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Are α-tocopherol levels associated with improved glycaemia? α-生育酚水平与改善血糖有关吗?
Pub Date : 2019-12-01 DOI: 10.1016/j.jnim.2020.100110
Xinyan Bi , Yi Ting Loo , Penny Liu Qing Yeo , Christiani Jeyakumar Henry

Background/objective

Little Research has been done to evaluate the vitamin E status in healthy Singaporean adults, and to examine the associations between vitamin E status, adiposity, metabolic disorders, and bone health.

Subjects/methods

A total of 100 healthy Singaporeans (mean age 46.6 ± 13.1 years; 28% men) were recruited. Their serum Vitamin E, i.e. α- and γ-tocopherol, levels were measured by using high performance liquid chromatography (HPLC) with tandem mass spectrometry (LC MS/MS).

Results

There was no significant difference in vitamin E levels between men and women. Moreover, no participants showed vitamin E deficiency and 38 of them have adequate α-tocopherol levels (>12.9 mg/L). An association was observed between serum vitamin E status and supplements usage. An association was also seen between α-tocopherol with FBG, TG, TC, and LDL-C; but no association was found between vitamin E levels, measures of obesity and bone health.

Conclusions

Our results suggested that the prevalence rate of vitamin E deficiency in Singapore was low. Circulating vitamin E levels were associated with glycaemia and lipid disorders. Therefore, vitamin E level could play a role in delaying the onset of type 2 diabetes.

背景/目的很少有研究评估健康新加坡成年人的维生素E水平,并研究维生素E水平与肥胖、代谢紊乱和骨骼健康之间的关系。对象/方法100例健康新加坡人(平均年龄46.6±13.1岁;(28%为男性)。采用高效液相色谱(HPLC)串联质谱法(LC MS/MS)测定血清维生素E (α-和γ-生育酚)水平。结果男性和女性在维生素E水平上无显著差异。此外,没有参与者出现维生素E缺乏,其中38人α-生育酚水平充足(12.9 mg/L)。观察到血清维生素E状态与补充剂使用之间存在关联。α-生育酚与FBG、TG、TC和LDL-C之间也存在关联;但没有发现维生素E水平、肥胖程度和骨骼健康之间的联系。结论sour结果提示新加坡人群维生素E缺乏症患病率较低。循环维生素E水平与血糖和脂质紊乱有关。因此,维生素E水平可能在延缓2型糖尿病发病方面发挥作用。
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引用次数: 1
Orange juice associated with a balanced diet mitigated risk factors of metabolic syndrome: A randomized controlled trial 橙汁与均衡饮食相关可降低代谢综合征的危险因素:一项随机对照试验
Pub Date : 2019-09-01 DOI: 10.1016/j.jnim.2019.100101
Olivia Ponce, Renata Benassi, Thais Cesar

In this 12 weeks randomized parallel controlled trial, we investigated whether the daily intake of orange juice (OJ) associated with a balanced diet attenuates risk factors in individuals with metabolic syndrome (MetS) and reverses this condition. Patients were divided into two groups: control (n = 36) and OJ (n = 36), which adopted a balanced diet according to the MetS guidelines. In addition, the OJ group consumed 500 mL/d OJ, maintaining the recommended dietary energy intake but adding more vitamin C (133%) and folic acid (43%) than controls. After the intervention, both groups showed a mean reduction of glucose (−3%), cholesterol (−7.5%), HDLC (−8%), BMI (−2%), waist circumference (−5.5%), and systolic and diastolic blood pressure (−8% and −9.5%, respectively). However, only the OJ group decreased insulin (−9%), insulin resistance (- 8%), LDL-C (−4%), CRP (−28%) and higher hsCRP levels (−61%), while the control group reduced exclusively triglycerides (−8.4%). Both groups showed a slight increase in antioxidant capacity (1%). The reversion of MetS to normality was similar in both groups: 12 out of 36 controls (33%) and 13 out of 36 subjects supplemented with OJ (36%). MetS reversal was due to a decrease in the risk factors, such as systolic pressure in the controls, and high glucose, insulin resistance, systemic inflammation and LDL-C, without altering HDL-C, in the OJ group. In conclusion, both treatments reduced risk factors and together reversed more than 30% MetS to normal, but the addition of OJ mitigated more risk factors than the balanced diet alone. (NCT 03301675).

