2型糖尿病患者不同类型饮食脂肪摄入与血脂的关系:性别差异

Q4 Business, Management and Accounting

Arab Gulf Journal of Scientific Research Pub Date : 2023-07-10 DOI:10.1108/agjsr-02-2023-0046

M. Al-Mssallem, S. N. Alarifi, Nora Ibrahim Al-Mssallem

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引用次数: 0

摘要

目的:血脂和脂蛋白异常在糖尿病患者中很常见。该研究旨在评估考虑性别差异的2型糖尿病(T2DM)患者饮食脂肪摄入量及其与血脂的关系。设计/方法/方法对T2DM患者(男性207例，女性197例)进行横断面观察性研究。通过面对面访谈的方式评估每日食物摄入量及其脂肪含量和脂肪种类。最初记录人体测量、糖化血红蛋白(HbA1c)、甘油三酯、总胆固醇(TC)、高密度脂蛋白(HDL)胆固醇和低密度脂蛋白(LDL)胆固醇。结果显示，女性的TC、LDL和HDL胆固醇水平明显高于男性。然而，男性的TC: HDL比值明显高于女性。结果还表明，每日摄入的饱和脂肪酸(SFA)略高于每日推荐允许量。而单不饱和脂肪酸+多不饱和脂肪酸/SFA (MUFA + PUFA/SFA)比值在推荐范围内。此外，本研究发现，SFA和胆固醇摄入的主要来源是牛奶和奶制品。高脂肪摄入与HbA1c水平显著相关(r = 0.234, p < 0.001)。研究局限性/启示由于这是一项横断面观察性研究，因此该研究具有天然的局限性，它只能证明一种关联。膳食脂肪摄入的类型可能会导致血脂异常，男女之间的影响可能存在差异。关于糖尿病患者，特别是沙特糖尿病患者每日脂肪摄入量及其类型对血脂影响的研究是有限的。本研究的重点是沙特男性和女性T2DM患者消耗的脂肪的数量和类型，并研究消耗的脂肪类型与血脂之间的关系。

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The association between different types of dietary fat intake and blood lipids in Type 2 diabetes patients: sex differences

Purpose Blood lipid and lipoprotein abnormalities are common among patients with diabetes. The study aimed to assess dietary fat intake and its association with blood lipids among patients with Type 2 diabetes mellitus (T2DM) considering sex differences.Design/methodology/approach A cross-sectional observational study was conducted with patients (207 males and 197 females) with T2DM. The daily food intake and its contents of fat and fat types were assessed through face-to-face interview. Anthropometric measurements, glycated hemoglobin (HbA1c), triglyceride, total cholesterol (TC), high-density lipoprotein (HDL) cholesterol and low-density lipoprotein (LDL) cholesterol were initially recorded.Findings The results revealed that TC, LDL and HDL cholesterol levels were significantly higher in females than in males. However, the TC: HDL ratio was significantly higher in males than in females. The results also showed that the daily intake of saturated fatty acid (SFA) slightly exceeded the daily recommended allowance. However, the monounsaturated fatty acid + polyunsaturated fatty acid/SFA (MUFA + PUFA/SFA) ratio was within the recommended ratio. In addition, this study found that the main sources of SFA and cholesterol intake were milk and milk products. A significant association between high fat intake and HbA1c levels was observed (r = 0.234, p < 0.001).Research limitations/implications As it is a cross-sectional observational study, this study has the natural limitation where it can only demonstrate an association.Originality/value The types of dietary fat intake may contribute to blood lipid abnormalities and differences effects may exist among male and female. Studies on the effect of daily fat intake and its types on blood lipids in patients with diabetes, in particular Saudi patients with diabetes are limited. This study focused on the amount and type of the consumed fat among male and female Saudi patients with T2DM and studied the relationship between the type of consumed fat and blood lipid profiles.

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