Al-Madinah Al-Munawara 2 型糖尿病患者的宏量营养素摄入量及其与糖尿病并发症风险因素的关系

Open Access Macedonian Journal of Medical Sciences Pub Date : 2024-02-04 DOI:10.3889/oamjms.2024.11743

Inas R El-Alameey, Renad N. Aljohani, Shoog A. Allhebi, Hadel A. Alahmadi, Rawan K. Alsakrani

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引用次数: 0

摘要

背景：在全球范围内，2 型糖尿病（T2DM）是发病和死亡的主要原因。本研究旨在调查 T2DM 并发症与 T2DM 患者每日碳水化合物、蛋白质和脂肪摄入量之间的关系。材料和方法：本研究对沙特阿拉伯 Al-Madina Al-Munawara 市的 138 名 T2DM 患者进行了横断面研究。数据是通过在社交媒体上发布的调查问卷收集的。通过非连续两天的 24 小时饮食回忆问卷收集了宏量营养素数据。结果：患者的平均年龄为（53.8 ± 11.3）岁，55.8%为女性。T2DM并发症的发生率为：糖尿病视网膜病变 55.8%、心血管疾病（CVD）30.4%、糖尿病足 26.1%、中风 19.6%、肾脏疾病 5.3%，与患者性别无显著差异。每日碳水化合物摄入量大于 65% 与心血管疾病、视网膜病变和糖尿病足的风险增加有关，几率比（OR）分别为 4.75、4.35 和 65.5。结论：研究结果表明，每天从碳水化合物蛋白质和脂肪中摄入的高热量在 T2DM 并发症风险中起着重要作用。糖尿病患者如果了解从宏量营养素中摄入热量的价值以及如何分配每天摄入的这些热量，就可以降低患糖尿病并发症的风险。

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Macronutrient Intake and Association with the Risk Factors of Diabetic Complications among People with Type 2 Diabetes Mellitus in Al-Madinah Al-Munawara

BACKGROUND: Worldwide, Type 2 diabetes mellitus (T2DM) is a leading cause of morbidity and mortality. There is little research on the relationship between T2DM problems and daily macronutrient intake in Saudi Arabia, particularly in Al-Madina Al-Munawara. AIM: This study aimed to investigate the relationship between T2DM complications and daily carbohydrate, protein, and fat intake in T2DM patients. MATERIALS AND METHODS: A cross-sectional study was conducted on 138 T2DM patients in Al-Madina Al-Munawara City, Saudi Arabia. The data were collected using a questionnaire that was published on social media. The macronutrient data were collected by a 24-h dietary recall questionnaire on 2 non-consecutive days. Appropriate statistical tests were done, and univariate and multivariate logistic regression were used to examine the association of macronutrient intake with diabetes complications among the studied patients. RESULTS: The mean age of patients was 53.8 ± 11.3 years, and 55.8% were females. The prevalence of T2DM complications was 55.8% for diabetic retinopathy, 30.4% for cardiovascular diseases (CVD), 26.1% for diabetic foot, 19.6% for stroke, and 5.3% for kidney diseases with no significant difference by patients’ sex. Daily carbohydrates intake >65% was associated with an increased risk of CVD, retinopathy, and diabetic foot with odds ratio (OR) of 4.75, 4.35, and 65.5, respectively. Daily proteins intake >20% and daily fat intake ≥30% were associated with a significant increased risk of stroke and CVD, respectively. CONCLUSION: The study findings suggest that high daily calorie intake from carbohydrate protein and fat plays an important role in the risk of T2DM complications. Patients with diabetes who understand the value of consuming calories from macronutrients and how to distribute their daily intake of these calories may reduce their risk of developing diabetic complications.

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来源期刊

Open Access Macedonian Journal of Medical Sciences Medicine-Medicine (all)

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1225

期刊介绍： Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, information on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.