在这项为期12周的随机平行对照试验中,我们调查了每日摄入橙汁(OJ)与均衡饮食是否能减轻代谢综合征(MetS)患者的危险因素并逆转这种情况。患者分为两组:对照组(n = 36)和OJ组(n = 36),根据MetS指南采用均衡饮食。此外,橙汁组每天摄入500 毫升橙汁,保持了推荐的膳食能量摄入量,但添加了比对照组更多的维生素C(133%)和叶酸(43%)。干预后,两组均显示血糖(- 3%)、胆固醇(- 7.5%)、HDLC(- 8%)、BMI(- 2%)、腰围(- 5.5%)、收缩压和舒张压(分别为- 8%和- 9.5%)的平均降低。然而,只有橙汁组降低了胰岛素(- 9%)、胰岛素抵抗(- 8%)、LDL-C(- 4%)、CRP(- 28%)和较高的hsCRP水平(- 61%),而对照组只降低了甘油三酯(- 8.4%)。两组的抗氧化能力均略有提高(1%)。两组的met恢复正常的情况相似:36个对照组中有12个(33%),36个补充了OJ的受试者中有13个(36%)。代谢产物的逆转是由于危险因素的降低,如对照组的收缩压、高葡萄糖、胰岛素抵抗、全身性炎症和LDL-C的降低,而橙汁组的HDL-C没有改变。综上所述,两种治疗方法都降低了风险因素,并将30%以上的代谢当量逆转至正常水平,但添加橙汁比单独均衡饮食更能减轻风险因素。(NCT - 03301675)。
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引用次数: 16
Effects of day-time feeding on murine skeletal muscle growth and synthesis 日间摄食对小鼠骨骼肌生长和合成的影响
Pub Date : 2019-09-01 DOI: 10.1016/j.jnim.2019.100099
Shinya Aoyama , Shuichi Kojima , Keisuke Sasaki , Takeru Shimoda , Kengo Takahashi , Rina Hirooka , Yu Tahara , Shigenobu Shibata

Muscle mass is controlled by the balance between muscle synthesis and degradation. Although nutrition is important for the maintenance of muscle mass and growth, the effects of feeding time have remained unclear. In the present study, we aimed to evaluate the effects of day- or night-time-restricted feeding on the muscle volume using muscle atrophy and hypertrophy mouse models. The day- and night-time-restricted feeding was conducted from zeitgeber time 2 (ZT2) to ZT10 and ZT14 to ZT22, respectively. In the unilateral immobilization-induced atrophy model, the decrease in immobilized muscle weight did not significantly change with the feeding time. However, the contralateral non-immobilized muscle weight was lower in the mice fed at day time (inactive phase) than in those fed at night time (active phase). In the overloading-induced hypertrophy model, muscle hypertrophy and protein synthesis were attenuated by day-time feeding. These results suggest that day-time feeding attenuated muscle growth via the inhibition of muscle synthesis. Feeding at an irregular time such as a late-night meal could be detrimental for muscle growth.

