目的探讨福建省厦门市居民膳食模式与代谢综合征(MS)及其组分之间关系。方法本研究于2015年12月-2016年9月采用多阶段分层整群随机抽样的方; 法,对厦门市2; 508名≥18岁居民进行膳食调查、体格测量及生化指标检测,采用因子分析法确定膳食模式,分析不同膳食模式与MS及其组分的关系。结果因子分析结果得出; 调味品模式、沿海特色模式、奶类少油模式、水果蔬菜模式4种膳食模式;多因素logistic回归分析显示,控制混杂因素后,调味品模式是MS组分高血压; 的危险因素(最高三分位数相对于最低三分位数的比值,即T3:T1OR=1.60,95%CI=1.19~2.15),奶类少油模式是MS(T3:T1; OR=0.47,95%CI=0.30~0.75)和高血压(T3:T1; OR=0.49,95%CI=0.36~0.65)的保护因素;未发现沿海特色模式和水果蔬菜模式与MS及其组分之间存在统计学关联。结论膳食模式与MS; 及其组分血压发现水平存在一定关联,减少食用盐、食用油的摄入、增加奶类的摄入,对预防MS及其组分血压水平有重要意义。Objective To explore the relationship between dietary pattern and; metabolic syndrome (MS) in residents of Xiamen city. Methods Using; multistage stratified cluster random sampling,2 508 residents were; selected to receive a dietary survey and anthropometric and biochemical; measures from December 2015 to September 2016.Factor analysis was used; to identify food patterns based on the dietary survey.Chi-square test; and logistic regression were used to analyze the relationship between; food patterns and MS and its components. Results Four dietary patterns; were identified,including condiment,sea food,more milk and less oil,and; fruits and vegetables pattern.After adjusting for potential confounding; factors,the upper tertile (T3) of the condiment pattern was associated; with higher risks of hypertension compared with the lowest tertile; (T1)(T3:T1 odds ratio[OR]=1.60,95% confidence; interval[95%CI]=1.19-2.15).T3 of the more milk and less oil pattern was; associated with lower risks of MS and hypertension compared with the; T1(T3:T1 OR=0.47,95%CI=0.30-0.75;T3:T1 OR=0.49,95%CI=0.36-0.65).No; correlation was found between the sea food pattern,fruits and vegetables; pattern with MS and its components. Conclusion Dietary patterns are; associated with MS and blood pressure levels.Limiting intake of table; salt and oil,increasing intake of milk may play important roles in the; prevention of MS and high blood pressure
