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PLOS MED：合理膳食降低低收入人群疾病死亡率

2015-05-29 MedSci MedSci原创

死亡率心血管疾病癌症
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 根据美国膳食指南（DGA）的定义，一份健康的膳食与更低的慢性疾病发病率和死亡率有所联系，这是主要在非西班牙裔白人中的研究得出的结论。但是这种联系是否可以推及到非裔美国人和低收入人群尚不得知。DGA的目标是促进健康以及预防慢性疾病，主要是向2岁以上人群通过提供循证的营养指导来实现的。健康饮食指数（HEI）也因此应运而生。更高的HEI评分就表明了膳食质量高，这与更低水平的肥胖和炎症以及更低

根据美国膳食指南（DGA）的定义，一份健康的膳食与更低的慢性疾病发病率和死亡率有所联系，这是主要在非西班牙裔白人中的研究得出的结论。但是这种联系是否可以推及到非裔美国人和低收入人群尚不得知。DGA的目标是促进健康以及预防慢性疾病，主要是向2岁以上人群通过提供循证的营养指导来实现的。健康饮食指数（HEI）也因此应运而生。更高的HEI评分就表明了膳食质量高，这与更低水平的肥胖和炎症以及更低风险罹患糖尿病、心血管疾病（CVD）和癌症有关系。

美国农业部和卫生和人力资源部每五年更新一次DGA和HEI用以反映最近的营养证据。相对于HEI-2005，2010版的HEI更着重关注食物质量。研究人员对南部社区进行了队列研究，检验坚持DGA指导和总体的以及具体原因死亡率的关系。此次前瞻性研究共召集了84735名成年人，年龄在40-79岁之间。他们中大多数来自于低收入群体。经过了平均6.2年的跟踪随访，共发生了6906起死亡，包括2244人死于心血管疾病，1794人死于癌症，2550人死于其他疾病。更高的HEI-2010值与更低风险的疾病死亡有关。HEI-2005值夜和更低的疾病死亡率有关。

此次研究表明，在低收入人群中，坚持DGA的指导与更低的疾病死亡率有关。这说明，合理的膳食结构有利于降低疾病死亡风险。

原始出处：
Yu D, Sonderman J, Buchowski MS,McLaughlin JK, Shu X-O, Steinwandel M, et al.(2015) Healthy Eating and Risks of Total and CauseSpecific Death among Low-Income Populations of African-Americans and Other Adults in the Southeastern United States: A Prospective Cohort Study. PLoS Med 12(5): e1001830. doi:10.1371/
journal.pmed.1001830

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    2016-02-06 Homburg

    #低收入#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1953982, encodeId=fab8195398212, content=<a href='/topic/show?id=1c6a262184c' target=_blank style='color:#2F92EE;'>#低收入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26218, encryptionId=1c6a262184c, topicName=低收入)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87d405, createdName=Homburg, createdTime=Sat Feb 06 17:33:00 CST 2016, time=2016-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=25497, encodeId=b1052549e78, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Sun May 31 20:48:00 CST 2015, time=2015-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1350285, encodeId=56d6135028552, content=<a href='/topic/show?id=224a85904ad' target=_blank style='color:#2F92EE;'>#膳食#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85904, encryptionId=224a85904ad, topicName=膳食)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun May 31 12:33:00 CST 2015, time=2015-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606513, encodeId=6973160651355, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sun May 31 12:33:00 CST 2015, time=2015-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=25420, encodeId=7d3125420e0, content=加强控制, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0d231626576, createdName=jjzouyan, createdTime=Sat May 30 18:07:00 CST 2015, time=2015-05-30, status=1, ipAttribution=)]
    2015-05-31 huaxipanxing

    看看

    0

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    2015-05-31 zhaojie88

    #膳食#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1953982, encodeId=fab8195398212, content=<a href='/topic/show?id=1c6a262184c' target=_blank style='color:#2F92EE;'>#低收入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26218, encryptionId=1c6a262184c, topicName=低收入)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87d405, createdName=Homburg, createdTime=Sat Feb 06 17:33:00 CST 2016, time=2016-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=25497, encodeId=b1052549e78, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Sun May 31 20:48:00 CST 2015, time=2015-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1350285, encodeId=56d6135028552, content=<a href='/topic/show?id=224a85904ad' target=_blank style='color:#2F92EE;'>#膳食#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85904, encryptionId=224a85904ad, topicName=膳食)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun May 31 12:33:00 CST 2015, time=2015-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606513, encodeId=6973160651355, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sun May 31 12:33:00 CST 2015, time=2015-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=25420, encodeId=7d3125420e0, content=加强控制, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0d231626576, createdName=jjzouyan, createdTime=Sat May 30 18:07:00 CST 2015, time=2015-05-30, status=1, ipAttribution=)]
    2015-05-31 ms3994565386320060

    #Med#

    0

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    2015-05-30 jjzouyan

    加强控制

    0

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