肌肉质量是由肌肉合成和降解之间的平衡控制的。虽然营养对维持肌肉质量和生长很重要,但喂养时间的影响仍不清楚。在本研究中,我们旨在通过肌肉萎缩和肥大小鼠模型来评估白天和夜间限制进食对肌肉体积的影响。分别从授时时间2 (ZT2)至ZT10和ZT14至ZT22进行白天和夜间限饲。在单侧固定肌萎缩模型中,固定肌重量的减少随饲喂时间的延长无明显变化。然而,白天(非活动期)喂养的小鼠对侧非固定肌肉重量低于夜间(活动期)喂养的小鼠。在超载性肥厚模型中,白天喂养可减轻肌肉肥厚和蛋白质合成。这些结果表明,白天喂养通过抑制肌肉合成来减缓肌肉生长。在不规律的时间进食,比如深夜进食,可能不利于肌肉的生长。
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引用次数: 3
An analysis of the efficacy of reducing daily spices and simple carbohydrates intake on treating night sweats in toddlers 减少每日香料和简单碳水化合物摄入对治疗幼儿盗汗的疗效分析
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.01.001
Meysam Reza Boghrati , Mehrdad Shakiba , Elham Oloumi-Yazdi , Forough-Sadat Tabatabaee , Elham-Sadat Tabatabaee

Background

Night sweats (NS) are very prevalent in children. While numerous studies focus on NS in adults, there is a dearth of information on this condition addressing mainly children.

Methods

In this pre-post intervention study, 18 to 20-month-old subjects with severe NS but no medical conditions were assigned to a two-week sugar-and-spice-free diet. After the intervention, the prevalence, severity, frequency, and accompanying symptoms of the subjects' NS were determined in both the compliant and less compliant subjects.

Results

The population's prevalence rate of severe NS was 13.8% with no statically significant difference in age, gender, and weight. There was a positive correlation between the severity and frequency of NS. Of 29 subjects, 12 (41.4%) were completely treated, 15 (51.7%) were partially treated, and five (6.9%) experienced no change. Concerning the frequency of NS, 15 (51.7%) experienced a significant reduction, four (13.7%) a slight reduction, and 10 (34.6%) experienced no change. Also, 18 (62.1%) subjects reportedly experienced a promotion in their sleep quality.

Conclusion

Higher consumption of sugar and spices is associated with both a greater magnitude of night sweats and their frequency. Cutting down on sugar and spices, on the other hand, can result in not only a significant reduction in both the severity and frequency of night sweats but also a promotion in sleep quality.

IRCT2014020516432N1.

背景盗汗(NS)在儿童中非常普遍。虽然许多研究集中在成人的NS,但缺乏主要针对儿童的这种情况的信息。方法在这项干预前和干预后的研究中,18 - 20个月大但没有身体状况的严重NS患者被分配到为期两周的无糖无香料饮食。干预后,测定依从性和非依从性受试者NS的患病率、严重程度、频率和伴随症状。结果人群重症NS患病率为13.8%,年龄、性别、体重差异无统计学意义。NS的发生频率与严重程度呈正相关。29例患者中,完全治疗12例(41.4%),部分治疗15例(51.7%),无变化5例(6.9%)。NS发生率显著降低15例(51.7%),轻度降低4例(13.7%),无变化10例(34.6%)。此外,据报道,18名(62.1%)受试者的睡眠质量得到了改善。结论糖和香料的摄入量增加与盗汗程度和频率增加有关。另一方面,减少糖和香料的摄入,不仅可以显著降低盗汗的严重程度和频率,还可以提高睡眠质量。
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引用次数: 0
Relationship of nutrigenomics and aging: Involvement of DNA methylation 营养基因组学与衰老的关系:DNA甲基化的参与
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.100098
Iftikhar Alam , Farhad Ali , Falak Zeb , Ali Almajwal , Sadia Fatima , Xiaoyue Wu

Complex epigenetic mechanisms are involved in aging and longevity. Nutrition has a strong impact upon epigenetic processes and, therefore, holds promising roles in regulation of longevity and aging. In this review, we combine recently published information regarding nutrition and its impact on epigenetically mediated mechanisms involved in metabolic responses that lead to aging in a narrative way with questions and future directions at the end of each section. The paper strictly focuses on modulation of DNA methylation (DNAm) by nutrients, and its role in regulation of aging process. Understanding the mechanisms by which nutrition influences epigenome is crucial for the development of preventive and interventional strategies to increase well-being and health for a sustainable longevity.

