Food intake of individuals with and without diabetes across different countries and ethnic groups.
Food intake of individuals with and without diabetes across different countries and ethnic groups.
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DOI：
10.1038/ejcn.2011.11
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发表时间：
2011-05
影响因子：
4.7
通讯作者：
Kolonel LN
中科院分区：
文献类型：
--
作者：
Nöthlings U;Boeing H;Maskarinec G;Sluik D;Teucher B;Kaaks R;Tjønneland A;Halkjaer J;Dethlefsen C;Overvad K;Amiano P;Toledo E;Bendinelli B;Grioni S;Tumino R;Sacerdote C;Mattiello A;Beulens JW;Iestra JA;Spijkerman AM;van der A DL;Nilsson P;Sonestedt E;Rolandsson O;Franks PW;Vergnaud AC;Romaguera D;Norat T;Kolonel LN
鉴于营养治疗在糖尿病管理中的重要性，我们假设糖尿病患者和非糖尿病患者的食物摄入量不同。我们在两项大型前瞻性研究中调查了这一假设，包括不同的国家和种族。研究人群是EPIC（欧洲癌症和营养前瞻性调查）研究和多种族队列研究（MEC）。饮食摄入量通过食物频率问卷进行评估，并使用EPIC研究的24小时回忆信息进行校准。仅纳入队列入组时确认的糖尿病自我报告：EPIC中有6192例糖尿病患者，MEC中有13776例。对于基线时食物摄入量和生活方式变量的横断面比较，糖尿病患者和非糖尿病患者在性别、年龄（5岁）、BMI（2.5 kg/m2）和国家方面1：1匹配。与非糖尿病患者相比，糖尿病患者的软饮料摄入量更高（EPIC和MEC分别为13%和44%），糖果、果汁、葡萄酒和啤酒的摄入量更低（差异>10%）。在两项研究中，糖尿病患者的蔬菜、鱼类和肉类摄入量略高，但差异不到10%。调查结果在不同族裔群体之间比在国家之间更为一致，但总体上显示出大致相似的模式。虽然糖尿病患者预计会接受营养教育，但我们发现与非糖尿病患者相比，饮食行为只有很小的差异。这些发现表明，需要强调教育，以改善目前的行为，以协助预防并发症。
Given the importance of nutrition therapy in diabetes management, we hypothesized that food intake differs between individuals with and without diabetes. We investigated this hypothesis in two large prospective studies including different countries and ethnic groups. Study populations were the EPIC (European Prospective Investigation into Cancer and Nutrition)-Study and the Multiethnic Cohort Study (MEC). Dietary intake was assessed via food frequency questionnaires, and calibrated using 24h-recall information for the EPIC-Study. Only confirmed self-reports of diabetes at cohort entry were included: 6192 diabetes patients in EPIC and 13 776 in the MEC. For the cross-sectional comparison of food intake and lifestyle variables at baseline, individuals with and without diabetes were matched 1:1 on sex, age in five year categories, BMI in 2.5 kg/m2 categories, and country. Higher intake of softdrinks (by 13 and 44% in the EPIC and MEC), and lower consumption of sweets, juice, wine, and beer (>10% difference) were observed in participants with diabetes compared to those without. Consumption of vegetables, fish and meat was slightly higher in individuals with diabetes in both studies, but the differences were less than 10%. Findings were more consistent across different ethnic groups than countries, but generally showed largely similar patterns. Although diabetes patients are expected to undergo nutritional education, we found only small differences in dietary behavior in comparison to cohort members without diabetes. These findings suggest that emphasis on education is needed to improve the current behaviors in order to assist in the prevention of complications.
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影响因子：
4.7
作者：
Slimani, N;Ferrari, P;Riboli, E
通讯作者：
Riboli, E
影响因子：
3.2
作者：
Ferrari, P;Slimani, N;Riboli, E
通讯作者：
Riboli, E
影响因子：
45.3
作者：
Bellizzi, KM;Rowland, JH;McNeel, T
通讯作者：
McNeel, T
影响因子：
5
作者：
Stram, DO;Hankin, JH;Kolonel, LN
通讯作者：
Kolonel, LN
影响因子：
120.7
作者：
Fox, CS;Coady, S;Savage, PJ
通讯作者：
Savage, PJ