Feletou M. Role of potassium in regulating blood flow and blood pressure. Am J Physiol Regul Integr Comp Physiol. 2006;290:R546-52
Hwu CM, Lin KH. Uric acid and the development of hypertension. Med Sci Monit. 2010;16:RA224-30
Jiménez-García R, Hernández-Barrera V, Jiménez-Trujillo I, Garrido PC, López de Andrés A, Gil de Miguel A. Trends in cardiovascular risk factors and lifestyle behaviors among Spanish adults with diabetes (1993-2003). J Diabetes Complications. 2009;23:394-400
Kawasaki T, Delea CS, Bartter FC, Smith H. The effect of high-sodium and low-sodium intakes on blood pressure and other related variables in human subjects with idiopathic hypertension. Am J Med. 1978;64:193-8
Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens. 2004;22:11-9
Kelley GA, Kelley KA, Tran ZV. Aerobic exercise and resting blood pressure: a meta-analytic review of randomized, controlled trials. Prev Cardiol. 2001;4:73-80
Kissileff HR. Effects of physical state (liquid-solid) of foods on food intake: procedural and substantive contributions. Am J Clin Nutr. 1985;42:956-65
Ko GT, So WY, Chow CC, Wong PT, Tong SD, Hui SS, et al. Risk associations of obesity with sugar-sweetened beverages and lifestyle factors in Chinese: the Better Health for Better Hong Kong health promotion campaign. Eur J Clin Nutr. 2010;64:1386-92
Kvaavik E, Andersen LF, Klepp KI. The stability of soft drinks intake from adolescence to adult age and the association between long-term consumption of soft drinks and lifestyle factors and body weight. Public Health Nutr. 2005;8:149-57
Lawes CM, Bennett DA, Lewington S, Rodgers A. Blood pressure and coronary heart disease: a review of the evidence. Semin Vasc Med. 2002;2:355-68
Lin BH, Huang CL, French SA. Factors associated with womens and childrens body mass indices by income status. Int J Obes Relat Metab Disord. 2004;28:536-42
Lin PH, Aickin M, Champagne C, Craddick S, Sacks FM, McCarron P, et al. Food group sources of nutrients in the dietary patterns of the DASH-Sodium trial. J Am Diet Assoc. 2003;103:488-96
Lindhorst J, Alexander N, Blignaut J, Rayner B. Differences in hypertension between blacks and whites: an overview. Cardiovasc J Afr. 2007;18:241-7
Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001;357:505-8
Malik VS, Popkin BM, Bray GA, Després JP, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation. 2010;121:1356-64
Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care. 2010;33:2477-83
Marriott BP, Cole N, Lee E. National estimates of dietary fructose intake increased from 1977 to 2004 in the United States. J Nutr. 2009;139:1228S-35S
Minami J, Ishimitsu T, Matsuoka H. Effects of smoking cessation on blood pressure and heart rate variability in habitual smokers. Hypertension. 1999;33:586-90
Mueller NT, Odegaard A, Anderson K, Yuan JM, Gross M, Koh WP, et al. Soft drink and juice consumption and risk of pancreatic cancer: the Singapore Chinese Health Study. Cancer Epidemiol Biomarkers Prev. 2010;19:447-55
Nguyen S, Choi HK, Lustig RH, Hsu CY. Sugar-sweetened beverages, serum uric acid, and blood pressure in adolescents. J Pediatr. 2009;154:806-13
Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med. 2004;27:205-10
Novo S, Lunetta M, Evola S, Novo G. Role of ARBs in the blood hypertension therapy and prevention of cardiovascular events. Curr Drug Targets. 2009;10:20-5
OToole TE, Conklin DJ, Bhatnagar A. Environmental risk factors for heart disease. Rev Environ Health. 2008;23:167-202
Odegaard AO, Koh WP, Arakawa K, Yu MC, Pereira MA. Soft drink and juice consumption and risk of physician-diagnosed incident type 2 diabetes: the Singapore Chinese Health Study. Am J Epidemiol. 2010;171:701-8