衰老和长寿涉及复杂的表观遗传机制。营养对表观遗传过程有很强的影响,因此,在长寿和衰老的调节中具有很好的作用。在这篇综述中,我们结合了最近发表的关于营养及其对导致衰老的代谢反应的表观遗传介导机制的影响的信息,并在每个部分的最后提出了问题和未来的方向。本文重点研究了营养物质对DNA甲基化(DNAm)的调节作用及其在衰老过程中的作用。了解营养影响表观基因组的机制对于制定预防和干预策略以增加福祉和健康以实现可持续长寿至关重要。
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引用次数: 5
Different anti-inflammatory effects of Lactobacillus acidophilus and Bifidobactrum bifidioum in hepatocellular carcinoma cancer mouse through impact on microRNAs and their target genes 嗜酸乳杆菌和两歧双歧杆菌通过影响microrna及其靶基因对肝癌小鼠的不同抗炎作用
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.100096
Zahra Heydari , Mahdi Rahaie , Ali Mohammad Alizadeh

Cancer is one of the most important causes of mortality in the world. General methods for cancer treatment have many side effects, while biological treatments such as probiotics consumption not only have no undesirable effects, but also are more acceptable method to treat the disease. Although probiotics have been recommended to therapy some diseases such inflammatory, infectious and neoplastic disorders, but their action mechanism is unknown. In this work, to investigate the inhibition effects of probiotics on Hepatocellular carcinoma and colorectal cancer progression, the genes involved in cancerous process were investigated in 38 Bulb/c mice. they divided into four groups including (I) Control (Healthy, without probiotic consumption) (II) Azoxymethane induced mice (III) AOM induced mice fed with Lactobacillus acidophilus, and (IV) AOM induced mice fed with Bifidobactrum bifidioum and the expression of four selected microRNAs and their target genes were analysed. The results showed that Azoxymethane, a potent colon carcinogen, treatment induced the expression of miR-221, miR-155 (in blood), Bcl-w and KRAS expression and decreased miR-122, PTEN and PU.1 expression in blood, but it has no effect on miR-18a in the liver tissue. The probiotic consumption enhanced miR-122 and PU.1 (in blood) as significant overexpression and down-regulated miR-221, miR-155 (in blood), Bcl-w and KRAS. Thus, the probiotics can help to control of cancer progression through postponing of metastasis process, reducing of inflammation and down and up-regulation of oncogenes/oncomirs and tumor suppressor genes/microRNAs, respectively.

癌症是世界上最重要的死亡原因之一。一般的癌症治疗方法有很多副作用,而生物治疗如益生菌的消耗不仅没有不良影响,而且是更容易接受的治疗方法。虽然益生菌已被推荐用于治疗一些疾病,如炎症性、感染性和肿瘤性疾病,但其作用机制尚不清楚。为了研究益生菌对肝细胞癌和结直肠癌进展的抑制作用,本研究对38只Bulb/c小鼠进行了癌变过程相关基因的研究。将小鼠分为(I)对照组(健康,未摄入益生菌)、(II)偶氮氧甲烷诱导小鼠、(III)嗜酸乳杆菌诱导小鼠和(IV)双歧杆菌诱导小鼠4组,分析4种选择的microrna及其靶基因的表达情况。结果显示,强结肠癌致癌物偶氮甲烷处理可诱导miR-221、miR-155(血)、Bcl-w和KRAS的表达,降低miR-122、PTEN和PU.1在血中的表达,但对肝组织中的miR-18a无影响。益生菌的摄入使miR-122和PU.1(血液)显著过表达,miR-221、miR-155(血液)、Bcl-w和KRAS显著下调。因此,益生菌可以通过延缓转移过程,减少炎症,下调和上调癌基因/癌因子和肿瘤抑制基因/ microrna来帮助控制癌症的进展。
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引用次数: 16
Does type of bread ingested for breakfast contribute to lowering of glycaemic index? 早餐摄入的面包类型是否有助于降低血糖指数?
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.100097
Ivica Avberšek Lužnik , Mateja Lušnic Polak , Lea Demšar , Lenka Gašperlin , Tomaž Polak

