Association between Nutrient Intake and Obesity in Type 2 Diabetic Patients from the Korean National Diabetes Program: A Cross-Sectional Study.
10.3346/jkms.2012.27.10.1188
- Author:
So Hun KIM
1
;
Seong Bin HONG
;
Young Ju SUH
;
Yun Jin CHOI
;
Moonsuk NAM
;
Hyoung Woo LEE
;
Ie Byung PARK
;
Suk CHON
;
Jeong Taek WOO
;
Sei Hyun BAIK
;
Yongsoo PARK
;
Dae Jung KIM
;
Kwan Woo LEE
;
Young Seol KIM
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. namms@inha.ac.kr
- Publication Type:Original Article ; Clinical Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Type 2 diabetes mellitus;
Nutrients;
Dietary fiber;
Obesity
- MeSH:
Asian Continental Ancestry Group;
Cohort Studies;
Cross-Sectional Studies;
Demography;
Diabetes Mellitus, Type 2/*complications/diagnosis;
Dietary Fiber;
*Energy Intake;
Female;
Humans;
Male;
Middle Aged;
Obesity/*etiology;
Odds Ratio;
Republic of Korea;
Risk Factors
- From:Journal of Korean Medical Science
2012;27(10):1188-1195
- CountryRepublic of Korea
- Language:English
-
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).