膳食血糖负荷与糖尿病关系的队列研究
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- 英文论文题名：Cohort Study on Dietary Glycemic Load and Diabetes Mellitus
- 论文作者：何凤怡 ; 陈超刚 ; 林刁珠 ; 林秀红 ; 袁智敏 ; 严励
- 英文论文作者：HE Feng-yi ; CHEN Chao-gang ; LIN Diao-zhu ; LIN Xiu-hong ; YUAN Zhi-min ; YAN Li ; Department of Clinical nutrition//Department of endocrinology ; Sun Yat-Sen Memorial Hospital ; Sun Yat-Sen University
- 年：2016
- 作者机构：中山大学孙逸仙纪念医院临床营养科//内分泌科;
- 论文关键词：血糖指数 ; 血糖负荷 ; 糖尿病 ; 队列研究
- 英文论文关键词：Glycemic index ; Glycemic load ; Diabetes mellitus ; Cohort study
- 会议召开时间：2016-11-29
- 会议录名称：广州市第十届健康教育学术交流会文集
- 语种：中文
- 分类号：R587.1
- 学会代码：SJKS
- 会议名称：广州市第十届健康教育学术交流会
- 会议地点：中国广东广州
- 主办单位：广州市健康教育所、广州市预防医学会健康教育专业委员会
- 学会名称：广州市健康教育所
- 页数：4
- 文件大小：280k
- 原文格式：O
- 会议级别：地方
摘要
目的:探讨广州社区中老年人群膳食血糖负荷(GL)与糖尿病发病的关系。方法:研究对象为同时参与我院2011年和2013年2型糖尿病流行病学调查、且资料完整的40-79岁广州社区居民,剔除2011年已诊断糖尿病的人群,研究对象共799人。采用非条件logistic回归模型研究GL与糖尿病的关系。结果:截止2013年,发生糖尿病57人,累计发生率7.1%。研究对象按GL四分位分组,各组糖尿病发病风险分别为1.00,2.55,3.01(95%CI,1.12-8.09),3.78(95%CI,1.43-9.99),趋势检验P<0.01。结论:膳食GL可能是影响我国中老年人群糖尿病发病的重要膳食因素,降低膳食GL对于预防我国中老年人糖尿病可能具有一定作用。
OBJECTIVE:To investigate the association between dietary glycemic load(GL) and diabetes mellitus incidence among middle-aged and elderly adults in Guangzhou,China.METHODS:Study population were Guangzhou community residents,who had twice participated in epidemiological investigations of type 2 diabetes mellitus which were conducted in Sun Yat-Sen memorial hospital in 2011 and 2013,aged 40-79 years,and were not newly or previously diagnosed as diabetes mellitus in 2011.Non-conditional logistic regression was used to investigate association between dietary GL and diabetes mellitus.RESULTS:During 2011-2013,57 cases were diagnosed diabetes mellitus and the cumulative rate was 7.1%.Participants were categorized into 4 groups according to quartiles of energy-adjusted GL.The multivariable-adjusted odds ratios across quartiles of energy-adjusted GL was 1.00,2.55,3.01(95%CI,1.12-8.09),3.78(95%CI,1.43-9.99)(P for trend<0.01).CONCLUSION:Among middleaged and elderly people in Guangzhou,China,dietary GL may be one of the most important dietary factors affecting the incidence of diabetes mellitus.Reducing dietary GL might be helpful for the prevention of diabetes.
OBJECTIVE:To investigate the association between dietary glycemic load(GL) and diabetes mellitus incidence among middle-aged and elderly adults in Guangzhou,China.METHODS:Study population were Guangzhou community residents,who had twice participated in epidemiological investigations of type 2 diabetes mellitus which were conducted in Sun Yat-Sen memorial hospital in 2011 and 2013,aged 40-79 years,and were not newly or previously diagnosed as diabetes mellitus in 2011.Non-conditional logistic regression was used to investigate association between dietary GL and diabetes mellitus.RESULTS:During 2011-2013,57 cases were diagnosed diabetes mellitus and the cumulative rate was 7.1%.Participants were categorized into 4 groups according to quartiles of energy-adjusted GL.The multivariable-adjusted odds ratios across quartiles of energy-adjusted GL was 1.00,2.55,3.01(95%CI,1.12-8.09),3.78(95%CI,1.43-9.99)(P for trend<0.01).CONCLUSION:Among middleaged and elderly people in Guangzhou,China,dietary GL may be one of the most important dietary factors affecting the incidence of diabetes mellitus.Reducing dietary GL might be helpful for the prevention of diabetes.
引文
[1]Yang W,Lu J,Weng J,et al.Prevalence of diabetes among men and women in china.N Engl J Med,2010,362(12):1090-101.
