Điều tra thực trạng uống rượu và nghiên cứu sự can thiệp về dinh dưỡng ở Vân Nam_TQThe investigation on drinking practice and research on the interference of nutrition in yi yunnan province

Điều tra thực trạng uống rượu và nghiên cứu sự can thiệp về dinh dưỡng ở Vân Nam_TQThe investigation on drinking practice and research on the interference of nutrition in yi yunnan province Aims(1) To understand the drinking patterns and health status in Yi people of Yunnan Province, probe into the relationship between drinking activity and nutrition condition. (2) To observe the effects of nutrition health education interventions program to the drinkers’ level of nutrition knowledge, the acknowledgment of the harm of alcohol, drinking activity and nutrition condition, and also, to evaluate the interfering result.

Liu Min

The investigation on Drinking practice a

nd Research on the Interference of Nutri

tion in Yi, Yunnan Province

3 Research content

Report content

Background

Somcompact e problems related to drinking and alcohol in China, especially in the community of mino rity nationality in Yunan Province, now show a gradua lly increasing tendency, and the situation is not opt imistic

Aims

(2) To observe the effects of nutritio

n health education interventions progr

am to the drinkers’ level of nutrition knowledge, the acknowledgment of the h arm of alcohol, drinking activity and nutrition condition, and also, to eval uate the interfering result

Aims

2

(1) To understand the drinking pattern

s and health status in Yi people of Yu nnan Province, probe into the relation ship between drinking activity and nut rition condition

Aims

1

Research content

Baseline characteristics

1

The investigation to interfered targets

2

Nutrition education

3

The investigation to interference of nutrition

4

The evaluation of the result this interference

5

Baseline investigation Baseline investigation

Filter object

Nutrition education gr

oup

Nutrition education gr

oup

control group

Data Statistics and analysis

The Evaluation of the Resul

t this Interference

The Evaluation of the Resul

t this Interference

Interfering with front

Nutrition education

Nutrition education

Interfering with last the level of nutrition kn

owledge

the level of nutrition kn owledge

Dietary survey

the acknowledgment of t

he harm of alcohol

the acknowledgment of t

he harm of alcohol

Drinking beha

vior

Drinking beha

vior

Use the method of cluster random

sampling, and 1769 Yi people over 18 in three poor town-ships of Dayao country (Tanhua, Guihua, Santai) in Yi Autonomous Pre-fecture, Chuxiong, Yun-nan Province were

selected and

investigat-ed with questionnaire on General Drinking Activity and Health Condition by face to face, and their height, weight and blood pressure were also

measured

Based on the result

of baseline investigation,

interfered targets were

pi-cked out according to the

screening criteria that the

average time of drinking

per week was over 3 times,

or the average drinking

amount each time is 125g

or more than that when

converted into high-degree

wine And also the

interfer-ed target should be the

group who don’t suffer from

serious illness which can

affect the nutrition

condi-tion of the organism 。

After confirmed to be

without any error, all the d

ata got from investigati-on

should have tendency che

ckup, variance ana-lysis,

χ2 checkup using the spp

ss11.5 software

Use the face to face investigation

into every house.

Subjects were asked if they

drunk or not, then they were

inve-stigated further who given such as

‘usually’ or ‘occasionally’ to

deter-mine the category of drinking, the

frequency of drinking, the amount

of drinking, the source of drinking,

the ways of drinking 12 months

before the time being investigated,

the beginning age to drink, ect.

Use the face to face in vestigation into every hou se.

Excessive habitual con sumption of

alcoho-lic Beverages despite physical,mental, social,

or economic harm (e.g., ci rrhosis,drunk driving and a ccidents,family strife, fre-q uently missing work)."

Use the face to face inves tigation into every house.

The common food in the role of various nutr-ients such as soy beans and milk, the role of vari-ous vitamins, the relation-ship between salt and hy-pertension,ect.

Dietary survey was conducted using the m-ethod of 24h dietary re-call The dietary data w-ere evaluated by the Chinese Balanced Diet Pagoda and theChinese RNIs in 2007 All the examinees should fill

pressure

ng

 There are totally 1769 persons,there are 1034 men and 735 women

 The total percent of drinking during sample people is 47.9% ， while it is 67 6% for men and 20.1% for women

The difference between them has statist ical meaning （ χ2 = 387.862 ， P ＜ 0.001 ）

g  For ages, the group in the range of 35-45 years old has the drinking r

ate as high as 59.5%

Table 1 The comparison among different age groups on drinking rates

Age group Drinking people Survey people Drinking rate(%)

Note: χ2 = 97.172 ， P ＜ 0.001

Results

 As shown in table 2, intervention group has more information after nutrition propaganda a

nd education of six months and has a big difference comparing with that before propaganda; h owever, the control group has no obvious change.

table 2 The awareness about the relationship between excessive

alcohol consumption and disease (n, %)

Note: P<0.01, self-comparison before and after ﹡P<0.01, self-comparison before and after interfering.

