吴函, 吴岷, 郁建国, 李静, 何更生, 厉曙光, 赵琦, 陈波, 赵根明. 上海市松江区职业人群在外就餐行为与肥胖的关系[J]. 环境与职业医学, 2020, 37(10): 950-956. DOI: 10.13213/j.cnki.jeom.2020.20231
引用本文: 吴函, 吴岷, 郁建国, 李静, 何更生, 厉曙光, 赵琦, 陈波, 赵根明. 上海市松江区职业人群在外就餐行为与肥胖的关系[J]. 环境与职业医学, 2020, 37(10): 950-956. DOI: 10.13213/j.cnki.jeom.2020.20231
WU Han, WU Min, YU Jian-guo, LI Jing, HE Geng-sheng, LI Shu-guang, ZHAO Qi, CHEN Bo, ZHAO Gen-ming. Association between eating out and obesity among occupational populations in Songjiang District of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2020, 37(10): 950-956. DOI: 10.13213/j.cnki.jeom.2020.20231
Citation: WU Han, WU Min, YU Jian-guo, LI Jing, HE Geng-sheng, LI Shu-guang, ZHAO Qi, CHEN Bo, ZHAO Gen-ming. Association between eating out and obesity among occupational populations in Songjiang District of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2020, 37(10): 950-956. DOI: 10.13213/j.cnki.jeom.2020.20231

上海市松江区职业人群在外就餐行为与肥胖的关系

Association between eating out and obesity among occupational populations in Songjiang District of Shanghai

  • 摘要: 背景

    职业人群在外就餐情况较为普遍,而目前鲜有研究探索其与超重肥胖的关系。

    目的

    研究上海市松江区职业人群在外就餐行为与超重肥胖的关系。

    方法

    采用自行设计的电子平板问卷对上海市松江区1 904名职业人群进行一般情况调查、食物频率问卷调查(FFQ)和常规体格检查。采用logistic回归模型分析在外就餐频率与超重肥胖间的关系。采用多元线性回归模型分析在外就餐频率与中国健康饮食指数(CHEI)总分和各指标得分、能量及营养素摄入间的关系。根据每月在外就餐的频率(0、1~5、6~15、≥16次)将研究对象分为以下四组:非在外就餐组、低频率在外就餐组、中频率在外就餐组和高频率在外就餐组。

    结果

    受访人群中,非在外就餐组、低频率在外就餐组、中频率在外就餐组和高频率在外就餐组的人数和占比分别为952(50.0%)、735(38.6%)、97(5.1%)和120(6.3%);超重、肥胖和中心型肥胖的人数和检出率分别为753(39.55%)、263(13.81%)和300(15.76%)。校正个人基本情况和能量摄入的影响后,高频率在外就餐组人群发生肥胖和中心型肥胖的风险及其95% CI分别是非在外就餐组的2.08(1.12~3.87)倍和2.18(1.31~3.63)倍。随着在外就餐频率的增加,能量、添加糖、酒精摄入明显增加,校正能量后的蛋白质摄入和供能比、饱和脂肪酸的摄入也明显增加;校正能量后的碳水化合物供能比、谷类和食用油摄入均下降。

    结论

    上海市松江区职业人群在外就餐情况较为普遍,高频率在外就餐者发生肥胖和中心型肥胖的风险增加;这一风险的增加可能与高频率在外就餐者能量以及蛋白质、饱和脂肪酸摄入过高有关。

     

    Abstract: Background

    Occupational populations have a relatively high frequency of eating out, yet few studies have explored its association with overweight and obesity.

    Objective

    This study examines the association between eating out and overweight/obesity among occupational populations in Songjiang District of Shanghai.

    Methods

    A total of 1 904 workers in Songjiang District of Shanghai were investigated with selfdesigned questionnaire and Food Frequency Questionnaire (FFQ) on table devices to collect their general information and dietary habits. Logistic regression models were used to analyze the association between eating out and obesity. Multiple linear regression models were adopted to explore the associations of eating out with energy consumption, intake of nutrients, and the total score and component score of the Chinese Healthy Eating Index (CHEI). The participants were divided into four groups according to their frequency of eating out per month:non-eating out group, low-frequency eating out group (1-5 times), moderate-frequency eating out group (6-15 times), and high-frequency eating out group (≥ 16 times).

    Results

    Among the 1 904 participants, there were 952 (50.0%), 735 (38.6%), 97 (5.1%), and 120 (6.3%) participants in the non-eating out group, low-frequency eating out group, moderate-frequency eating out group, and high-frequency eating out group, respectively. The numbers and prevalence rates of participants being overweight, obesity, and central obesity were 753(39.55%), 263(13.81%), and 300(15.76%), respectively. After adjusting for the variables of personal information and energy consumption, the high-frequency eating out group had significantly higher risks of obesity (OR=2.08, 95% CI:1.12-3.87) and central obesity (OR=2.18, 95% CI:1.31-3.63) than the non-eating out group did. With increasing frequency of eating out, energy, added sugars, and alcohol intake, and the energy-adjusted protein intake and protein-to-energy ratio, and intake of saturated fatty acid (SFA) increased significantly, while the energy-adjusted carbohydrate-to-energy as well as the intakes of total grains and cooking oils decreased significantly.

    Conclusion

    The selected occupational populations in Songjiang District of Shanghai have a relatively high frequency of eating out. Those have a high frequency of eating out show increased risks of obesity and central obesity, which might be attributed to energy overconsumption and the excessive intakes of protein and SFA.

     

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