[Status of dietary energy and consumption of food among Chinese diabetics aged 45 years and above in 2015].

Yuqian Li, Qianrang Zhu, Zhen Liu, Lianlong Yu, Shanshan Jia, Beibei Liu, Jian Zhang
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Abstract

Objective: To investigate the macronutrient and food intake of diabetics aged 45 years and above in China.

Methods: The research data was based on the China Adult Chronic Disease and Nutrition Surveillance in 2015. The dietary nutrition status of diabetics living in community was investigated by questionnaire, condiments weighing and 3 days-24 hours dietary questionnaire. Assessment was compared with the recommended amount of macronutrient energy supply ratio in The guideline for the prevention and treatment of type 2 diabetes mellitus in China(2020 edition). The macronutrient energy supply ratio of patients with different types of diabetes was evaluated and their food intake was statistically analyzed.

Results: The median of daily intake of total energy, protein, fat and carbohydrate were 1585 kcal, 50.1 g, 62.4 g and 200.1 g, respectively. The energy ratios of protein, fat and carbohydrate were 12.6%, 36.3% and 52.1%, respectively. In diabetics, the proportion of protein, fat and carbohydrate energy ratios that meet the recommendations in The guideline for the prevention and treatment of type 2 diabetes mellitus in China(2020 edition) were 20.5%, 21.7% and 40.4%, respectively.

Conclusion: There is an unreasonable macronutrient energy ratio in the diet of diabetic over 45 years old in China, which mainly shows that the proportion of protein energy supply ratio in most diabetics is low, and the proportion of fat energy ratio exceeds the standard is high.

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【2015年中国45岁及以上糖尿病患者膳食能量和食物消耗状况】。
目的:了解中国45岁及以上糖尿病患者的常量营养素和食物摄入量。方法:研究数据基于2015年中国成人慢性病和营养监测。采用问卷调查、调味品称重、3天24小时膳食调查等方法,对社区糖尿病患者的膳食营养状况进行调查。将评估结果与《中国2型糖尿病防治指南》(2020年版)中推荐的常量营养素能量供应比进行比较。对不同类型糖尿病患者的常量营养素能量供应率进行评估,并对其食物摄入量进行统计分析。结果:总能量、蛋白质、脂肪和碳水化合物的日摄入量中位数分别为1585 kcal、50.1 g、62.4 g和200.1 g。蛋白质、脂肪和碳水化合物的能量比分别为12.6%、36.3%和52.1%。在糖尿病患者中,符合《中国2型糖尿病防治指南》(2020年版)建议的蛋白质、脂肪和碳水化合物能量比的比例分别为20.5%、21.7%和40.4%。结论:我国45岁以上糖尿病患者膳食中存在不合理的常量营养素能量比,主要表现为大多数糖尿病患者蛋白质能量供应比例较低,脂肪能量比超标比例较高。
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