Relationship between Dietary Inflammatory Index and Blood Glucose Changes in Patients with Pre-diabetes Mellitus.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Qing Zhou, Yan Gao, Yaping Guo, Guohong Zhu
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引用次数: 0

Abstract

Objective: The objective of this study was to assess the association between the dietary inflammatory index (DII) and blood glucose changes in patients diagnosed with pre-diabetes mellitus (Pre-DM).

Methods: The study participants were 111 patients diagnosed with Pre-DM at Taizhou People's Hospital of Jiangsu Province Hospital between January 2019 and December 2021. Patients' initial BG data were collected and recorded. A dietary assessment was performed on all Pre-DM patients, and the DII of each participant was calculated to explore the relationship between DII and BG changes. DII was calculated based on the relation between food and interleukin serum IL-1β, IL-4, IL-6, IL-10 and CRP.

Results: The fasting (FBG), 1-hour postprandial (1hPBG) and 2-hour postprandial blood glucose (2hPBG) levels were (5.43±0.88) mmol/L, (10.67±3.05) mmol/L, and (8.65±2.89) mmol/L, respectively, with statistical significance among them (n=111, F=222.987, P < .001). Multivariate linear regression models were established with FBG, 1hPBG, 2hPBG, and BG changes (2hPBG-FBG and 1hPBG-FBG) as dependent variables. In Model 5, the coefficient (B value) of DII and its 95% (CI) were 0.324 (0.018~0.658) (P = .031), indicating a positive correlation between DII and BG concentration that the change of BG concentration increased by 0.456 mmol/L for every 1 unit increase in DII.

Conclusions: DII is a risk factor for Pre-DM patients, so attention should be paid to the content of inflammatory components in the diet, and more intake of anti-inflammatory components is helpful to prevent the occurrence of diabetes further.

糖尿病前期患者饮食炎症指数与血糖变化之间的关系
研究目的本研究旨在评估膳食炎症指数(DII)与糖尿病前期(Pre-DM)患者血糖变化的相关性:研究对象为2019年1月至2021年12月期间在江苏省人民医院泰州人民医院确诊的111例糖尿病前期患者。收集并记录患者的初始血糖数据。对所有DM前期患者进行饮食评估,并计算每位参与者的DII,以探讨DII与血糖变化之间的关系。DII是根据食物与白细胞介素血清IL-1β、IL-4、IL-6、IL-10和CRP之间的关系计算得出的:空腹血糖(FBG)、餐后1小时血糖(1hPBG)和餐后2小时血糖(2hPBG)水平分别为(5.43±0.88)mmol/L、(10.67±3.05)mmol/L和(8.65±2.89)mmol/L,三者间差异有统计学意义(n=111,F=222.987,P<0.001)。以 FBG、1hPBG、2hPBG 和 BG 变化(2hPBG-FBG 和 1hPBG-FBG)为因变量,建立多变量线性回归模型。在模型 5 中,DII 的系数(B 值)及其 95% (CI) 为 0.324 (0.018~0.658) (P = .031),表明 DII 与血糖浓度呈正相关,DII 每增加 1 个单位,血糖浓度的变化就会增加 0.456 mmol/L:结论:DII 是糖尿病前期患者的一个危险因素,因此应注意饮食中炎症成分的含量,多摄入抗炎成分有助于进一步预防糖尿病的发生。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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