2型糖尿病患者饮用牛奶和酸奶的情况及其与心脏代谢风险因素的关系：福冈糖尿病登记

IF 3.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Nutrition Metabolism and Cardiovascular Diseases Pub Date : 2024-10-17 DOI:10.1016/j.numecd.2024.10.010

Masahito Yoshinari , Toshiaki Ohkuma , Masanori Iwase , Takanari Kitazono

{"title":"2型糖尿病患者饮用牛奶和酸奶的情况及其与心脏代谢风险因素的关系：福冈糖尿病登记","authors":"Masahito Yoshinari , Toshiaki Ohkuma , Masanori Iwase , Takanari Kitazono","doi":"10.1016/j.numecd.2024.10.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and aim</h3><div>The effects of dairy products on cardiometabolic risk factors in patients with diabetes, especially in Asians, have yet to be fully investigated. Therefore, we aimed to characterise the relationship between milk and yogurt consumption and cardiometabolic risk factors in Japanese patients with diabetes.</div></div><div><h3>Methods and results</h3><div>A total of 4,438 patients with type 2 diabetes were studied. Milk and yogurt consumption was assessed using a validated self-administered diet history questionnaire, and the relationships with cardiometabolic risk factors were evaluated cross-sectionally. High consumption of milk and yogurt was significantly associated with lower body mass index, blood pressure, serum triglyceride concentration and urinary albumin-to-creatinine ratio; and higher low-density lipoprotein-cholesterol concentration (<em>P</em> for trend <0.01). Greater milk and yogurt consumption was also associated with lower likelihood of having metabolic syndrome and chronic kidney disease (CKD) (<em>P</em> for trend <0.001). Multivariable-adjusted odds ratios for metabolic syndrome and CKD in the highest quartile of milk and yogurt consumption, <em>vs</em>. the lowest quartile, were 0.75 (95% confidence interval 0.62–0.91) and 0.72 (0.59–0.89), respectively. However, the likelihood of having a high low-density lipoprotein-cholesterol concentration became higher with greater milk and yogurt consumption (<em>P</em> for trend <0.001).</div></div><div><h3>Conclusions</h3><div>Higher milk and yogurt consumption is associated with superior control of cardiovascular risk factors, including CKD, in Japanese patients with type 2 diabetes.</div></div>","PeriodicalId":49722,"journal":{"name":"Nutrition Metabolism and Cardiovascular Diseases","volume":"35 1","pages":"Article 103772"},"PeriodicalIF":3.3000,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Milk and yogurt consumption and its association with cardiometabolic risk factors in patients with type 2 diabetes: The Fukuoka Diabetes Registry\",\"authors\":\"Masahito Yoshinari , Toshiaki Ohkuma , Masanori Iwase , Takanari Kitazono\",\"doi\":\"10.1016/j.numecd.2024.10.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and aim</h3><div>The effects of dairy products on cardiometabolic risk factors in patients with diabetes, especially in Asians, have yet to be fully investigated. Therefore, we aimed to characterise the relationship between milk and yogurt consumption and cardiometabolic risk factors in Japanese patients with diabetes.</div></div><div><h3>Methods and results</h3><div>A total of 4,438 patients with type 2 diabetes were studied. Milk and yogurt consumption was assessed using a validated self-administered diet history questionnaire, and the relationships with cardiometabolic risk factors were evaluated cross-sectionally. High consumption of milk and yogurt was significantly associated with lower body mass index, blood pressure, serum triglyceride concentration and urinary albumin-to-creatinine ratio; and higher low-density lipoprotein-cholesterol concentration (<em>P</em> for trend <0.01). Greater milk and yogurt consumption was also associated with lower likelihood of having metabolic syndrome and chronic kidney disease (CKD) (<em>P</em> for trend <0.001). Multivariable-adjusted odds ratios for metabolic syndrome and CKD in the highest quartile of milk and yogurt consumption, <em>vs</em>. the lowest quartile, were 0.75 (95% confidence interval 0.62–0.91) and 0.72 (0.59–0.89), respectively. However, the likelihood of having a high low-density lipoprotein-cholesterol concentration became higher with greater milk and yogurt consumption (<em>P</em> for trend <0.001).</div></div><div><h3>Conclusions</h3><div>Higher milk and yogurt consumption is associated with superior control of cardiovascular risk factors, including CKD, in Japanese patients with type 2 diabetes.</div></div>\",\"PeriodicalId\":49722,\"journal\":{\"name\":\"Nutrition Metabolism and Cardiovascular Diseases\",\"volume\":\"35 1\",\"pages\":\"Article 103772\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-10-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nutrition Metabolism and Cardiovascular Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0939475324003910\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition Metabolism and Cardiovascular Diseases","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0939475324003910","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

