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科学前沿:饮食方式确实影响2型糖尿病发病率

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word科学前沿:饮食方式确实影响2型糖尿病发病率ii Food 白话解读:- 水果、蔬菜、豆制品有益;- 点心、肉类、加工肉食、甜食、软饮与煎烤食品摄入量较高的饮食增加风险; 一项对新加坡华人健康研究数据的分析显示,蔬菜、水果和大豆摄入量较高的饮食方式与2型糖尿病发生风险逆相关,而点心、肉类、加工肉食、甜食、软饮与煎烤食品摄入量较高的饮食方式与2型糖尿病发生风险显著增加相关该文于2011年2月17日发表于《糖尿病护理》〔Diabetes Care〕杂志 该研究的分析数据库包括43176名基线〔1993-1998年〕时无糖尿病、心血管疾病和癌症的男性和女性华人〔45~74岁〕,随访至2004年研究者使用主成分分析方式,对两种主要饮食方式,即蔬菜、水果和大豆膳食为主膳食〔VFS〕和点心、肉类为主膳食〔DSM〕与2型糖尿病发病风险进展分析 校正吸烟状况后的结果显示,对于既往吸烟者,这两种饮食方式与糖尿病发生风险均不相关;但对于非吸烟者,VFS饮食与2型糖尿病发生风险逆相关〔与VFS饮食评分为最低五分位者相比,VFS评分为第2至第5五分位者的2型糖尿病发生风险比分别为0.91、0.82、0.73和0.75,趋势P=0.0005〕,而DSM饮食与2型糖尿病发生风险正相关〔与DSM饮食评分为最低五分位者相比,DSM评分为第2至第5五分位者的2型糖尿病发病风险比分别为1.07、1.25、1.18和1.47,趋势P<0.0001〕。

原文:Dietary Patterns and Incident Type 2 Diabetes in Chinese Men and WomenThe Singapore Chinese Health StudyAndrew O. Odegaard, PHD1, Woon-Puay Koh, PHD2, Lesley M. Butler, PHD3, Sue Duval, PHD1, Myron D. Gross, PHD1, Mimi C. Yu, PHD4, Jian-Min Yuan, MD, PHD1,4 and Mark A. Pereira, PHD1+ Author AffiliationsAbstractOBJECTIVE To empirically derive dietary patterns and examine their association with incident type 2 diabetes.RESEARCH DESIGN AND METHODS We used data from the Singapore Chinese Health Study, including 43,176 Chinese men and women (aged 45–74 years), free of diabetes, cardiovascular disease, and cancer at baseline (1993–1998) and followed up through 2004. Two major dietary patterns were identified using principal ponents analysis: a vegetable, fruit, and soy-rich pattern (VFS) and a dim sum and meat-rich pattern (DSM). Pattern scores for each participant were calculated and examined with type 2 diabetes risk using Cox regression.RESULTSThe associations of the two dietary patterns with diabetes risk were modified by smoking status. Neither pattern was associated with risk of diabetes in ever smokers. In never smokers, the VFS dietary pattern was inversely associated with risk of type 2 diabetes. pared with the lowest quintile of the VFS dietary pattern score, the hazard ratios for quintiles 2–5 were 0.91, 0.82, 0.73, and 0.75 (P = 0.0005 for trend). The DSM dietary pattern was positively associated with risk of type 2 diabetes in never smokers, with hazard ratios for quintiles 2–5 of 1.07, 1.25, 1.18, and 1.47 (P < 0.0001 for trend).CONCLUSIONS A dietary pattern with higher intake of vegetables, fruits, and soy foods was inversely associated with risk of incident type 2 diabetes, and a pattern with higher intake of dim sum, meat and processed meat, sweetened foods and beverages, and fried foods was associated with a significantly increased risk of type 2 diabetes in Chinese men and women in Singapore.- end -用爱传递健康智慧!洋兰j健康社区 iiFood / 。

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