中国成年人膳食模式与肥胖关联的文献证据分析

闻林; 宋鹏坤; 荣爽; 刘烈刚; 陈梁凯

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营养学报 ›› 2025, Vol. 47 ›› Issue (2) : 191-199.

综述

中国成年人膳食模式与肥胖关联的文献证据分析

闻林^1,2, 宋鹏坤³, 荣爽⁴, 刘烈刚^1,2, 陈梁凯^1,2

作者信息 +

AN ANALYSIS OF THE LITERATURE EVIDENCE ON THE ASSOCIATION BETWEEN DIETARY PATTERNS AND OBESITY IN CHINESE ADULTS

WEN Lin^1,2, SONG Peng-kun³, RONG Shuang⁴, LIU Lie-gang^1,2, CHEN Liang-kai^1,2

Author information +

文章历史 +

摘要

随着人群膳食结构改变,中国肥胖问题日益突出。本文总结了中国肥胖流行现状、膳食模式变迁及二者间的关联。我国目前主要的膳食模式有：中国传统膳食模式（北方模式、南方模式）、东方健康膳食模式、西方化特征膳食模式（现代膳食模式、肉类模式）、蔬菜模式、蛋乳素模式。其中现代膳食模式和肉类模式与肥胖风险增加相关,其消费趋势的上升可能是中国肥胖流行的一个主要原因,而南方模式及东方健康膳食模式与肥胖发生风险负相关,可能改善中国人群肥胖问题。

Abstract

As dietary structure changes, obesity has become increasingly prominent in China. The article summarized the current prevalence of obesity in China, changes in dietary patterns, and the relationships between them. The main dietary patterns in China included traditional dietary patterns (northern pattern, southern pattern), Eastern healthy diet pattern, westernized characteristics dietary patterns (modern dietary pattern, meat pattern), vegetarian pattern, and lacto-ovo-vegetarian pattern. Among them, modern dietary pattern and meat pattern were associated with an increased risk of obesity, whose increasing consumption trend was potentially a major factor contributing to the obesity epidemic in China. Southern dietary pattern and Eastern healthy diet pattern were negatively associated with the risk of obesity, which may improve the obesity problem among Chinese adults.

导出引用

闻林, 宋鹏坤, 荣爽, 刘烈刚, 陈梁凯. 中国成年人膳食模式与肥胖关联的文献证据分析[J]. 营养学报. 2025, 47(2): 191-199

WEN Lin, SONG Peng-kun, RONG Shuang, LIU Lie-gang, CHEN Liang-kai. AN ANALYSIS OF THE LITERATURE EVIDENCE ON THE ASSOCIATION BETWEEN DIETARY PATTERNS AND OBESITY IN CHINESE ADULTS[J]. Acta Nutrimenta Sinica. 2025, 47(2): 191-199