[2]庄媛媛,于英慧,朱晓菲,等.低血糖负荷膳食对糖尿病病人餐后血糖的影响.现代预防医学,2013,40(21):3944-5.
[3]Ziaee A,Afaghi A,Sarreshtehdari M.Effect of low glycemic load diet on glycated hemoglobin(HbAlc)in poorly-controlled diabetes patients.Glob J Health Sci,2011,4(1):211-6.
[4]何凤怡,陈超刚,林刁珠,等.广州社区不同糖代谢状态人群血糖负荷调查分析.营养学报,2015,37(5):437-41.
[5]杨月欣,王光亚,潘兴昌.中国食物成分表2002,北京:北京大学医学出版社,2002.
[6]Atkinson FS,Foster-Powell K,Brand-Miller JC,et al.International tables of glycemic index and glycemic load values:2008.Diabetes Care,2008,31(12):2281-3.
[7]何凤怡,陈超刚,林刁珠,等.膳食纤维和血糖负荷与糖代谢异常风险的相关性.中华内分泌代谢杂志,2016,32(1):38-41.
[8]Bhupathiraju SN,Tobias DK,Malik VS,et al.Glycemic index,glycemic load,and risk of type 2 diabetes:results from 3 large US cohorts and an updated meta-analysis.Am J Clin Nutr,2014,100(1):218-32.
[9]Villeqas R,Liu S,Gao YT,et al.Prospective study of dietary carbohydrate,glycemic index,glycemic load,and incidence of type 2 diabetes mellitus in middle-aged Chinese women.Arch Intern Med,2007,167(21):2310-6.
[10]侯新国,孙宇,梁凯,等.山东地区20岁及以上人群2008年糖尿病及糖尿病前期患病率调查[J].中华糖尿病杂志,2012,4(10):613-7.
[11]陈超刚,洪俊,林秀红,等.广州市老城区社区中老年居民膳食宏量营养素摄人状况与其血脂的关系.中山大学学报(医学科学版),2015,36(5):780-5.
[12]Liu S,Willett WC,Stampfer MJ,et al.A prospective study of dietary glycemic load,carbohydrate intake,and risk of coronary heart disease in US women.Am J Clin Nutr,2000,71(6):1455-61.
[13]Oh K,Hu FB,Cho E,et al.Carbohydrate intake,glycemic index,glycemic load,and dietary fiber in relation to risk of stroke in women.Am J Epidemiol,2005,161(2):161-9.
[2]庄媛媛,于英慧,朱晓菲,等.低血糖负荷膳食对糖尿病病人餐后血糖的影响.现代预防医学,2013,40(21):3944-5.
[3]Ziaee A,Afaghi A,Sarreshtehdari M.Effect of low glycemic load diet on glycated hemoglobin(HbAlc)in poorly-controlled diabetes patients.Glob J Health Sci,2011,4(1):211-6.
[4]何凤怡,陈超刚,林刁珠,等.广州社区不同糖代谢状态人群血糖负荷调查分析.营养学报,2015,37(5):437-41.
[5]杨月欣,王光亚,潘兴昌.中国食物成分表2002,北京:北京大学医学出版社,2002.
[6]Atkinson FS,Foster-Powell K,Brand-Miller JC,et al.International tables of glycemic index and glycemic load values:2008.Diabetes Care,2008,31(12):2281-3.
[7]何凤怡,陈超刚,林刁珠,等.膳食纤维和血糖负荷与糖代谢异常风险的相关性.中华内分泌代谢杂志,2016,32(1):38-41.
[8]Bhupathiraju SN,Tobias DK,Malik VS,et al.Glycemic index,glycemic load,and risk of type 2 diabetes:results from 3 large US cohorts and an updated meta-analysis.Am J Clin Nutr,2014,100(1):218-32.
[9]Villeqas R,Liu S,Gao YT,et al.Prospective study of dietary carbohydrate,glycemic index,glycemic load,and incidence of type 2 diabetes mellitus in middle-aged Chinese women.Arch Intern Med,2007,167(21):2310-6.
[10]侯新国,孙宇,梁凯,等.山东地区20岁及以上人群2008年糖尿病及糖尿病前期患病率调查[J].中华糖尿病杂志,2012,4(10):613-7.
[11]陈超刚,洪俊,林秀红,等.广州市老城区社区中老年居民膳食宏量营养素摄人状况与其血脂的关系.中山大学学报(医学科学版),2015,36(5):780-5.
[12]Liu S,Willett WC,Stampfer MJ,et al.A prospective study of dietary glycemic load,carbohydrate intake,and risk of coronary heart disease in US women.Am J Clin Nutr,2000,71(6):1455-61.
[13]Oh K,Hu FB,Cho E,et al.Carbohydrate intake,glycemic index,glycemic load,and dietary fiber in relation to risk of stroke in women.Am J Epidemiol,2005,161(2):161-9.