Pimenta E, Oparil S. Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors. Vasc Health Risk Manag. 2009;5:453-63
Popkin BM. Patterns of beverage use across the lifecycle. Physiol Behav. 2010;100:4-9
Popkin BM, Barclay DV, Nielsen SJ. Water and food consumption patterns of U.S. adults from 1999 to 2001. Obes Res. 2005;13:2146-52
Popkin BM, Nielsen SJ. The sweetening of the worlds diet. Obes Res. 2003;11:1325-32
Potter JF, Beevers DG. The possible mechanisms of alcohol associated hypertension. Ann Clin Res. 1984;16:97-102
Rahmouni K, Correia ML, Haynes WG, Mark AL. Obesity-associated hypertension: new insights into mechanisms. Hypertension. 2005;45:9-14
Rebello T, Hodges RE, Smith JL. Short-term effects of various sugars on antinatriuresis and blood pressure changes in normotensive young men. Am J Clin Nutr. 1983;38:84-94
Sánchez-Lozada LG, Tapia E, Jiménez A, Bautista P, Cristóbal M, Nepomuceno T, et al. Fructose-induced metabolic syndrome is associated with glomerular hypertension and renal microvascular damage in rats. Am J Physiol Renal Physiol. 2002;292:F423-9
Schaefer EJ, Gleason JA, Dansinger ML. Dietary fructose and glucose differentially affect lipid and glucose homeostasis. J Nutr. 2009;139:1257S-62S
Schneider HJ, Glaesmer H, Klotsche J, Böhler S, Lehnert H, Zeiher AM, et al. Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. J Clin Endocrinol Metab. 2007;92:589-94
Takahashi H. Sympathetic hyperactivity in hypertension. Nippon Rinsho. 2008;66:1495-502
Tieken SM, Leidy HJ, Stull AJ, Mattes RD, Schuster RA, Campbell WW. Effects of solid versus liquid meal-replacement products of similar energy content on hunger, satiety, and appetite-regulating hormones in older adults. Horm Metab Res. 2007;39:389-94
Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97:667-75
Wakabayashi I. Influence of body weight on the relationships of alcohol drinking with blood pressure and serum lipids in women. Prev Med. 2009;49:374-9
Wakabayashi I, Araki Y. Influences of gender and age on relationships between alcohol drinking and atherosclerotic risk factors. Alcohol Clin Exp Res. 2010;34:S54-60
West MJ, Summers KM, Huggard PR. Polymorphisms of candidate genes in essential hypertension. Clin Exp Pharmacol Physiol. 1992;19:315-8
Whelton PK, He J, Cutler JA, Brancati FL, Appel LJ, Follmann D, et al. Effects of oral potassium on blood pressure. Meta-analysis of randomized controlled clinical trials. JAMA. 1997;277:1624-32
Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med. 2002;136:493-503
White JS. Sugar-sweetened beverage effect on cardiovascular risk factors lacks significance. J Pediatr. 2010;156:860-1
Whitworth JA, World Health Organization ISoHWG. 2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. J Hypertens. 2003;21:1983-92
Wolf A, Bray GA, Popkin BM. A short history of beverages and how our body treats them. Obes Rev. 2008;9:151-64
Wollin SD, Jones PJ. Alcohol, red wine and cardiovascular disease. J Nutr. 2001;131:1401-4
Wyshak G. Teenaged girls, carbonated beverage consumption, and bone fractures. Arch Pediatr Adolesc Med. 2000;154:610-3
Xin X, He J, Frontini MG, Ogden LG, Motsamai OI, Whelton PK. Effects of alcohol reduction on blood pressure: a meta-analysis of randomized controlled trials. Hypertension. 2001;38:1112-7
古欣卉. 國中生飲用含糖飲料行為、網路成癮及其相關影響因素之關聯探討。: 雲林科技大學; 2005.
國民健康局. 台灣地區高血糖、高血脂、高血壓盛行率調查. 2002
張乃文. 國中學生含糖飲料主題課程介入之效果研究。: 國立臺灣師範大學; 2006.
曾明淑, 葉文婷, 潘文涵. 國民營養健康狀況變遷調查1993-1996 台灣地區居民之飲食特性. 國民營養現況1993-1996國民營養健康狀況變遷調果(修訂版)。台北市:行政院衛生署。. 1999:89-113
胡蘭沁. 國小高年級學童含糖飲料之消費和相關影響因素之研究-以高雄市為例: 國立台南大學; 2005.
行政院衛生署. 2005-2008 國民營養健康狀況變遷調查. 2009
王素梅、李河水. 台灣飲料消費現況與趨勢。食品市場資訊,2009;98(12):32-35 。




QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top