Mika Shimizu, Junko Oya, Yuichiro Kondo, Aki Katamine, Yukiko Hasegawa, Tomoko Nakagami
{"title":"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。","authors":"Mika Shimizu, Junko Oya, Yuichiro Kondo, Aki Katamine, Yukiko Hasegawa, Tomoko Nakagami","doi":"10.1111/jdi.14347","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims/introduction: </strong>To determine the association of irregular dietary habits with HbA1c and body mass index (BMI) in people with diabetes.</p><p><strong>Materials and methods: </strong>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/m<sup>2</sup>.</p><p><strong>Results: </strong>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/m<sup>2</sup> 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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":190,"journal":{"name":"Journal of Diabetes Investigation","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cross-sectional association of irregular dietary habits with glycemic control and body mass index among people with diabetes.\",\"authors\":\"Mika Shimizu, Junko Oya, Yuichiro Kondo, Aki Katamine, Yukiko Hasegawa, Tomoko Nakagami\",\"doi\":\"10.1111/jdi.14347\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims/introduction: </strong>To determine the association of irregular dietary habits with HbA1c and body mass index (BMI) in people with diabetes.</p><p><strong>Materials and methods: </strong>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/m<sup>2</sup>.</p><p><strong>Results: </strong>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/m<sup>2</sup> 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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":190,\"journal\":{\"name\":\"Journal of Diabetes Investigation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-11-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Diabetes Investigation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jdi.14347\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes Investigation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jdi.14347","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.
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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