Mastication and risk for diabetes in a Japanese population: a cross-sectional study.

Mastication and risk for diabetes in a Japanese population: a cross-sectional study.
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DOI:
10.1371/journal.pone.0064113
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Nagahama Study Collaboration Group
Nagahama Study Collaboration Group
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Yamazaki T;Yamori M;Asai K;Nakano-Araki I;Yamaguchi A;Takahashi K;Sekine A;Matsuda F;Kosugi S;Nakayama T;Inagaki N;Bessho K;Nagahama Study Collaboration Group

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咀嚼与营养摄入不足、肥胖和葡萄糖代谢之间的关系在以前的研究中已经显示出来。然而,咀嚼和糖尿病之间的联系尚未明确。我们的目的是在一个基于人群的队列中研究咀嚼(即咀嚼性能或进食率)与糖尿病之间的关系。我们在长滨前瞻性队列研究中进行了咀嚼与糖尿病之间关系的横断面研究,该研究正在招募日本中部滋贺长滨市的公民。从2009年7月至2010年11月,2,283名男性和4,544名女性居民年龄在40-74岁之间。采用分光光度法测定咀嚼变色口香糖后颜色的变化,评价咀嚼性能。进食的分类速度(快速、中等或缓慢)使用问卷进行自我评估。177名男性(7.7%)和112名女性(2.4%)被诊断为糖尿病。我们将参与者分为四个组的咀嚼性能的四分位数,即Q1(最低),2,3和4(最高)。与最低绩效组相比,糖尿病的多变量校正比值比(OR)为0.91(95%置信区间(CI),0.58-1.4),Q2,0.77(95% CI,0.48-1.2),Q3和0.53在最高组中,男性为1.2(95%CI,0.73-2.0)、0.95(95%CI,0.54-1.6)和0.56(95%CI,0.30-1.0)。我们还通过进食率估计了糖尿病的OR。与快速进食组相比,中等进食组男性的OR为0.87(95%CI,0.61-1.2),慢速进食组为0.38(95%CI,0.16-0.91),女性的OR为0.92(95%CI,0.59-1.4)和1.5(95%CI,0.73-3.0)。这些发现支持了更高的咀嚼性能和缓慢进食可以预防糖尿病发生的假设。
Associations between mastication and insufficient nutrient intake, obesity, and glucose metabolism have been shown in previous studies. However, the association between mastication and diabetes has not been clarified. Our objective was to examine the association between mastication, namely masticatory performance or rate of eating, and diabetes in a population-based cohort. We conducted a cross-sectional study of the association between mastication and diabetes in the Nagahama Prospective Cohort Study, an ongoing study which recruits citizens of Nagahama City in Shiga Prefecture, central Japan. 2,283 male and 4,544 female residents aged 40–74 years were enrolled from July 2009 to November 2010. Masticatory performance was evaluated by spectrophotometric measurement of color changes after masticating color-changeable chewing gum. Categorical rate of eating (fast, intermediate or slow) was self-assessed using a questionnaire. 177 males (7.7%) and 112 (2.4%) females were diagnosed with diabetes. We divided participants into four groups by quartile of masticatory performance, namely Q1 (lowest), 2, and 3 and 4 (highest). Compared to the lowest performance group, the multivariable adjusted odds ratio (OR) of diabetes was 0.91 (95% confidence interval (CI), 0.58–1.4) in Q2, 0.77 (95% CI, 0.48–1.2) in Q3, and 0.53 (95% CI, 0.31–0.90) in the highest group in males, and 1.2 (95% CI, 0.73–2.0), 0.95 (95% CI, 0.54–1.6) and 0.56 (95% CI, 0.30–1.0) in females. We also estimated ORs of diabetes by rate of eating. Compared to the fast eating group, ORs in males were 0.87 (95% CI, 0.61–1.2) in the intermediate group and 0.38 (95% CI, 0.16–0.91) in the slow group, and ORs in females were 0.92 (95% CI, 0.59–1.4) and 1.5 (95% CI, 0.73–3.0). These findings support the hypothesis that higher masticatory performance and slow eating prevent the occurrence of diabetes.
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