
职业与健康 ›› 2026, Vol. 42 ›› Issue (13): 1862-1866.
收稿日期:2025-02-08
修回日期:2025-08-26
出版日期:2026-07-01
发布日期:2026-07-14
通信作者:
季红,E-mail:honghongji-2005@163.com
作者简介:李红,女,在读硕士研究生,研究方向为老年护理与慢病护理。
基金资助:
LI Hong1, BIAN Lingzi1, JI Hong2(
)
Received:2025-02-08
Revised:2025-08-26
Online:2026-07-01
Published:2026-07-14
Contact:
JI Hong,E-mail:honghongji-2005@163.com
摘要:
碳水化合物是人体必需的三大营养素之一,其为人体生命活动提供的能量占每日所需能量的50%以上。有研究指出,与碳水化合物数量相比,碳水化合物的质量和人体健康有密切联系。因此,全面准确地评估碳水化合物的质量,为日常饮食选择高质量的碳水化合物尤为重要。碳水化合物质量指数作为评估工具,为疾病的饮食预防策略提供了依据,也为其他疾病领域开展相关研究扩展了思路。本文介绍了碳水化合物质量及碳水化合物质量指数的基本情况,综述了碳水化合物质量指数在临床疾病中的应用,简要概述其在疾病预防中的作用,分析其应用过程中的优势及不足,以期为临床医护人员未来研究中应用碳水化合物指数提供借鉴。
中图分类号:
李红, 边令梓, 季红. 碳水化合物质量指数的研究进展. [J]职业与健康, 2026, 42(13): 1862-1866.
LI Hong, BIAN Lingzi, JI Hong. Research progress on carbohydrate quality index. [J]OCCUPATION AND HEALTH, 2026, 42(13): 1862-1866.
| [1] | TAN D, DREWNOWSKI A, LÊ K A. New metrics of dietary carbohydrate quality[J]. Curr Opin Clin Nutr Metab Care, 2023, 26(4):358-363. |
| [2] |
RICCARDI G, COSTABILE G. Carbohydrate quality is key for a healthy and sustainable diet[J]. Nat Rev Endocrinol, 2019, 15(5):257-258.
DOI PMID |
| [3] |
SÁNCHEZ-TAINTA A, ZAZPE I, BES-RASTROLLO M, et al. Nutritional adequacy according to carbohydrates and fat quality[J]. Eur J Nutr, 2016, 55:93-106.
DOI URL |
| [4] | World Health Organization. Carbohydrate intake for adults and children:WHO guideline[R]. Geneva:WHO, 2023. |
| [5] |
MARINANGELI C P F, HARDING S V, GLENN A J, et al. Destigmatizing carbohydrate with food labeling:The use of non-mandatory labelling to highlight quality carbohydrate foods[J]. Nutrients, 2020, 12(6):1725.
DOI URL |
| [6] | SASANFAR B, TOORANG F, MOHEBBI E, et al. Dietary carbohydrate quality and risk of breast cancer among women[J]. Nutr J, 2021, 20:1-8. |
| [7] |
ZAZPE I, SANCHEZ-TAINTA A, SANTIAGO S, et al. Association between dietary carbohydrate intake quality and micronutrient intake adequacy in a mediterranean cohort:The SUN(Seguimiento Universidad de Navarra) Project[J]. Br J Nutr, 2014, 111(11):2000-2009.
DOI URL |
| [8] | FABIOS E, MARTÍNEZ-GONZÁLEZ M Á, GARCÍA-BLANCO L, et al. Association between the Carbohydrate Quality Index(CQI) and nutritional adequacy in a pediatric cohort:The SENDO Project[J]. Children(Basel), 2023, 10(10):1711. |
| [9] |
JANNATI N, MOHAMMADI-FAEZ R, MAHMOODI M R, et al. Association between quality and quantity of carbohydrate intake with selected anthropometric indices among primary school girls in Kerman City,Iran:A cross-sectional study[J]. BMC Pediatr, 2024, 24(1):267.
DOI |
| [10] |
KHOSRAVINIA D, SHIRASEB F, MIRZABABAEI A, et al. The association of carbohydrate quality index with cardiovascular disease risk factors among women with overweight and obesity:A cross-sectional study[J]. Front Nutr, 2022, 9:987190.
