Analysis of dietary pattern and diabetes mellitus influencing factors identified by classification tree model in adults of Fujian
10.3760/cma.j.issn.0254-6450.2017.05.009
- VernacularTitle:福建省居民膳食模式及基于分类树模型的糖尿病影响因素分析
- Author:
Fanglin YU
1
;
Ying YE
;
Yansheng YAN
Author Information
1. 福建医科大学公共卫生学院流行病与卫生统计学系
- Keywords:
Diabetes mellitus;
Dietary pattern;
Influencing factors;
Factor analysis;
Classification tree
- From:
Chinese Journal of Epidemiology
2017;38(5):602-610
- CountryChina
- Language:Chinese
-
Abstract:
Objective To find out the dietary patterns and explore the relationship between environmental factors (especially dietary patterns) and diabetes mellitus in the adults of Fujian.Methods Multi-stage sampling method were used to survey residents aged ≥18 years by questionnaire,physical examination and laboratory detection in 10 disease surveillance points in Fujian.Factor analysis was used to identify the dietary patterns,while logistic regression model was applied to analyze relationship between dietary patterns and diabetes mellitus,and classification tree model was adopted to identify the influencing factors for diabetes mellitus.Results There were four dietary patterns in the population,including meat,plant,high-quality protein,and fried food and beverages patterns.The result of logistic analysis showed that plant pattern,which has higher factor loading of fresh fruit-vegetables and cereal-tubers,was a protective factor for non-diabetes mellitus.The risk of diabetes mellitus in the population at T2 and T3 levels of factor score were 0.727 (95％CI:0.561-0.943) times and 0.736 (95％ CI:0.573-0.944) times higher,respectively,than those whose factor score was in lowest quartile.Thirteen influencing factors and eleven group at high-risk for diabetes mellitus were identified by classification tree model.The influencing factors were dyslipidemia,age,family history of diabetes,hypertension,physical activity,career,sex,sedentary time,abdominal adiposity,BMI,marital status,sleep time and high-quality protein pattern.Conclusion There is a close association between dietary patterns and diabetes mellitus.It is necessary to promote healthy and reasonable diet,strengthen the monitoring and control of blood lipids,blood pressure and body weight,and have good lifestyle for the prevention and control of diabetes mellitus.