中图分类号： R151.4

参考文献

[1] 中国居民营养与慢性病状况报告(2020年)[J]. 营养学报, 2020, 42, 6: 521.
[2] Sun XM, Yan AF, Shi ZM, et al. Health consequences of obesity and projected future obesity health burden in China[J]. Obesity (Silver Spring), 2022, 30: 1724–1751.
[3] Chong B, Jayabaskaran J, Kong G, et al. Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019[J]. eClinicalMedicine, 2023, 57: 101850.
[4] Pan XF, Wang L, Pan A.Epidemiology and determinants of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9: 373–392.
[5] 刘爱东. 中国九省居民膳食模式及与高血压的关系研究(1997-2009)[D]. 北京:中国疾病预防控制中心, 2011.
[6] He YN, Yang XG, Xia J, et al. Consumption of meat and dairy products in China: a review[J]. Proc Nutr Soc, 2016, 75: 385–391.
[7] Zhai FY, Du SF, Wang ZH, et al. Dynamics of the Chinese diet and the role of urbanicity, 1991-2011[J]. Obes Rev, 2014, 15(Suppl 1): 16–26.
[8] Zhang JG, Wang ZH, Du WW, et al. Twenty-five-year trends in dietary patterns among Chinese adults from 1991 to 2015[J]. Nutrients, 2021, 13:2835.
[9] Eng JY, Moy FM, Bulgiba A, et al. Dose-response relationship between western diet and being overweight among teachers in Malaysia[J]. Nutrients, 2020, 12:3092.
[10] Medina-Remón A, Kirwan R, Lamuela-Raventós RM, et al. Dietary patterns and the risk of obesity, type 2 diabetes mellitus, cardiovascular diseases, asthma, and neurodegenerative diseases[J]. Crit Rev Food Sci Nutr, 2018, 58: 262–296.
[11] Cocate PG, Natali AJ, de Oliveira A, et al. Red but not white meat consumption is associated with metabolic syndrome, insulin resistance and lipid peroxidation in Brazilian middle-aged men[J]. Eur J Prev Cardiol, 2015, 22: 223–230.
[12] Rouhani MH, Salehi-Abargouei A, Surkan PJ, et al. Is there a relationship between red or processed meat intake and obesity? A systematic review and meta-analysis of observational studies[J]. Obes Rev, 2014, 15: 740–748.
[13] Herman MA, Birnbaum MJ.Molecular aspects of fructose metabolism and metabolic disease[J]. Cell Metab, 2021, 33: 2329–2354.
[14] Li M, Shi ZM.Ultra-processed food consumption associated with overweight/obesity among Chinese adults-results from China health and nutrition survey 1997–2011[J]. Nutrients, 2021, 13: 2796.
[15] Zhang JG, Wang HJ, Wang ZH, et al. Trajectories of dietary patterns and their associations with overweight/obesity among Chinese adults: China health and nutrition survey 1991-2018[J]. Nutrients, 2021, 13: 2835.
[16] Woo J, Cheung B, Ho S, et al. Influence of dietary pattern on the development of overweight in a Chinese population[J]. Eur J Clin Nutr, 2008, 62: 480–487.
[17] Hu FB.Dietary pattern analysis: a new direction in nutritional epidemiology[J]. Curr Opin Lipidol, 2002, 13: 3–9.
[18] 郑美惠, 熊家豪, 段宏波, 等. 长沙市岳麓区18~64岁居民膳食模式与超重/肥胖的相关性研究[J]. 实用预防医学, 2023, 30: 659–663.
[19] 李钰, 陈青松, 贾瀚璐, 等. 广东省中山市中老年人群饮食行为模式与超重肥胖的相关性研究[J]. 现代预防医学, 2023, 50: 832–836.
[20] Chen Y, Kang MJ, Kim HJ, et al. Associations of dietary patterns with obesity and weight change for adults aged 18-65 years: evidence from the China Health and Nutrition Survey (CHNS)[J]. PLoS One, 2023, 18: e0279625.
[21] 刘览, 孙敏英, 林伟权, 等. 广州市老城区中老年人群膳食模式与常见慢性病的关系[J]. 职业与健康, 2022, 38: 626–630.
[22] Song PK, Zhang XN, Li YQ, et al. MetS prevalence and its association with dietary patterns among Chinese middle-aged and elderly population: results from a national cross-sectional study[J]. Nutrients, 2022, 14: 5301.
[23] Zhao RP, Zhao LY, Gao X, et al. Geographic variations in dietary patterns and their associations with overweight/obesity and hypertension in China: findings from China nutrition and health surveillance (2015–2017)[J]. Nutrients, 2022, 14: 3949.
[24] Zhang Y, Wei YL, Tang D, et al. Association of major dietary patterns and different obesity phenotypes in Southwest China: the China Multi-Ethnic Cohort (CMEC) Study[J]. Eur J Nutr, 2023, 62: 465–476.
[25] Tuerxunayi A, Huang LC, Su DT, et al. Association between dietary patterns and abdominal obesity among the adult women in Zhejiang Province[J]. Wei Sheng Yan Jiu, 2022, 51: 733–739.
[26] 赵否曦, 余丽莎, 王艺颖, 等. 贵州省居民膳食模式与代谢综合征关系的队列研究[J]. 营养学报, 2022, 44: 235–240.
[27] 李平原, 李文宇, 陈敏琪, 等. 潮州市居民的肥胖状态及其影响因素分析[J]. 现代预防医学, 2022, 49: 299–305.
[28] Li TX, Xie J, Shuai P, et al. Dietary patterns, skeletal muscle mass loss, and cardiovascular risk among elderly men: a preliminary cross-sectional study in Sichuan province[J]. Environ Res, 2022, 208: 112719.
[29] 钞虹, 陈希鹏, 李刚, 等. 高寒地区某高校在校大学生膳食模式与肥胖的相关性分析[J]. 中国慢性病预防与控制, 2021, 29: 597–600.