DOI URL |
| [11] |
MARBINI M H, AMIRI F, HEZAVEH Z S. Dietary glycemic index,glycemic load,insulin index,insulin load and risk of diabetes-related cancers:A systematic review of cohort studies[J]. Clin Nutr ESPEN, 2021, 42:22-31.
DOI URL |
| [12] |
MOHAMMADZADEH M, ABDI F, MAMAGHANIAN M, et al. Carbohydrate quality indices and lung cancer risk:A case-control study from Iran[J]. Eur J Cancer Prev, 2025, 34(4):357-362.
DOI URL |
| [13] |
KAHRIZSANGI M A, EBRAHIMI Z, SHATERI Z, et al. Carbohydrate quality indices and colorectal cancer risk:A case-control study[J]. BMC Cancer, 2023, 23(1):347.
DOI |
| [14] |
OLMEDO M, SANTIAGO S, ROMANOS-NANCLARES A, et al. Dietary carbohydrate quality index and incidence of obesity-related cancers in the “Seguimiento Universidad De Navarra”(SUN) prospective cohort[J]. Eur J Nutr, 2024, 63(7):1-10.
DOI |
| [15] |
ZHENG G, GONG T T, MA Q P, et al. The association of macronutrient quality and its interactions with energy intake with survival among patients with ovarian cancer:Results from a prospective cohort study[J]. Am J Clin Nutr, 2023, 117(6):1362-1371.
DOI URL |
| [16] |
GBD 2015 Obesity Collaborators.Health effects of overweight and obesity in 195 countries over 25 years[J]. N Engl J Med, 2017, 377(1):13-27.
DOI URL |
| [17] |
LUO M, LIU Y, YE P, et al. Weight-Control behaviors and dietary Intake in Chinese adults:An analysis of three national surveys(2002-2015)[J]. Nutrients, 2023, 15(6):1395.
DOI URL |
| [18] |
SARTORIUS K, SARTORIUS B, MADIBA T E, et al. Does high-carbohydrate intake lead to increased risk of obesity? A systematic review and meta-analysis[J]. BMJ open, 2018, 8(2):e018449.
DOI URL |
| [19] |
WAN Y, TOBIAS D K, DENNIS K K, et al. Association between changes in carbohydrate intake and long term weight changes:Prospective cohort study[J]. BMJ, 2023, 382,e073939.
DOI URL |
| [20] |
SANTIAGO S, ZAZPE I, BES-RASTROLLO M, et al. Carbohydrate quality,weight change and incident obesity in a mediterranean cohort:The SUN Project[J]. Eur J Clin Nutr, 2015, 69(3):297-302.
DOI |
| [21] |
SAWICKI C M, LICHTENSTEIN A H, ROGERS G T, et al. Comparison of indices of carbohydrate quality and food sources of dietary fiber on longitudinal changes in waist circumference in the Framingham offspring cohort[J]. Nutrients, 2021, 13(3):997.
DOI URL |
| [22] |
SUARA S B, SIASSI F, SAAKA M, et al. Association between carbohydrate quality index and general and abdominal obesity in women:A cross-sectional study from Ghana[J]. BMJ Open, 2019, 9(12):e033038.
DOI URL |
| [23] |
JANBOZORGI N, DJAFARIAN K, MOHAMMADPOUR S, et al. Association between carbohydrate quality index and general and central obesity in adults:A population-based study in Iran[J]. J Cardiovasc Thorac Res, 2021, 13(4):298-308.
DOI URL |
| [24] |
REDDY K S, KATAN M B. Diet,nutrition and the prevention of hypertension and cardiovascular diseases[J]. Public Health Nutr, 2004, 7(1a):167-186.
DOI URL |
| [25] |
HUANG H, CHEN G, LIAO D, et al. Effects of berries consumption on cardiovascular risk factors:A meta-analysis with trial sequential analysis of randomized controlled trials[J]. Sci Rep, 2016, 6(1):23625.
DOI |
| [26] |
MUÑOZ-CABREJAS A, LACLAUSTRA M, GUALLAR-CASTILLÓN P, et al. High-quality intake of carbohydrates is associated with lower prevalence of subclinical atherosclerosis in femoral arteries:The AWHS study[J]. Clin Nutr, 2021, 40(6):3883-3889.
