饮食碳水化合物摄入与2型糖尿病风险之间的关系:队列研究的系统综述和荟萃分析。

IF 1.3 Q4 ENDOCRINOLOGY & METABOLISM
Diabetology International Pub Date : 2023-07-04 eCollection Date: 2023-10-01 DOI:10.1007/s13340-023-00642-0
Akinori Yaegashi, Satoshi Sunohara, Takashi Kimura, Wen Hao, Takato Moriguchi, Akiko Tamakoshi
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引用次数: 0

摘要

背景:先前的荟萃分析评估了碳水化合物摄入与2型糖尿病(T2D)风险之间的关系;然而,他们很少对碳水化合物摄入量高于非亚洲人、胰岛素分泌能力低于非亚洲人的亚洲人进行研究。自之前的荟萃分析发表以来,已经对亚洲人群进行了三项进一步的研究。基于这一背景,本研究旨在对饮食碳水化合物摄入与T2D风险之间的联系进行最新的系统性观察研究。方法:我们对研究目标关联的队列研究进行了系统搜索。对于每项分析的研究,使用参数调整后的风险比来比较碳水化合物摄入量最低和最高的组发生T2D的风险。使用随机效应模型计算风险比率。结果:对10篇出版物进行了分析。总体而言,碳水化合物摄入与T2D发病风险比的增加无关(风险比[RR] = 1.07;95%置信区间[95%CI] = 0.94.121;P 2. = 61.9%)。然而,对亚洲人群的研究报告称,高碳水化合物摄入与这种风险显著相关(RR = 1.29;95%置信区间1.15、1.45;P = 0.59,I2 = 0.0%)。结论:这项最新的荟萃分析显示,总体而言,碳水化合物摄入与T2D的风险无关;然而,亚洲人口之间存在着显著的关联。为了证实本研究中观察到的饮食碳水化合物摄入与T2D风险之间的相关性,需要来自亚洲人群的长期观察性研究的进一步证据。补充信息:在线版本包含补充材料,可访问10.1007/s13340-023-00642-0。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between dietary carbohydrate intake and risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies.

Background: Previous meta-analyses have assessed the relationship between carbohydrate intake and type 2 diabetes (T2D) risk; however, they included few studies of Asian populations who have a higher carbohydrate intake and lower insulin secretory capacity than non-Asians. Since the publication of the previous meta-analyses, three further studies of Asian populations have been conducted. Based on this background, the present study aimed to perform an updated systematically examine observational studies concerning the link between dietary carbohydrate intake and T2D risk.

Methods: We conducted a systematic search for cohort studies that investigated the target association. For each analyzed study, parameter-adjusted risk ratios were used to compare the lowest and highest carbohydrate-intake groups in terms of their risk of incident T2D. The risk ratios were calculated using a random-effects model.

Results: Ten publications were analyzed. Overall, carbohydrate intake was found not to be associated with increased risk ratios of incident T2D (risk ratio [RR] = 1.07; 95% confidence interval [95% CI] = 0.94, 1.21; P < 0.01, I2 = 61.9%). However, studies of Asian populations reported that high carbohydrate intake is significantly associated with this risk (RR = 1.29; 95% CI 1.15, 1.45; P = 0.59, I2 = 0.0%).

Conclusions: This updated meta-analysis showed that, overall, carbohydrate intake is not associated with the risk of T2D; nevertheless, a significant association exists among Asian populations. To confirm the association between dietary carbohydrate intake and T2D risk observed in this study, further evidence from long-term observational studies of Asian populations is required.

Supplementary information: The online version contains supplementary material available at 10.1007/s13340-023-00642-0.

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来源期刊
Diabetology International
Diabetology International ENDOCRINOLOGY & METABOLISM-
CiteScore
3.90
自引率
4.50%
发文量
42
期刊介绍: Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.
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