Objective. This study was aimed to identify the dietary patterns among Chinese adults in Baoji and explore the association between these dietary patterns and chronic diseases. Methods. With multistage stratified random sampling and semiquantitative food frequency questionnaire, the prevalence of chronic disease and dietary intake was investigated in 2013. We used factor analysis to establish dietary patterns. Results. A total of 5020 participants over 15 years old were included in this study. Five dietary patterns were identified in Baoji named as protein, balanced, beans, prudent, and traditional patterns. There are many protective effects with protein, balanced, and beans dietary patterns on chronic diseases. Conclusions. We should encourage Baoji city residents to choose protein, balanced, and beans dietary patterns and abandon prudent and traditional patterns.
BACKGROUND/OBJECTIVESDietary pattern and its association with cardio-cerebrovascular disease have not been studied in Baoji city by now. This study was aimed to identify the dietary patterns among Chinese adults in Baoji, and explore the association between these dietary patterns and cardio-cerebrovascular disease.SUBJECTS/METHODSA total of 4,968 participants were included in this study at 12 counties. With multistage stratified random sampling and semi quantitative food frequency questionnaire, the prevalence of cardio-cerebrovascular disease and dietary intake were investigated in 2013. We used factor analysis to establish dietary patterns.RESULTSA total of 4,968 participants over 15 years old were included in this study. Five dietary patterns were identified in Baoji: protein, balanced, beans, prudent, and traditional patterns. The protein dietary pattern mainly included animal and plant proteins and was negatively associated with hypertension as well as stroke. The balanced pattern included carbohydrates, protein, and fat and was negatively associated with hypertension as well as stroke. The beans pattern was mainly beans and beans products and was negatively associated with hypertension. The prudent pattern only included staple foods and pickled vegetables and was positively associated with hypertension as well as coronary heart disease. The traditional pattern was representative of local Baoji traditional recipes and was positively associated with hypertension.CONCLUSIONSThe protein, balanced, and beans dietary patterns showed many protective effects on cardio-cerebrovascular disease. Based on these results, Baoji city residents should be encouraged to choose protein, balanced, and beans dietary patterns and abandon prudent and traditional patterns to prevent incidence of hypertension, coronary heart disease, and stroke.
Background. Overweight and obesity have become a serious health problem. There are a few data on the prevalence of overweight and obesity in Baoji city of western China, this study was conducted to investigate the epidemiologic features of overweight and obesity and explored influencing factors among Baoji adult residents. Methods. A cross-sectional study, including 36,600 participants aged above 15 years, was carried out in Baoji city in 2018. Each participant’s weight and height were measured, and demographic and behavioral characteristics were collected using questionnaires. Data were analyzed by means of logistic regression considering 95% level of significance. Results. Overall, the prevalence of overweight and obesity was 30.73% and 3.11%, respectively. Male had a significantly higher prevalence of overweight (31.45% vs. 29.98%, P < 0.05 ) while female had a higher prevalence of obesity (3.50 vs. 2.74, P < 0.001 ). In the logistic regression analysis, being married or living with a partner ( OR = 1.266 , P < 0.001 ), unemployed or retired ( OR = 1.183 , P < 0.001 ), former smokers ( OR = 1.116 , P < 0.05 ), drinking alcohol ( OR = 1.410 , P < 0.001 ), sleeping more than 10 hours ( OR = 1.274 , P < 0.001 ), and increasing age were all significantly associated with a higher prevalence of overweight/obesity, whereas people who lived in rural areas ( R = 0.904 , P < 0.001 ) or had a sufficient leisure time physical activity per week ( R = 0.945 , P < 0.05 ) were associated with a lower prevalence. Conclusion. Our results demonstrate that demographic and behavioral factors play an important role in prevalence of overweight/obesity, which can support the implementation of interventions aimed at weight control and consequently prevention of related diseases in this population.
Background: There is very limited data available about the epidemiology trial on chronic diseases comprehensive intervention. The aim of this study was to assess the effect of comprehensive intervention on chronic diseases in Baoji and provide basis for the improvement of chronic diseases intervention measures. Methods: Using four stages stratified random sampling method, comprehensive intervention measures were implemented on intervention group (575 individuals) respectively aimed at three crowds of whole population, high risk population and chronic diseases patients. The control group (782 individuals) did not receive special treatment. Two groups were evaluated effect after one year observation. Results: The chronic diseases prevalence rate of whole population in intervention group was lower than that in control group (P < 0.05), the blood pressure level and smoking proportion of high risk population in intervention group were lower than in control group (P < 0.05), and the blood pressure, blood glucose control rate of chronic diseases patients in intervention group were higher than in control group (P < 0.05). Conclusion: Comprehensive intervention could prevent the rise of chronic diseases prevalence. The intervention is effective in reducing or halting risk factors of high risk population, particularly in controlling blood pressure, blood glucose of patients. We should establish government leading, department cooperation, social participation, longtime and classified comprehensive intervention mechanism of chronic diseases. We believe that whole population should control the risk factors, high risk population should early diagnosis and treatment, chronic diseases patients should normalized management, and it could be applied in other counties.
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