White Rice Intake Varies in Its Association with Metabolic Markers of Diabetes and Dyslipidemia Across Region among Chinese Adults.
White Rice Intake Varies in Its Association with Metabolic Markers of Diabetes and Dyslipidemia Across Region among Chinese Adults.
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DOI：
10.1159/000430504
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发表时间：
2015
影响因子：
3.9
通讯作者：
Gordon-Larsen P
中科院分区：
文献类型：
--
作者：
Dong F;Howard AG;Herring AH;Popkin BM;Gordon-Larsen P
食用白色米饭与糖尿病和血脂异常之间存在不一致的关联，这可能是由于研究样本的性质和饮食数据的质量。使用来自中国健康与营养调查（n= 7，878）的成年人的区域多样性数据，以及来自三次重复的24小时召回的饮食数据和空腹血液以推导糖尿病和血脂异常，我们检查了来自白色米饭消费的能量百分比的区域特定三分位数的参与者中糖尿病和血脂异常的几率。未确诊的糖尿病、高甘油三酯、高低密度脂蛋白（LDL）、低高密度脂蛋白（HDL）和致动脉粥样硬化性血脂异常（AD）的患病率分别为4.7%、31.8%、31.3%、25.9%和14.6%。我们发现，在中国中部地区，大米摄入量的最高（与最低）三分位数与糖尿病呈负相关[比值比（OR）：0.59，95%CI：0.36-0.99]。最高的大米消费量也与北部的高甘油三酯（OR：1.46，95%CI：1.09-1.95），低HDL（OR：1.38，95%CI：1.03-1.85）和AD（OR：1.63，95%CI：1.15-2.31）以及中部的低LDL（OR：0.54，95%CI：0.42-0.69）相关。白色大米消费与糖尿病和血脂异常标志物之间的关联在中国各地区各不相同，这表明除了大米之外，其他饮食和健康相关的暴露也发挥了作用。
There are inconsistent associations between white rice consumption with diabetes and dyslipidemia, perhaps due to the nature of samples studied and quality of diet data. Using regionally diverse data from adults enrolled in the China Health and Nutrition Survey (n=7,878) with diet data from three repeated 24-hour recalls and fasting blood to derive diabetes and dyslipidemia, we examined the odds of diabetes and dyslipidemia in participants across region-specific tertiles of percent energy from white rice consumption. The prevalence of undiagnosed diabetes, high triglycerides, high low-density lipoprotein (LDL), low high-density lipoprotein (HDL), and atherogenic dyslipidemia (AD) were 4.7%, 31.8%, 31.3%, 25.9%, and 14.6%, respectively. We found an inverse association between highest (versus lowest) tertile of rice intake and diabetes in Central China [Odds Ratio (OR): 0.59, 95% CI: 0.36–0.99]. Highest rice consumption was also associated with high triglycerides (OR: 1.46, 95%CI: 1.09–1.95), low HDL (OR: 1.38, 95%CI: 1.03–1.85) and AD (OR: 1.63, 95%CI: 1.15–2.31) in the North, and low LDL (OR: 0.54, 95%CI: 0.42–0.69) in the Central. The association between white rice consumption with diabetes and dyslipidemia markers varied across regions of China, suggesting a role of other dietary and health-related exposures, beyond rice.