Association between Nutrient Intake and Obesity in Type 2 Diabetic Patients from the Korean National Diabetes Program: A Cross-Sectional Study
Journal of Korean Medical Science 2012년 27권 10호 p.1188 ~ p.1195
김소헌(Kim So-Hun) - Inha University School of Medicine Department of Internal Medicine
홍성빈(Hong Seong-Bin) - Inha University School of Medicine Department of Internal Medicine
서영주(Suh Young-Ju) - Inha University School of Medicine Clinical Research Institute
최윤진(Choi Yun-Jin) - Inha University School of Medicine Department of Internal Medicine
남문석(Nam Moon-Suk) - Inha University School of Medicine Department of Internal Medicine
이형우(Lee Hyoung-Woo) - Yeungnam University College of Medicine Department of Internal Medicine
박이병(Park Ie-Byung) - Gachon University of Medicine and Science Department of Endocrinology of Metabolism
전숙(Chon Suk) - Kyung Hee University College of Medicine Department of Endocrinology and Metabolism
우정택(Woo Jeong-Taek) - Kyung Hee University School of Medicine Department of Endocrinology and Metabolism
백세현(Baik Sei-Hyun) - Korea University College of Medicine Department of Internal Medicine
박용수(Park Yong-Soo) - Hanyang University College of Medicine Department of Internal Medicine
김대중(Kim Dae-Jung) - Ajou University School of Medicine Department of Endocrinology and Metabolism
이관우(Lee Kwan-Woo) - Ajou University College of Medicine Department of Endocrinology and Metabolism
김영설(Kim Young-Seol) - Kyung Hee Medical Center Department of Endocrine and Metabolism
Abstract
The aim of the study was to assess the association between usual dietary nutrient intake and obesity in Korean type 2 diabetic patients. We examined 2,832 type 2 diabetic patients from the Korean National Diabetes Program cohort who completed dietary assessment and clinical evaluation in this cross-sectional study. In men, higher dietary fiber intake was associated with a lower odds of being obese (Ptrend = 0.003) and in women, higher protein intake was associated with a lower odds of being obese (Ptrend = 0.03) after adjustment for age, diabetes duration, HbA1c, alcohol drinking, income, education level, and calorie intake. In men, higher fiber intake was associated with lower odds of obesity after further adjustment for diastolic blood pressure, physical activity, and possible confounding nutritional intake and medication. The multivariable adjusted odds ratio for the highest quintile of fiber intake was 0.37 (Ptrend < 0.001). In women, protein intake was not associated with obesity after further adjustment. In conclusion, higher intake of dietary fiber is associated with lower odds of being obese in type 2 diabetic men, suggesting a role for dietary fiber in the management and prevention of obesity in type 2 diabetes (ClinicalTrials.gov: NCT 01212198).
키워드
Type 2 diabetes mellitus, Nutrients, Dietary fiber, Obesity
KMID :
0191120120270101188
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유효성결과(Recomendation)
Higher intake of dietary fiber is associated with lower odds of being obese in type 2 diabetic men