不规律饮食习惯与糖尿病患者血糖控制和体重指数的横断面关联。

IF 3.2 3区 医学
Mika Shimizu, Junko Oya, Yuichiro Kondo, Aki Katamine, Yukiko Hasegawa, Tomoko Nakagami
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引用次数: 0

摘要

目的/简介:确定糖尿病患者不规律的饮食习惯与 HbA1c 和体重指数(BMI)之间的关系:我们纳入了 4,421 名 20-74 岁的糖尿病患者(1 型糖尿病 (T1D),19.1%),他们在进餐时回答了问卷。饮食习惯不规律患者的 HbA1c 和 BMI 调整后最小平方均值:将 "进餐时间不规律(不规律)"、"不吃早餐(SB)"和 "晚餐吃得晚(LD)"的患者与 "饮食习惯规律(规律)"的患者进行比较。对不规律饮食习惯与 HbA1c ≥ 7% 和 BMI ≥ 25 kg/m2 的关系进行了多变量逻辑回归分析:结果:在T1D患者中,"不规律 "饮食习惯的男女患者和 "低密度 "饮食习惯的女性患者的HbA1c均明显高于 "规律 "饮食习惯的患者。在 2 型糖尿病(T2D)患者中,"低密度 "饮食习惯的 HbA1c 明显高于 "正常 "饮食习惯的 HbA1c,几乎所有不规律饮食习惯的 BMI 都高于 "正常 "饮食习惯的 BMI。有 "不规律 "饮食习惯的 T1D 女性患者 HbA1c ≥7% 的比值比 (OR) 为 3.20(95% 置信区间 (CI),1.30-7.89);有 "低密度 "饮食习惯的 T2D 男性和女性患者 HbA1c ≥7% 的比值比 (OR) 分别为 1.73(1.20-2.49)和 2.20(1.14-3.65)。体重指数≥25 kg/m2的OR值在 "不规律 "的T2D男性中为1.60(95% CI,1.15-2.22),在 "低密度 "的T2D女性和男性中分别为1.43(1.02-2.01)和2.11(1.21-3.65):结论:进餐时间不规律与 T1D 女性血糖控制不佳有关,与 T2D 男性肥胖有关。此外,晚饭吃得晚与 T2D 患者的高 HbA1c 水平和体重指数有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cross-sectional association of irregular dietary habits with glycemic control and body mass index among people with diabetes.

Aims/introduction: To determine the association of irregular dietary habits with HbA1c and body mass index (BMI) in people with diabetes.

Materials and methods: We included 4,421 people with diabetes aged 20-74 years (type 1 diabetes (T1D), 19.1%) who answered a questionnaire at mealtime. Adjusted least square means in HbA1c and BMI in patients with irregular dietary habits: "irregular mealtimes (irregular)," "skipping breakfast (SB)," and "late dinner (LD)" were compared to those with "regular dietary habits (regular)." Multivariable logistic regression analyses were performed to examine the association of irregular dietary habits with HbA1c ≥ 7% and BMI ≥25 kg/m2.

Results: HbA1c was significantly higher for "irregular" in both sexes and for "LD" in women than those of "regular" in people with T1D. HbA1c was significantly higher for "LD," and BMI was higher for almost all irregular dietary habits than those of "regular" in people with type 2 diabetes (T2D). Odds ratios (ORs) for HbA1c ≥7% were 3.20 (95% confidence interval (CI), 1.30-7.89) for T1D women with "irregular" and 1.73 (1.20-2.49) and 2.20 (1.14-3.65) for T2D men and women with "LD," respectively. ORs for BMI ≥25 kg/m2 were 1.60 (95% CI, 1.15-2.22) for T2D men with "irregular" and 1.43 (1.02-2.01) and 2.11 (1.21-3.65) for T2D women and men with "LD," respectively.

Conclusions: Irregular mealtimes are associated with poor glycemic control in T1D women and are associated with obesity in T2D men. Furthermore, a late dinner was associated with high HbA1c levels and BMI in people with T2D.

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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation Medicine-Internal Medicine
自引率
9.40%
发文量
218
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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