目的:紀錄澳洲老年人的膳食脂肪酸攝取及食物來源。設計:族群基礎存活世代。地點:澳洲雪梨西部藍山的兩個郵遞區號區域。研究對象:自1997至1999年,2334名年齡為55歲或以上的老年人參與追蹤5年的藍山眼睛研究(BMES)。2005名研究對象的飲食資料採用半定量膳食頻率問卷收集(86%被評估)。脂質依據型態分為飽和脂肪酸(SFA)、單元不飽和脂肪酸(MUFA)、多元不飽和脂肪酸(PUFA)及反式不飽和脂肪酸。結果:平均總脂肪攝取量佔每日熱量攝取量13.3%(12.2% SFA、11.2% MUFA、5.0% PUFA)。平均Omega 3(n-3)PUFA攝取佔0.5%的熱量攝取(長鏈n-3PUFA平均攝取260mg,由20碳5烯酸(EPA)、22碳5烯酸(DPA)及22碳6烯酸(DHA)組成),n-6:n-3 PUFA比值為9:1。膳食主要脂肪酸來源為棕櫚酸、油酸及亞麻油酸。肉類製品可貢獻最高量的總脂肪及MUFA攝取;奶類製品則貢獻最高量的SFA攝取;塗抹人造奶油、麵包及穀類為提供PUFA攝取的主要食物類別。魚類為長鏈n-3脂肪酸的主要來源。結論:這個族群基礎的調查研究說明澳洲老年族群的脂肪酸攝取,可作為研究膳食脂肪攝取與數種眼睛疾病相關的基礎。
Objective: To document dietary intakes and food sources of fatty acids among older Australians.Design: Population-based survivor cohort.Setting: Two postcode areas in the Blue Mountains, West of Sydney, Australia.Subjects: In 1997-9, 2334 people aged 55 years and over, participated in a 5-year follow-up of the cohort attending the Blue Mountains Eye Study (BMES). Dietary data were collected using a semi-quantitative food frequency questionnaire by 2005 persons (86% of those examined). Types of fats were classified as saturated fatty acids (SFA), monounsaturated (MUFA), polyunsaturated (PUFA) and trans unsaturated fatty acids.Results: Mean total fat intake contributed 31.3% of daily energy intake (12.2% SFA, 11.2% MUFA, 5.0% PUFA). Mean omega 3 (n-3) PUFA intake comprised 0.5% of energy intake (long chain n-3 PUFA provided mean intake of 260mg, consisting of eicosapentaenoic (EPA), docosapentaenoic (DPA) and docosahexaenoic (DHA) fatty acids) and the n-6: n-3 PUFA ratio was 9:1. The main fatty acids contributing to the diet were palmitic acid, oleic acid and linoleic acid. Meat products were the highest contributors to total fat and MUFA intakes; milk products were the highest contributor to SFA intakes; and fat spreads and oils, and breads and cereals were the main food groups contributing to PUFA intakes. Fish was the main source of long chain n-3 fatty acids.Conclusions: This population-based descriptive study documents fatty acid intakes in a population of older Australians. It will serve as a basis for investigations of associations between dietary fatty acid intakes and a number of eye diseases.