[30] Wang YY, Tian T, Pan D, et al. The relationship between dietary patterns and overweight and obesity among adult in Jiangsu Province of China: a structural equation model[J]. BMC Public Health, 2021, 21: 1225.
[31] Chen F, Xu S, Cao L, ,et al. A lacto-ovo-vegetarian dietary pattern is protective against sarcopenic obesity: a cross-sectional study of elderly Chinese people[J]. Nutrition. A lacto-ovo-vegetarian dietary pattern is protective against sarcopenic obesity: a cross-sectional study of elderly Chinese people[J]. Nutrition, 2021, 91–92: 111386.
[32] 周蔚, 夏蒨, 李香亭, 等. 上海成年居民膳食模式与超重/肥胖和中心型肥胖的关系[J]. 环境与职业医学, 2020, 37: 846–852.
[33] Cao YT, Xu XY, Shi ZM.Trajectories of dietary patterns, sleep duration, and body mass index in China: a population-based longitudinal study from China nutrition and health survey, 1991–2009[J]. Nutrients, 2020, 12: 2245.
[34] Peng W, Liu Y, Malowany M, et al. Metabolic syndrome and its relation to dietary patterns among a selected urbanised and semi-urbanised Tibetan population in transition from nomadic to settled living environment[J]. Public Health Nutr, 2021, 24: 984–992.
[35] 郑艳敏, 黄飞飞, 田礼钦, 等. 江苏省成年居民膳食模式与超重肥胖的关系[J]. 食品安全质量检测学报, 2020, 11: 2650–2655.
[36] Cempaka AR, Tseng SH, Yuan KC, et al. Dysregulated iron metabolism-associated dietary pattern predicts an altered body composition and metabolic syndrome[J]. Nutrients, 2019, 11: 2733.
[37] 程宇, 付永丽, 孙要武, 等. 高寒地区老年人群膳食模式与慢性病的相关性分析[J]. 现代预防医学, 2019, 46: 3693–3696.
[38] 郑祎扬, 刘怡娅. 贵州省成年居民膳食模式与代谢综合征的关系[J]. 现代预防医学, 2019, 46: 1761-1764.
[39] Okekunle AP, Wu XY, Feng RN, et al. Higher intakes of energy-adjusted dietary amino acids are inversely associated with obesity risk[J]. Amino Acids, 2019, 51: 373–82.
[40] Ye Q, Hong X, Wang ZY, et al. Joint associations of dietary pattern and television viewing with CVD risk factors among urban men and women in China: a cross-sectional study[J]. Br J Nutr, 2018, 119(1): 74–82.
[41] 何宇纳, 张晓勇, Dagevos H, 等. 食物消费与肥胖—基于食物特点的消费者分层研究[J]. 中国农村观察, 2008, 82: 35–40.
[42] Yu CQ, Shi ZM, Lv J, et al. Major dietary patterns in relation to general and central obesity among Chinese adults[J]. Nutrients, 2015, 7: 5834–5849.
[43] Zhang JG, Wang ZH, Wang HJ, et al. Dietary patterns and their associations with general obesity and abdominal obesity among young Chinese women[J]. Eur J Clin Nutr, 2015, 69: 1009–1014.
[44] 杨晓光, 王晓黎. 中国居民膳食指南2022|准则一食物多样,合理搭配[J]. 中国食物与营养, 2022, 28: 2.
[45] Shi ZM, Yuan BJ, Hu G, et al. Dietary pattern and weight change in a 5-year follow-up among Chinese adults: results from the Jiangsu Nutrition Study[J]. Br J Nutr, 2011, 105: 1047–54.
[46] Xu XY, Byles JL, Shi ZM, et al. Dietary pattern transitions, and the associations with BMI, waist circumference, weight and hypertension in a 7-year follow-up among the older Chinese population: a longitudinal study[J]. BMC Public Health, 2016, 16: 743.
[47] Zou Y, Zhang RH, Xia SC, et al. Dietary patterns and obesity among Chinese adults: results from a household-based cross-sectional study[J]. Int J Environ Res Public Health, 2017, 14: 487.
[48] 田雅婷,崔兴毅.我国首次提出“东方健康膳食模式”[N].光明日报,2022-04-28(008).
[49] 章荣华, 周标, 胡浙芳, 等. 浙江省城市人群代谢综合征与膳食模式关系分析[J]. 卫生研究, 2014, 43: 361–365.
[50] 周颖. 东方健康膳食模式的代表[J]. 家庭医学, 2021, 673: 39.
[51] Wang JQ, Lin X, Bloomgarden ZT, et al. The Jiangnan diet, a healthy diet pattern for Chinese[J]. J Diabetes, 2020, 12: 365–371.
[52] 吴鹏, 束龙, 李青艳, 等. 大学新生膳食模式及其与血压BMI值的关系[J]. 中国学校卫生, 2013, 34: 347–349.
[53] Zhang Q, Chen XG, Liu ZT, et al. Dietary patterns in relation to general and central obesity among adults in Southwest China[J]. Int J Environ Res Public Health, 2016, 13: 1080.
[54] Li M, Shi ZM.Dietary pattern during 1991–2011 and its association with cardio-metabolic risks in Chinese adults: the China health and nutrition survey[J]. Nutrients, 2017, 9: 1218.
[55] Muga MA, Owili PO, Hsu CY, et al. Dietary patterns, gender, and weight status among middle-aged and older adults in Taiwan: a cross-sectional study[J]. BMC Geriatr, 2017, 17: 268.
[56] Shu L, Zheng PF, Zhang XY, et al. Association between dietary patterns and the indicators of obesity among Chinese: a cross-sectional study[J]. Nutrients, 2015, 7: 7995-8009.
[57] Jiang K, Zhang Z, Fullington LA, et al. Dietary patterns and obesity in Chinese adults: a systematic review and meta-analysis[J]. Nutrients, 2022, 14: 4911.
[58] Zhang YF, Tan H, Dai X, et al. Dietary patterns are associated with weight gain in newlyweds: findings from a cross-sectional study in Shanghai, China[J]. Public Health Nutr, 2012, 15: 876–884.