Association of dietary intake and BMI among newly diagnosed type 2 diabetes patients attending diabetic clinics in Kampala

Association of dietary intake and BMI among newly diagnosed type 2 diabetes patients attending diabetic clinics in Kampala
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坎帕拉糖尿病诊所新诊断 2 型糖尿病患者膳食摄入量与 BMI 的关系

DOI:
10.1186/s40795-017-0141-7
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发表时间:
2017
期刊:
影响因子:
2
通讯作者:
F. Tushemerirwe
F. Tushemerirwe
中科院分区:
--
文献类型:
--
作者:
Nicholas Matovu;F. Matovu;Wenceslaus Sseguya;F. Tushemerirwe

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背景膳食摄入量是不同人群中体重指数(BMI)的已知决定因素,因此是BMI控制的有用组成部分。据我们所知,没有研究调查乌干达人口中2型糖尿病患者的日常饮食摄入量及其与BMI的关系。本研究旨在分析新诊断的2型糖尿病患者的日常饮食摄入量,并确定不同的膳食营养素和BMI.MethodsWe之间的关联进行了横断面研究,其中200例新诊断的2型糖尿病患者在两个主要的糖尿病诊所的坎帕拉区。社会人口学,生活方式,临床测量和饮食摄入量的数据收集分别使用预先测试的结构式问卷和24小时饮食回忆。根据营养摄入量的五分位数对患者进行分组。膳食摄入量与BMI之间的关系采用多元线性回归进行了研究。碳水化合物、蛋白质和脂肪分别占每日能量消耗的73%、12.6%和14.4%。我们观察到蛋白质摄入量和BMI之间呈负相关。各五分位数患者的平均BMI斜率(95% C.I)为:0.0、-2.1(-4.2,-0.06)、-4.4(-6.9,-1.9)、-5.6(-8.2,-3.0)和-7.3(-10.6,-4.0); p趋势<0.001。相反,研究结果显示碳水化合物摄入量与BMI之间存在正相关。各五分位组患者的平均BMI斜率(95% C.I)分别为:0.0、3.0(0.6,5.4)、3.5(0.5,6.4)、5.2(1.9,8.6)和9.7(5.3,14.1);调整社会人口统计学、临床和饮食摄入变量后,p趋势<0.001。我们发现,在最终调整model.ConclusionHigher碳水化合物的摄入量与较高的BMI,而较高的蛋白质摄入量与较低的BMI与膳食纤维,脂肪,饱和脂肪,多不饱和脂肪和单不饱和脂肪的摄入量之间没有显着关联。
BackgroundDietary intake is a known determinant of body mass index (BMI) among different populations and is therefore a useful component for BMI control. To our knowledge, no study has investigated the usual dietary intake and its association with BMI in type 2 diabetes patients among the Ugandan population. This study aimed to analyse the usual dietary intake of newly diagnosed type 2 diabetes patients and determine the association between the different dietary nutrients and BMI.MethodsWe conducted a cross sectional study among 200 newly diagnosed type 2 diabetes patients in two major diabetic clinics of Kampala district. Sociodemographic, lifestyle, clinical measurements and dietary intake data were collected using a pretested structured questionnaire and a 24-h dietary recall respectively. Patients were divided according to quintile of nutrient intake. The association between dietary intake and BMI was investigated using multiple linear regression.ResultsThe average energy intake was 1960.2 ± 594.6 kilocalories/day. Carbohydrate, protein and fat contributed 73, 12.6 and 14.4% of the daily energy consumption respectively. We observed an inverse association between protein intake and BMI. Slopes (95% C.I) of average BMI for patients in the respective quintiles were: 0.0, -2.1 (-4.2, -0.06), -4.4 (-6.9, -1.9), -5.6 (-8.2, -3.0), and -7.3 (-10.6, -4.0); ptrend <0.001. In contrast, the findings showed a positive association between carbohydrate intake and BMI. Slopes (95% C.I) of average BMI for patients in the respective quintiles were: 0.0, 3.0 (0.6, 5.4), 3.5 (0.5, 6.4), 5.2 (1.9, 8.6) and 9.7 (5.3, 14.1); ptrend <0.001 after adjusting for sociodemographic, clinical and dietary intake variables. We found no significant association between the dietary intake of fibre, fat, saturated fat, polyunsaturated fat and monounsaturated fat with BMI in the final adjusted model.ConclusionHigher intake of carbohydrate was associated with higher BMI while higher intake of protein was associated with lower BMI.
DOI: 10.1093/ajcn/65.4.1220s
发表时间: 1997-04-01
影响因子: 7.1
作者:
Willett, WC;Howe, GR;Kushi, LH
通讯作者: Kushi, LH