Recent interest has focused on the use of high-fibre foods as potential ingredients for lowering the glycaemic index of most carbohydrate-based meals. The objective of this study was to examine glycaemic responses to two defined breakfasts. The reference breakfast and the test breakfast differed only in the type of bread (white vs. wholemeal), and were administered three times to volunteers (2 men, 8 women). Capillary blood glucose was monitored in the fasting state 15, 30, 45, 60, 75, 90, 105 and 120 min after breakfast consumption. The incremental areas under the glucose response curves were calculated for each type of breakfast and compared with those of glucose to determine the glycaemic indices. The glycaemic index of the reference breakfast was 26.6 (±6.2), with that of the test breakfast significantly lower at 18.1 (±6.0). The mixed-food test breakfast with wholemeal bread was rich in soluble fibre (β-glucans) for a lower glycaemic load than the white bread, and provided a lower glycaemic response in the volunteers. The inter-volunteer variability in glycaemic index was large, with some showing lower responses to the test breakfast (glycaemic index, 12.4–21.1) and some showing high responses to the test breakfast (glycaemic index, 25.9–27.4).

最近的兴趣集中在使用高纤维食物作为潜在的成分来降低大多数碳水化合物为主的食物的血糖指数。本研究的目的是检查两种早餐的血糖反应。参考早餐和测试早餐仅在面包类型(白面包和全麦面包)上有所不同,并对志愿者(2名男性,8名女性)进行了三次试验。分别于早餐后15、30、45、60、75、90、105、120 min空腹监测毛细血管血糖。计算每种早餐的葡萄糖反应曲线下的增量面积,并与葡萄糖的增量面积进行比较,确定血糖指标。参考早餐的血糖指数为26.6(±6.2),试验早餐的血糖指数为18.1(±6.0),显著低于对照早餐。混合食物测试早餐中全麦面包富含可溶性纤维(β-葡聚糖),血糖负荷比白面包低,志愿者的血糖反应也更低。志愿者之间的血糖指数差异很大,有些人对测试早餐的反应较低(血糖指数,12.4-21.1),有些人对测试早餐的反应较高(血糖指数,25.9-27.4)。
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引用次数: 3
Obesity-alleviating capabilities of Acalypha indica, Pergulari ademia and Tinospora cardifolia leaves methanolic extracts in WNIN/GR-Ob rats 白果、白藤和天牛叶甲醇提取物对WNIN/GR-Ob大鼠的减肥作用
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.02.001
RamavatRavindar Naik , Harishankar Nemani , Suresh Pothani , Sailaja Pothana , Mota Satyavani , Syed SYH. Qadri , Myadara Srinivas , Brahmanaidu Parim

The present study was intended to assess the anti-obesity efficiency of methanolic extracts of leaves of Acalypha indica, Pergularia daemia and Tinospora cordifolia in WNIN/GR-Ob rats. Leaves of three plants were extracted with methanol by using soxhlet apparatus and flash evaporated. WNIN/GR-Ob rats were taken for this study and plant extracts were supplemented to rats in the form of handmade pellets along with standard dietfor 30 days. We evaluated the effects of plant extracts on body and organ weights, blood glucose, and lipid profiles, body composition by TOBEC and DXA and histopathological analysis as well. In the current study, we found that decreased body and organ weights, blood glucose and increased bone mineral density and bone mineral concentration were noticed. We also observed that decreased lipid levels and altered body composition parameters were restored to near normal in treated obese rats when compared to untreated rats. Histopathological study confirmed that these three plant extracts significantly reduced the pathological changes in treated groups caused by obesity. Hence, these results suggest that plant extracts of metanolic extract of A. indica, P. daemia and T. cordifolia (200 mg/kg BW) may be consider in the treatment of obesity.

