台灣高血脂青壯年婦女富含植物性或動物性之飲食型態與貧血的關聯性：2001年至2015年全國人口之研究

Association of Plant or Animal-Rich Dietary Pattern with Anemia among Hyperlipidemic Young Adult Women in Taiwan: A Population-Based Study from 2001 to 2015

Sintha Dewi Purnamasari(Sintha Dewi Purnamasari)

指導教授 ： 趙振瑞

臺北醫學大學/營養學院/保健營養學研究所/碩士(2020年)

摘要

Abstract
Background: Recent evidences suggest that the popularity of plant-based food among teenagers and young people, especially women, is increasing. There is still a debate whether vegetarians, in particular plant-based diets, are able to derive the quantities of essential nutrients, like vitamins D, iron, calcium and n-3 long-chain fatty acids. In addition, heme iron can be more easily absorbed in terms of bioavailability than nonheme iron.
Methods: This study involved 22,631 women participants between 2001 and 2015 aged between 20 and 45 years from the MJ Health Screening Institute Database. In this study, the demographic, lifestyle, medical history, and dietary assessment using semi quantitative-food frequency questionnaire (SQ-FFQ) were included. In addition, measurement of anthropometric (body weight, height, body fat, and hip circumference) and biochemical data (complete blood count, blood lipids test, and CRP) also were retrieved. Statistical analysis (e.g. multivariable linear regression, logistic regression) was performed to clarify the relationship between plant or animal-rich dietary pattern and anemia related biomarkers in hyperlipidemia subjects.
Results: This result indicated that the plant-rich diet (PR diet) + animal-low diet (AL diet) group had a significantly lower prevalence of overweight (19%), obesity (15.9%), central obesity (16.1%), current smoking (10.6%), total cholesterol (15.8%), LDL-C (15.5%) and it also had a lower mean of C-reactive protein (20.6 ± 31.4), hemoglobin (12.9 ± 1.4), and hematocrit (38.8 ± 3.6). In contrast, in the PL diet + AL diet group, participants tended to have a higher prevalence of underweight (30.0%) and current smoker (34.3%). In logistic regression analysis, after full adjusting for age, lifestyle (current smoker, physical activity, sleep duration, current vegetarian), anthropometry status (BMI and WC) (Model 3), both dietary habits of PR diet + AL diet and PL diet + AR diet have been stayed to be significantly associated with moderately to severely anemia (PR diet + AL diet OR 1.22, 95% CI: 1.04 to 1.43, P = 0.0151; PL diet + AR diet OR 0.76, 95% CI: 0.64 to 0.92, P = 0.0040)
Conclusions: The present study indicates the variability of dietary habits and anemia among hyperlipidemic patients which are important considerations in this study to consume balance diet. High plant-based was positively associated with a lower blood lipid biomarker. However, Subjects with high animal-based diet group generally had greater hemoglobin, hematocrit and red blood cell concentrations and it was 13% to be protective from anemia.
Keywords: Hyperlipidemia, anemia, plant-rich diet, animal-rich diet

關鍵字

Hyperlipidemia, anemia, plant-rich diet, animal-rich diet

並列摘要

Abstract
Background: Recent evidences suggest that the popularity of plant-based food among teenagers and young people, especially women, is increasing. There is still a debate whether vegetarians, in particular plant-based diets, are able to derive the quantities of essential nutrients, like vitamins D, iron, calcium and n-3 long-chain fatty acids. In addition, heme iron can be more easily absorbed in terms of bioavailability than nonheme iron.
Methods: This study involved 22,631 women participants between 2001 and 2015 aged between 20 and 45 years from the MJ Health Screening Institute Database. In this study, the demographic, lifestyle, medical history, and dietary assessment using semi quantitative-food frequency questionnaire (SQ-FFQ) were included. In addition, measurement of anthropometric (body weight, height, body fat, and hip circumference) and biochemical data (complete blood count, blood lipids test, and CRP) also were retrieved. Statistical analysis (e.g. multivariable linear regression, logistic regression) was performed to clarify the relationship between plant or animal-rich dietary pattern and anemia related biomarkers in hyperlipidemia subjects.
Results: This result indicated that the plant-rich diet (PR diet) + animal-low diet (AL diet) group had a significantly lower prevalence of overweight (19%), obesity (15.9%), central obesity (16.1%), current smoking (10.6%), total cholesterol (15.8%), LDL-C (15.5%) and it also had a lower mean of C-reactive protein (20.6 ± 31.4), hemoglobin (12.9 ± 1.4), and hematocrit (38.8 ± 3.6). In contrast, in the PL diet + AL diet group, participants tended to have a higher prevalence of underweight (30.0%) and current smoker (34.3%). In logistic regression analysis, after full adjusting for age, lifestyle (current smoker, physical activity, sleep duration, current vegetarian), anthropometry status (BMI and WC) (Model 3), both dietary habits of PR diet + AL diet and PL diet + AR diet have been stayed to be significantly associated with moderately to severely anemia (PR diet + AL diet OR 1.22, 95% CI: 1.04 to 1.43, P = 0.0151; PL diet + AR diet OR 0.76, 95% CI: 0.64 to 0.92, P = 0.0040)
Conclusions: The present study indicates the variability of dietary habits and anemia among hyperlipidemic patients which are important considerations in this study to consume balanced diet. High plant-based was positively associated with a lower blood lipid biomarker. However, Subjects with high animal-based diet group generally had greater hemoglobin, hematocrit and red blood cell concentrations and it was 13% to be protective from anemia.
Keywords: Hyperlipidemia, anemia, plant-rich diet, animal-rich diet

並列關鍵字

Hyperlipidemia, anemia, plant-rich diet, animal-rich diet

參考文獻

References

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