Contents

Intervention group

(n=299) Control group (n=276) Before After Before After

Alcoholism 65 （ 21.7

） 169 （ 56.5） * 88 （ 31.9） 91 （ 33.0）

Nutrients deficiency 16 （ 5.4

） 98 （ 32.8） * 18 （ 6.5） 17 （ 6.2）

Cirrhosis 15 （ 5.0

） 201 （ 67.2） * 25 （ 9.1） 32 （ 11.6）

Stomach ulcer 22 （ 7.4

） 184 （ 61.5） * 24 （ 8.7） 27 （ 9.8）

Cardiovascular

diseases 36 （ 12.0

） 123 （ 41.1） * 34 （ 12.3） 42 （ 15.2） Hyperlipidem

ia 7 （ 2.3 ） 56 （ 18.7） * 6 （ 2.2 ） 9 （ 3.3 ）

Table 3 The average intake of different types of foods between the gender and the

comparison with the national level

Foods Male Female Per capita Rural National

Grain 605.4±258.1

* 500.1±242.0 582.8±258.2

a,

b 416.1 402.2

Tubers 53.3±28.9 50.4±26.5 52.7±28.4 a,b 55.7 49.1

Legume 30.1±24.0* 24.1±18.9 28.8±23.1 a,b 16.3 16

Meet 80.2±50.8* 65.3±31.5 76.9±47.6 a 68.7 78.6

Vegetables 322.1±133.3

* 281.9±123.6 313.4±132.2 a,b 285.6 276.2

Fruits 27.3±11.3 21.4±7.1 25.4±10.5 a,b 35.6 45.0

Pickles 19.6±17.9* 28.0±20.0 21.3±18.6 a,b 10.9 10.2

Milk 10.0±4.4 7.8±4.5 8.9±4.5 a,b 11.4 26.6

Eggs 29.1±18.7 21.5±13.9 27.3±17.9 a 20.0 23.7

Vegetable oil 16.8±12.3 17.4±10.4 16.9±11.9 a,b 30.1 32.9

Animal oil 21.9±14.2 21.2±13.3 21.7±14.0 a,b 10.6 8.7

Salt 15.2±5.1 14.7±5.7 15.1±5.2 a,b 12.4 12.0

Wine 204.9±94.6

Note: * P<0.05, comparison between gender; a: P<0.05, compared with the average intake in rural; b: P<0.05, compared with the average intake in national.

Results

 Table 3 shows that the various of food of the object is complete before the nutrition teaching The construction of men and women's diet is mainly based on grain, then vegetables and potatos, after that, meat, beans and the food from beans,last,eggs and egg products The average of of various of food ingestion is different from the report of Chinese resident nutrition and health investigation data in 2002.

Table 4 Source analysis about diet nutrition

ingestion

Energy

（ kcal ）

Carbohydrate

s 1718.7±863.2 64.9 1430.5±646.6 62.0 Protein 280.9±110.5 10.6 232.3±100.3 10.1 Fat 648.5±191.8 24.5 645.9±191.1 27.9 Protein

（ g ）

Animal food 24.0±9.4 34.1 17.0±7.3 29.3

Cereals 29.7±11.7 42.2 26.4±11.4 45.5

Fat （ g ）

Animal food 64.4±19.1 81.8 65.5±19.4 84.7 Plant food 14.3±4.2 18.2 11.8±3.5 15.3

Results

 As shown in table 4, man and woman’s protein ingestion is 10.6% and 10.1% of total energy, respectively Man and woman’s fat ingestion is 24.5% and 27.9% of total energy, respectively.Man and woman’s carbohydrate ingestion is 64.9% and 62.0% of total energy, respectively These three major nutrition factors are reasonable, but fat ingestion is a little bit high The main source of protein of investigated people comes from grain and animal food The quality of protein is good

Table 5 food intake between intervention

before and after （ g ）

Foods Intervention group Control group

Before After Before After

Eggs 28.2 42.5*△ 25.9 32.6 Vegetable oil 17.2 17.9 16.5 19.6 Animal oil 21.0 15.3*△ 22.5 22.7

Wine 183.6 54.7*△ 187.7 167.9

Note:*P<0.05,compared with pre-intervention; P<0.05, compared with control group △P<0.05, compared with control group.

Results

 food intake between intervention before and after

（ g ）

 As shown in table 5, after 6 months in house nutrition propaganda

and education for propaganda and education group, fruit ingestion increases; milk and milk product ingestion does not increase obviously; animal oil and alcohol ingestion obviously decrease and significantly meaningful comparing with data before propaganda; salt ingestion decreases a little but no meaning comparing with data before propaganda Kinds of food ingestion of control group have no change before and after intervention

Results

Fig.2 Food intake of intervention group in different survey points

0

50

100

150

200

250

300

350

400

450

500

550

600

650

粮谷类 蔬菜 水果 奶及奶制品 动物油

食盐 酒类

Inta

ke

Grain Vegetables Fruits

Milk Animal oil Salt

Wine

Before interferingTwo weeks

One month

Three months

Six months

Conclusion

3 Continuation and expansion of such a program should be carried out so as to reduce the rate of chronic diseases among alcohol drinking residents

2 The nutrition health education int ervention can increase the nutrition knowledge of the resi-dents and co rrect the dietary behaviors and pro mote the nu-trition status in rural et hnic areas

1 Alcohol consumption was a general b ehavior in Yi people,and related kn-owle dge about the harm of alcohol and nutriti

on were very poor

因 为 你 们 ，

Because of you ……

吴

少

雄

教

授

殷建忠 副教授

张雪辉 实验师

The members of the research group

张丽娟

付强

彭玉茹

刘彦魁 付娟娟

周曦

杨二

王 琦 芹丽

叶润

杨解顺

林勇任

靳瑞丽 李坤云

文全有 董华厂

刘蕊 俞舒晗

刘金福