本研究旨在研究白果叶、白杨叶和青藤叶甲醇提取物对WNIN/GR-Ob大鼠的抗肥胖作用。用索氏装置提取三种植物的叶片,用甲醇提取,闪蒸。本研究采用WNIN/GR-Ob大鼠,将植物提取物以手工颗粒的形式添加到大鼠的标准饮食中,持续30天。我们通过TOBEC和DXA以及组织病理学分析评估了植物提取物对身体和器官重量、血糖和脂质谱、身体成分的影响。在目前的研究中,我们发现身体和器官重量下降,血糖升高,骨密度和骨矿物质浓度升高。我们还观察到,与未治疗的大鼠相比,治疗后的肥胖大鼠血脂水平下降和身体成分参数改变恢复到接近正常水平。组织病理学研究证实,这三种植物提取物显著减轻了治疗组肥胖引起的病理变化。综上所述,籼稻、黄颡鱼和堇叶黄颡鱼的代谢提取物(200 mg/kg BW)可用于肥胖的治疗。
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引用次数: 7
No effect of vitamin D administration plus dietary intervention on emerging cardiovascular risk factors in patients with metabolic syndrome 维生素D加饮食干预对代谢综合征患者新出现的心血管危险因素无影响
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.100093
Stefania E. Makariou , Moses Elisaf , Anna Challa , Constantinos C. Tellis , Alexandros D. Tselepis , Evangelos N. Liberopoulos

Background

Patients with metabolic syndrome (MetS) have low serum 25-hydroxyvitamin D (25(OH)VitD) levels. Low 25(OH)VitD has been associated with several emerging cardiovascular disease (CVD) risk factors, while VitD administration may ameliorate them.

Aim

To study the effect of 25(OH)VitD supplementation plus dietary instructions on novel CVD risk factors in MetS patients.

Methods

This is a pre-specified analysis of a previously published study. Patients with MetS (n = 50, 52 ± 10 years) were given dietary instructions and were randomized to receive either 25(OH)VitD, 2.000 IU/day p.o. (Suppl group) or nothing (No-Suppl group). Serum 25(OH)VitD, small dense low-density lipoprotein cholesterol (sdLDL), as well as lipoprotein-associated phospholipase A2 (LpPLA2) activity, leptin and adiponectin levels were measured at baseline and 3 months later.

Results

In the Suppl group 25(OH)VitD levels increased by 90% [from 16.1 (3.3–35.1) to 30.6 (8.4–67.6) ng/mL, p = 0.001] and by 33.3% [from 9.9 (4.0–39.6) to 13.2 (3.5–36.8) ng/mL, p = NS] in the No-Suppl group. sdLDL serum levels, mean LDL size, LpPLA2 activity, leptin, adiponectin concentration and leptin to adiponectin ratio did not change significantly in both groups.

Conclusion

In this small study the administration of 25(OH)VitD plus dietary intervention in patients with MetS were not associated with any significant change in various emerging CVD risk factors. (NCT01237769 ClinicalTrials.gov).

