儿童青少年奶及奶制品摄入与超重肥胖关系的Meta分析

由文烁; 徐培培; 张倩; 许娟

doi:10.16835/j.cnki.1000-9817.2024300

儿童青少年奶及奶制品摄入与超重肥胖关系的Meta分析

doi: 10.16835/j.cnki.1000-9817.2024300

由文烁¹,
徐培培¹,
张倩^{1, 2},
许娟^1, ,

1.
中国疾病预防控制中心营养与健康所学生营养室，北京 100050
2.
中华人民共和国国家卫生健康委员会公共营养与健康重点实验室

基金项目:

十四五国家重点研发计划项目 2021YFC2701902

详细信息

作者简介:
由文烁(2000-)，女，山东滨州人，在读硕士，主要研究方向为学生营养

通讯作者:
许娟，E-mail: xujuan@ninh.chinacdc.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R155.5⁺⁷ R723.14
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- HTML全文浏览量: 69
- PDF下载量: 54
- 被引次数: 0
出版历程
- 收稿日期: 2024-02-29
- 修回日期: 2024-06-17
- 网络出版日期: 2024-11-02
- 刊出日期: 2024-10-25

Meta-analysis of the relationship of milk and dairy products intake with overweight and obesity in children and adolescents

YOU Wenshuo¹,
XU Peipei¹,
ZHANG Qian^{1, 2},
XU Juan^{1
, ,}

1.
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing (100050), China

摘要

摘要: 目的系统分析奶及奶制品摄入与儿童青少年超重肥胖的关系，为儿童青少年超重肥胖控制提供依据。方法检索2013年1月至2023年10月的中国知网(CNKI)、万方、PubMed、Web of Science、Embase、Cochrane Library数据库，搜集有关儿童青少年奶及奶制品摄入与超重肥胖关系的相关研究文献。对筛选出的文献进行质量评价、资料提取，以比值比(OR)和置信区间(95%CI)为效应指标，并使用Revmam 5.4软件进行异质性检验、发表偏倚分析等。结果共纳入19篇文献(109 661名研究对象)，包括横断面研究11篇、队列研究4篇、随机对照研究3篇和病例对照研究1篇。11篇横断面研究的Meta分析结果显示，奶及奶制品摄入与儿童青少年肥胖相关性无统计学意义(OR=0.91, 95%CI=0.76~1.09, P>0.05)，但其中只针对液态奶研究的4篇文献显示与儿童青少年超重肥胖呈负相关(OR=0.82, 95%CI=0.74~0.91, P < 0.01)。队列研究的Meta分析结果显示，奶及奶制品摄入与儿童青少年肥胖呈负相关(OR=0.59, 95%CI=0.45~0.79, P < 0.01)。随机对照研究显示奶及奶制品摄入能够改善儿童青少年超重肥胖；病例对照研究显示，奶及奶制品摄入与儿童青少年超肥胖呈负相关(P值均 < 0.05)。结论奶及奶制品摄入可能是儿童青少年超重肥胖的影响因素。可采取适当措施倡导儿童青少年饮奶行为，以减少儿童青少年超重肥胖的发生。
- 乳 /
- 乳制品 /
- 摄食行为 /
- 超重 /
- 肥胖症 /
- Meta分析 /
- 儿童 /
- 青少年
Abstract: Objective To systematically analyze the association between dairy products intake and overweight and obesity in children and adolescents, so as to provide evidence for the control of overweight and obesity in children and adolescents. Methods Retrieve between January 2013 and October 2023, the relevant research literature about milk and its products of the relationship between intake of child and adolescent overweight and obesity were collected, from China National Knowledge Infrastructure(CNKI), Wanfang, PubMed, Web of Science, Embase, and the Cochrane Library databases. Taking OR and 95%CI as effect indicators, quality evaluation and data extraction were conducted by using the inclusion and exclusion criteria, Revmam 5.4 software was used for test for heterogeneity and publication bias analysis. Results A total of 19 articles were included, including 11 cross-sectional studies, 4 cohort studies, 3 randomized controlled studies, and 1 case-control study. A total of 109 661 participants were included. The results of Meta-analysis of cross-sectional studies showed that the total intake of milk and dairy products was not significantly associated with obesity in children and adolescents (OR=0.91, 95%CI=0.76-1.09, P>0.05). However, liquid milk intake was negatively associated with overweight and obesity in children and adolescents (OR=0.82, 95%CI=0.74-0.91, P < 0.01). The Meta-analysis of cohort studies showed that milk and dairy products intake were negatively associated with obesity in children and adolescents (OR=0.59, 95%CI=0.45-0.79, P < 0.01). Randomized controlled studies supported the effects of milk and dairy products intake on children and adolescents with overweight and obesity, while case-control studies showed an inverse association (P < 0.05). Conclusions The intake of milk and dairy products is associated with overweight and obesity in children and adolescents. Measures should be taken to guide children and adolescents' milk intake behaviors to prevent childhood overweight and obesity.
- Milk /
- Dairy products /
- Feeding behavior /
- Overweight /
- Obesity /
- Meta-analysis /
- Child /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 儿童青少年奶及奶制品摄入与超重肥胖关系文献检索流程