背景和目的：乳制品对糖尿病患者（尤其是亚洲人）心脏代谢风险因素的影响尚未得到充分研究。因此，我们旨在描述日本糖尿病患者饮用牛奶和酸奶与心脏代谢风险因素之间的关系：共研究了 4438 名 2 型糖尿病患者。使用有效的自填式饮食史问卷评估了牛奶和酸奶的摄入量，并横向评估了牛奶和酸奶与心脏代谢风险因素的关系。牛奶和酸奶的高消费量与较低的体重指数、血压、血清甘油三酯浓度和尿白蛋白-肌酐比值，以及较高的低密度脂蛋白-胆固醇浓度显著相关（P 为趋势结论）：日本 2 型糖尿病患者多喝牛奶和酸奶与心血管风险因素（包括慢性肾脏病）的良好控制有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Milk and yogurt consumption and its association with cardiometabolic risk factors in patients with type 2 diabetes: The Fukuoka Diabetes Registry

Background and aim

The effects of dairy products on cardiometabolic risk factors in patients with diabetes, especially in Asians, have yet to be fully investigated. Therefore, we aimed to characterise the relationship between milk and yogurt consumption and cardiometabolic risk factors in Japanese patients with diabetes.

Methods and results

A total of 4,438 patients with type 2 diabetes were studied. Milk and yogurt consumption was assessed using a validated self-administered diet history questionnaire, and the relationships with cardiometabolic risk factors were evaluated cross-sectionally. High consumption of milk and yogurt was significantly associated with lower body mass index, blood pressure, serum triglyceride concentration and urinary albumin-to-creatinine ratio; and higher low-density lipoprotein-cholesterol concentration (P for trend <0.01). Greater milk and yogurt consumption was also associated with lower likelihood of having metabolic syndrome and chronic kidney disease (CKD) (P for trend <0.001). Multivariable-adjusted odds ratios for metabolic syndrome and CKD in the highest quartile of milk and yogurt consumption, vs. the lowest quartile, were 0.75 (95% confidence interval 0.62–0.91) and 0.72 (0.59–0.89), respectively. However, the likelihood of having a high low-density lipoprotein-cholesterol concentration became higher with greater milk and yogurt consumption (P for trend <0.001).

Conclusions

Higher milk and yogurt consumption is associated with superior control of cardiovascular risk factors, including CKD, in Japanese patients with type 2 diabetes.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Nutrition Metabolism and Cardiovascular Diseases 医学-内分泌学与代谢

CiteScore

6.80

自引率

2.60%

发文量

332

审稿时长

57 days

期刊介绍： Nutrition, Metabolism & Cardiovascular Diseases is a forum designed to focus on the powerful interplay between nutritional and metabolic alterations, and cardiovascular disorders. It aims to be a highly qualified tool to help refine strategies against the nutrition-related epidemics of metabolic and cardiovascular diseases. By presenting original clinical and experimental findings, it introduces readers and authors into a rapidly developing area of clinical and preventive medicine, including also vascular biology. Of particular concern are the origins, the mechanisms and the means to prevent and control diabetes, atherosclerosis, hypertension, and other nutrition-related diseases.