DOI URL |
| [27] |
ZAZPE I, SANTIAGO S, GEA A, et al. Association between a dietary carbohydrate index and cardiovascular disease in the SUN(Seguimiento Universidad de Navarra) Project[J]. Nutr Metab Cardiovasc Dis, 2016, 26(11):1048-1056.
DOI URL |
| [28] |
SHATERI Z, RASULOVA I, RAJABZADEH-DEHKORDI M, et al. The association between carbohydrate quality index and conventional risk factors of cardiovascular diseases in an Iranian adult population[J]. BMC Res Notes, 2024, 17(1):243.
DOI PMID |
| [29] |
ATZENI A, NISHI S K, BABIO N, et al. Carbohydrate quality,fecal microbiota and cardiometabolic health in older adults:A cohort study[J]. Gut Microbes, 2023, 15(2):2246185.
DOI URL |
| [30] |
SUARA S B, SIASSI F, SAAKA M, et al. Relationship between dietary carbohydrate quality index and metabolic syndrome among type 2 diabetes mellitus subjects:A case-control study from Ghana[J]. BMC Public Health, 2021, 21:1-12.
DOI |
| [31] |
MAJDI M, IMANI H, BAZSHAHI E, et al. Habitual-and meal-specific carbohydrate quality index and their relation to metabolic syndrome in a sample of Iranian adults[J]. Front Nutr, 2022, 9:763345.
DOI URL |
| [32] | MOSLEHI N, KAMALI Z, BAHADORAN Z, et al. Quality and quantity of macronutrients,and their joint associations with the incidence of type 2 diabetes over a nine-year follow-up[J]. Nutr J, 2024, 23(1):101. |
| [33] | NIKRAD N, HOSSEINI B, PAKMEHR A, et al. Dietary carbohydrate quality index(CQI),cardio-metabolic risk factors and insulin resistance among adults with obesity[J]. BMC Endocr Disord, 2023, 23(1):171. |
| [34] |
JEBRAEILI H, SHABBIDAR S, SAJJADPOUR Z, et al. The association between carbohydrate quality index and anthropometry,blood glucose,lipid profile and blood pressure in people with type 1 diabetes mellitus:A cross-sectional study in Iran[J]. J Diabetes Metab Disord, 2021, 20:1349-1358.
DOI |
| [35] |
LI X Y, ZHANG Y X, WANG X B, et al. Associations between dietary macronutrient quality and asthenozoospermia risk:A hospital-based case-control study[J]. Food Funct, 2024, 15(12):6383-6394.
DOI URL |
| [36] |
JEBRAEILI H, MIRZABABAEI A, ABAJ F, et al. The association between carbohydrate quality index and headache severity,disability and duration among women with migraine:A cross-sectional study[J]. Nutr Neurosci, 2024, 27(10):1162-1173.
DOI URL |
| [37] |
NOURI M, MAHMOODI M, SHATERI Z, et al. How do carbohydrate quality indices influence on bone mass density in postmenopausal women? A case-control study[J]. BMC Women's Health, 2023, 23(1):42.
DOI |
| [38] | MOHSENIAN S, SHABBIDAR S, SIASSI F, et al. Carbohydrate quality index:Its relationship to menopausal symptoms in postmenopausal women[J]. Maturitas, 2021, 150:42-48. |
| [39] |
TEYMOORI F, FARHADNEJAD H, JAHROMI M K, et al. Dietary protein score and carbohydrate quality index with the risk of chronic kidney disease:Findings from a prospective cohort study[J]. Front Nutr, 2022, 9:1003545.
DOI URL |
| [40] |
ZHANG H, XIA Y, ZHANG X, et al. Carbohydrate intake quality and gestational diabetes mellitus,and the modifying effect of air pollution[J]. Front Nutr, 2023, 9:992472.
DOI URL |
| [41] |
MENG H, MATTHAN N R, AUSMAN L M, et al. Effect of macronutrients and fiber on postprandial glycemic responses and meal glycemic index and glycemic load value determinations[J]. Am J Clin Nutr, 2017, 105(4):842-853.
DOI PMID |
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