- 學位論文
青少年含糖飲料問題性飲用與心血管疾病危險因素之相關性研究
The relationship between the problematic Sugar-Sweetened Beverage drinking with cardiovascular disease risk factor among adolescent.
摘要
背景 含糖飲料是國人飲食中添加糖的主要來源。目前已有許多研究指出含糖飲料攝取與肥胖、第二型糖尿病、代謝症候群以及心血管疾病有正向相關。且，近年來也有人類糖類攝取與濫用或依賴行為之相關性研究，但此方面研究仍非常有限。因此本研究目的為探討青少年含糖飲料問題性飲用與心血管疾病危險因子之相關性。 材料與方法 採多步驟分層集束抽樣法選取南台灣地區2,435位國中學童，收集問卷資料、人體測量學及血液生化學檢查。使用Stata之Survey Modules分析，二元及多元迴歸模式及邏輯斯迴歸模式評估，並考慮所有潛在的干擾因素。 結果 問題性飲用程度越嚴重則腰臀圍越大的趨勢存在。相較於沒有飲用者符合DSM-IV物質濫用診斷標準則三酸甘油脂及空腹血糖平均值顯著高出7 mg/dL、3 mg/dL；且呈現2.5倍(95% CI: 1.6-4.0)肥胖風險、2.1倍腰圍過大(95% CI:1.5-4.1)以及2.1倍(95% CI:1.1-4.1)臀圍過大風險；另外相較於沒有飲用者，符合DSM-IV物質濫用診斷標準則高血糖風險為1.6倍(95% CI:1.1-3.8)。 結論 問題性含糖飲料飲用與較高的腰圍及臀圍之體位測量值，以及較高的三酸甘油脂、空腹血糖之臨床測量值有關。相較於無飲用者，問題性飲用的學童具有較高的肥胖與高血糖之風險。
並列摘要
Sugar-sweetened beverages (SSBs) are the principle source of added sugar in diets. Epidemiological evidence has indicated that intake of SSBs has been associated with an enhanced risk of weight gain and of developing obesity and obesity-related disorders, such as MetS, type 2 diabetes, coronary heart disease. Current study also shows that Sugar has clear potential for abuse. But the evidence still limited.The aim of this cross-sectional study was to examine the relationship between the problematic Sugar-Sweetened Beverage drinking with cardiovascular disease risk factor among adolescent in Taiwan. A total of 2,435 adolescents aged 12 to 15 years randomly selected from three areas in Southern Taiwan by using a multistage-sampling strategy participated in this study. Demographic, dietary, physical and anthropometric parameters were measured, and serum lipid profiles and glucose levels were determined. We used multivariate linear regression models to assess the association between SSB intake and cardiometabolic risk factors. Covariates, including study area, age, physical activity, total calories, were evaluated as confounders. A higher level of problematic drinking SSB was related to a higher level of WC and HC. Compared with nondrinkers, adolescents who meet the DSM-IV abuse criteria had an 7 mg/dL concentration of TGs, and 3 mg/dL concentration of glucose. Adolescents who meet the DSM-IV abuse criteria exhibited a 2.5-fold (95% CIs: 1.6-4.0) risk of obesity and a 2.1-fold (95% CIs: 1.5-4.1) risk of having large WC and HC. Compared with nondrinkers, adolescents who meet the DSM-IV abuse criteria exhibited a 1.6-fold (95% CIs: 1.1-3.8) risk of increased glucose. Problematic SSB drinking is associated with higher WC, HC, TG and glucose. Compared with nondrinkers, problematic SSB drinker exhibited a higher risk of being obesity and Hyperglycemia.
參考文獻
延伸閱讀
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