Association between Nutrient Intake and Obesity in Type 2 Diabetic Patients from the Korean National Diabetes Program: A Cross-Sectional Study

Title
Association between Nutrient Intake and Obesity in Type 2 Diabetic Patients from the Korean National Diabetes Program: A Cross-Sectional Study
Author(s)
이형우김소훈[김소훈]홍승빈[홍승빈]남문석[남문석]서영주[서영주]최윤진[최윤진]박이병[박이병]천석[천석]우정택[우정택]박영수[박영수]백세현[백세현]김대정[김대정]이관우[이관우]김영설[김영설]
Keywords
LIFE-STYLE FACTORS; DIETARY FIBER; PHYSICAL ACTIVITIES; METABOLIC SYNDROME; ENERGY-INTAKE; BODY-WEIGHT; US ADULTS; RECOMMENDATIONS; NUTRITION; CLASSIFICATION
Issue Date
201210
Publisher
KOREAN ACAD MEDICAL SCIENCES
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.27, no.10, pp.1188 - 1195
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 (P-trend = 0.003) and in women, higher protein intake was associated with a lower odds of being obese (P-trend = 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 (P-trend < 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).
URI
http://hdl.handle.net/YU.REPOSITORY/27181http://dx.doi.org/10.3346/jkms.2012.27.10.1188
ISSN
1011-8934
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의과대학 > 내과학교실 > Articles
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