【摘要】 目的：探讨云南省边疆地区5种少数民族（景颇族、布朗族、普米族、德昂族、阿昌族）膳食炎症指数（DII）对高血压合并糖尿病的影响，为该人群慢性病防控提供科学依据。方法：2019年6月—2020年8月，采用多阶段分层随机抽样方法选取≥18岁的2 736名少数民族居民作为研究对象。开展问卷调查、测量个体身高、体重、腰围及血压并检测其空腹血糖、血脂等生化指标。采用食物频率法（FFQ）获取调查对象膳食摄入信息。采用pearson相关分析DII与各食物类别的相关性，logistic回归模型分析DII对高血压合并糖尿病的影响。结果：共纳入研究对象2 736名，高血压合并糖尿病患者128人，患病率为4.7%。景颇族DII与食用畜禽肉类、腌制肉类、油脂类呈正相关；德昂族、布朗族DII与食用畜禽肉类、腌制肉类呈正相关，普米族DII与食用畜禽肉类呈正相关。经logistic回归分析，调整混杂因素后，DII最高五分位数组（Q5）患有高血压合并糖尿病的风险显著增加（OR:2.192、95%CI:1.174～4.092）,P<0.05。结论：云南省边疆地区少数民族DII增加高血压合并糖尿病的风险，建议开展合理膳食指导，从而降低高血压合并糖尿病风险。更多还原

【Abstract】 【Objective】 To explore the association of dietary inflammation index(DII) and hypertension with diabetes mellitus(HTN-DM) in five ethnic minorities(Jing Po, Bu Lang, Pu Mi, De’ang, and A Chang) in the border regions of Yunnan province, providing scientific evidence for chronic disease prevention and control among this population. 【Method】 A total of 2 736 ethnic minority residents aged ≥18 were selected using a multistage stratified random sampling method from June 2019 to August 2020. Questionnaire surveys were conducted, and individual height, weight, waist circumference, and blood pressure were measured, along with biochemical indicators such as fasting blood glucose and lipids. Dietary intake information was collected using the food frequency questionnaire. The pearson correlation was used to find the correlation between DII and foods. The effects of DII on HTN-DM were analyzed using the logistic regression model. 【Result】 A total of 2 736 participants were included in the study, and the prevalence of HTN-DM was 4.7%(128 cases). DII was positively correlated with the consumption of livestock and poultry meat, salted meat and oil among Jing Po people. Similarly, a positive correlation was found between the DII and the intake of livestock and poultry meat, salted meat among De’ang and Bu Lang people. Among Pu Mi people, DII was positively associated with theintake of livestock and poultry meat. After adjusting for confounding factors through logistic regression analysis, the risk of HTN-DM in the DII Q5 group significantly increased(OR:2.192,95%CI:1.174—4.092, P<0.05). 【Conclusion】 The DII increases the risk of HTN-DM in the border areas of Yunnan province. It is suggested to provide well-balanced dietary guidance to reduce the risk of chronic diseases and co-morbidity.更多还原