Figure 1. Literature retrieval process on the relationshiop of milk and dairy products intake with overweight and obesity in children and adolescents

下载: 全尺寸图片幻灯片

图 2 纳入儿童青少年奶及奶制品摄入与超重肥胖关系横断面研究文献的发表偏倚检验

Figure 2. Publication bias test for included cross-sectional research literatures on the relationship of milk and dairy products intake with overweight and obesity in children and adolescents

下载: 全尺寸图片幻灯片

图 3 纳入儿童青少年奶及奶制品摄入与超重肥胖关系队列研究文献的发表偏倚检验

Figure 3. Publication bias test for included cohort research literatures on the relationship of milk and dairy products intake with overweight and obesity in children and adolescents

下载: 全尺寸图片幻灯片

表 1 儿童青少年奶及奶制品摄入与超重肥胖关系纳入文献的基本信息

Table 1. Basic information of the included literature on the relationshiop of milk and dairy products intake with overweight and obesity in children and adolescents

第一作者	发表年份	国家	年龄/岁	调查人数	奶及奶制品摄入类型	研究类型	质量评分
Abreu^[26]	2013	葡萄牙	15~18	1 209	奶(全脂、半脱脂和脱脂)	横断面	9
Beck^[27]	2013	美国	8~10	319	奶(全脂、2%脂、1%脂和脱脂)、调味奶	横断面	7
Bigornia^[28]	2014	英国	10~13	2 455	奶、奶制品	队列	9
Calleja^[29]	2020	加拿大	12.6~17.0	54	奶、巧克力奶、酸奶、奶酪	随机对照	7
Carrillo-Larco^[30]	2016	秘鲁	7~8	1 948	奶	队列	7
Geckil^[31]	2017	土耳其	5~15	1 813	牛奶布丁	横断面	6
Guo^[32]	2020	中国	6~17	41 439	牛奶(全脂、低脂和脱脂)	横断面	8
Hwang^[33]	2020	韩国	10~18	6 121	奶、奶制品	横断面	7
Kanellopoulou^[34]	2022	希腊	10~12	1 728	奶、巧克力奶	横断面	6
Mcgovern^[35]	2022	美国	3.2~13.2	796	奶(全脂、2%脂、1%脂、脱脂)	队列	8
Orden^[36]	2018	阿根廷	6~12	1 366	奶	横断面	7
Payab^[37]	2019	伊朗	6~18	13 486	奶制品	横断面	7
Tirani^[38]	2022	伊朗	12~18	203	奶、奶制品	横断面	7
Vogel^[39]	2017	美国	8~15.9	181	奶、奶制品	随机对照	7
Wrotniak^[40]	2018	美国	10~15	91	奶、奶制品	随机对照	6
Zheng^[41]	2019	澳大利亚	14~22	2 868	奶(全脂、低脂、脱脂、豆奶)、奶制品	队列	7
黄春宇^[42]	2021	中国	10~18	771	奶、奶制品	横断面	9
贾俐挺^[43]	2013	中国	6~13	758	奶、奶制品	病例对照	6
张静^[44]	2019	中国	6~18	32 055	牛奶	横断面	7

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