Type of vegetarian diet, obesity and diabetes in adult Indian population
Type of vegetarian diet, obesity and diabetes in adult Indian population
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DOI：
10.1186/1475-2891-13-89
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发表时间：
2014-09-05
影响因子：
5.4
通讯作者：
Ebrahim, Shah
中科院分区：
文献类型：
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作者：
Agrawal, Sutapa;Millett, Christopher J.;Ebrahim, Shah
背景资料：调查肥胖症和糖尿病的患病率在印度成年男性和女性消费不同类型的素食者相比，那些消费non-vegetarian dietes.Methods：我们使用的横截面数据的156,317名成年人年龄在20-49岁谁参加了印度的第三次全国家庭健康调查（2005-06）。素食类型之间的关联（纯素食者、乳素食者、乳蛋素食者、鱼素食者、半素食者和非素食者）和自我报告的糖尿病状态和测量的体重指数（BMI）使用多变量logistic回归进行估计，调整年龄、性别、教育、家庭财富、农村/城市居住地、宗教、种姓、吸烟、饮酒和看电视。鱼素食者（20.3 kg/m2）和纯素食者（20.5 kg/m2）的平均BMI最低，乳蛋素食者（21.0 kg/m2）和乳素食者（21.2 kg/m2）的平均BMI最高。在食用乳素食、乳蛋素食（95%CI：0.6-1.3）和半素食（95%CI：0.7-1.1）饮食的人群中，糖尿病患病率为0.9%（95%CI：0.8 - 1.1），食用鱼素食的人群中糖尿病患病率最高（1.4%; 95%CI：1.0-2.0）。吃了牛奶-（OR：0.67; 95% CI：0.58-0.76; p < 0.01），乳蛋（OR：0.70; 95% CI：0.51-0.96; p = 0.03）和半素食者（OR：0.77; 95%CI：0.60-0.98; p = 0.03）在调整后的分析中，饮食与糖尿病的可能性低于非素食饮食。在这个具有全国代表性的印度成年人大样本中，奶蛋和半素食饮食与糖尿病的可能性较低相关。这些发现可能有助于制定干预措施，以解决印度人口超重/肥胖和糖尿病日益增长的负担。然而，需要更好的饮食摄入量和糖尿病临床指标的前瞻性研究来阐明这种关系。
Background: To investigate the prevalence of obesity and diabetes among adult men and women in India consuming different types of vegetarian diets compared with those consuming non-vegetarian diets.Methods: We used cross-sectional data of 156,317 adults aged 20-49 years who participated in India's third National Family Health Survey (2005-06). Association between types of vegetarian diet (vegan, lacto-vegetarian, lacto-ovo vegetarian, pesco-vegetarian, semi-vegetarian and non-vegetarian) and self-reported diabetes status and measured body mass index (BMI) were estimated using multivariable logistic regression adjusting for age, gender, education, household wealth, rural/urban residence, religion, caste, smoking, alcohol use, and television watching.Results: Mean BMI was lowest in pesco-vegetarians (20.3 kg/m(2)) and vegans (20.5 kg/m(2)) and highest in lacto-ovo vegetarian (21.0 kg/m(2)) and lacto-vegetarian (21.2 kg/m(2)) diets. Prevalence of diabetes varied from 0.9% (95% CI: 0.8-1.1) in person consuming lacto-vegetarian, lacto-ovo vegetarian (95% CI: 0.6-1.3) and semi-vegetarian (95% CI: 0.7-1.1) diets and was highest in those persons consuming a pesco-vegetarian diet (1.4%; 95% CI: 1.0-2.0). Consumption of a lacto-(OR: 0.67; 95% CI: 0.58-0.76; p < 0.01), lacto-ovo (OR: 0.70; 95% CI: 0.51-0.96; p = 0.03) and semi-vegetarian (OR: 0.77; 95% CI: 0.60-0.98; p = 0.03) diet was associated with a lower likelihood of diabetes than a non-vegetarian diet in the adjusted analyses.Conclusions: In this large, nationally representative sample of Indian adults, lacto-, lacto-ovo and semi-vegetarian diets were associated with a lower likelihood of diabetes. These findings may assist in the development of interventions to address the growing burden of overweight/obesity and diabetes in Indian population. However, prospective studies with better measures of dietary intake and clinical measures of diabetes are needed to clarify this relationship.