■过量食用糖对健康有各种有害影响,但是添加糖与虚弱的联系仍然难以捉摸。在本横断面研究中,我们旨在研究美国成年人中添加糖的摄入量与虚弱之间的关系。
■这项横断面研究基于国家健康和营养调查(NHANES)数据库。来自NHANES的数据从2007年到2018年关于脆弱,添加糖,并收集协变量。根据机构推荐的百分比将添加的糖分类为四分位数。使用加权多变量逻辑回归分析虚弱与添加糖之间的关系。根据性别进行亚组分析,年龄,体重指数(BMI),吸烟,酒精消费,高血压,和糖尿病状态。
■这项研究包括16,381名参与者,非虚弱组13,352(81.51%),虚弱组3,029(18.49%)。我们发现添加的糖与虚弱呈正相关,亚组分析表明,男性参与者,60岁以上,BMI较低,以前吸烟和饮酒,没有高血压,或患有糖尿病(DM)的人更容易虚弱。添加糖的摄入量与虚弱呈正相关。亚组分析显示,男性的相关性最强,那些年龄>60岁的人,那些BMI较低的人,前吸烟者,前酒精消费者,和没有高血压或DM的人。当添加的糖按能量百分比分类时,超过25%的能量来自添加糖的人群也有类似的结果,虚弱的患病率较高。
■添加糖与更高的虚弱风险呈正相关,不同人群之间的关联是稳定的。
UNASSIGNED: There are various detrimental effects of excessive added sugar consumption on health, but the association of added sugars with frailty remains elusive. We aimed to examine the association between added sugar intake and frailty among American adults in the present cross-sectional study.
UNASSIGNED: This cross-sectional study is based on the National Health and Nutrition Examination Survey (NHANES) database. Data from NHANES spanning from 2007 to 2018 on frailty, added sugars, and covariates were collected. Added sugars were categorized into quartiles according to the recommended percentages by institutions. Weighted multivariable logistic regression was used to analyze the relationship between frailty and added sugars. Subgroup analysis was conducted based on sex, age, body mass index (BMI), smoking, alcohol consumption, hypertension, and diabetes status.
UNASSIGNED: This study included 16,381 participants, with 13,352 (81.51%) in the non-frailty group and 3,029 (18.49%) in the frailty group. We found that added sugars were positively associated with frailty, and subgroup analysis showed that participants who were male, over the age of 60, had a low BMI, had previously smoked and consumed alcohol, had no hypertension, or had diabetes mellitus (DM) were more likely to be frail. Added sugar intake was positively associated with frailty. Subgroup analysis showed that the association was strongest in males, those aged >60, those with a low BMI, former smokers, former alcohol consumers, and people with no hypertension or DM. When added sugars are classified by energy percentage, populations with more than 25% of their energy coming from added sugars have similar results, with a higher prevalence of frailty.
UNASSIGNED: Added sugars are positively associated with a higher risk of frailty, and the association is stable among different populations.