代谢综合征(MetS)患者血清25-羟基维生素D (25(OH)VitD)水平较低。低25(OH)维生素d与几种新出现的心血管疾病(CVD)危险因素有关,而服用维生素d可能会改善这些危险因素。目的探讨补充25(OH)维生素d加膳食指导对MetS患者新型心血管疾病危险因素的影响。方法:这是对先前发表的一项研究的预先指定分析。MetS患者(n = 50,52 ± 10岁)给予饮食指导,并随机分为25(OH)维生素d,每天补充2.000 IU(补充组)或不补充(不补充组)。在基线和3个月后测量血清25(OH)VitD、小密度低密度脂蛋白胆固醇(sdLDL)以及脂蛋白相关磷脂酶A2 (LpPLA2)活性、瘦素和脂联素水平。结果补给品组25(OH)维生素d水平升高90%[从16.1(3.3-35.1)至30.6 (8.4-67.6)ng/mL, p = 0.001],不补给品组升高33.3%[从9.9(4.0-39.6)至13.2 (3.5-36.8)ng/mL, p = NS]。两组患者血清sdLDL水平、平均LDL大小、LpPLA2活性、瘦素、脂联素浓度及瘦素/脂联素比值均无显著变化。结论:在这项小型研究中,对MetS患者给予25(OH)维生素d加饮食干预与各种新出现的CVD危险因素没有任何显著变化。(NCT01237769 ClinicalTrials.gov)。
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引用次数: 4
Adiposity does not modify the effect of the dietary inflammatory potential on type 2 diabetes incidence among a prospective cohort of men 在一项前瞻性男性队列研究中,肥胖并不能改变饮食炎症对2型糖尿病发病率的影响
Pub Date : 2019-06-01 DOI: 10.1016/j.jnim.2019.100095
Mark A. Guinter , Anwar T. Merchant , Fred K. Tabung , Michael D. Wirth , Nitin Shivappa , Thomas G. Hurley , James R. Hebert , Xuemei Sui , Steven N. Blair , Susan E. Steck

Purpose

Inflammatory contributions from diet and adiposity may interact with respect to the development of type 2 diabetes mellitus (T2DM). We investigated the degree to which adiposity modified the association between dietary inflammatory potential and incident T2DM.

Methods

Data from 6,016 US men in the Aerobics Center Longitudinal Study who completed a 3-day diet record were used. The inflammatory potential of diet was characterized by the Dietary Inflammatory Index (DII®), and adiposity was assessed with body mass index, waist circumference, body fat percentage (BF) and waist-to-height ratio. Inverse probability weights were used in modified Poisson regression models to examine whether adiposity modifies the relationship between the DII and T2DM, while accounting for selection bias from participants who were lost to follow-up.

Results

There were 336 incident cases of T2DM after a mean follow-up of 6.5 years. DII scores were not significantly associated with T2DM incidence in multivariable models, but point estimates were consistently elevated across increasing DII quartiles compared to the most anti-inflammatory DII quartile. In the model that evaluated BF, the term for overall effect modification was significant (p = 0.02), but there was no evidence of effect modification on the multiplicative and additive scales when examined further. Effect modification was not present for any other adiposity measures.

Conclusions

We did not observe evidence that a pro-inflammatory diet, as measured by the DII, is associated with incidence of T2DM, nor evidence that adiposity modifies a potential relationship. Further investigation is needed in larger cohorts with longer follow-up.

目的:饮食和肥胖引起的炎症可能与2型糖尿病(T2DM)的发展相互作用。我们调查了肥胖在多大程度上改变了饮食炎症潜能和T2DM发病之间的关系。方法:数据来自于有氧运动中心纵向研究的6016名美国男性,他们完成了3天的饮食记录。通过饮食炎症指数(DII®)表征饮食的炎症潜力,并通过体重指数、腰围、体脂率(BF)和腰高比评估肥胖。在修正的泊松回归模型中使用逆概率权重来检验肥胖是否改变了DII和T2DM之间的关系,同时考虑了失去随访的参与者的选择偏差。结果平均随访6.5年,共发生T2DM 336例。在多变量模型中,DII评分与T2DM发病率无显著相关性,但与最抗炎的DII四分位数相比,在DII增加的四分位数中,点估计值始终升高。在评估BF的模型中,总体效果修改项显著(p = 0.02),但在进一步检查时,没有证据表明乘法和加性尺度上存在效果修改。任何其他肥胖测量均未出现效果改变。结论:我们没有观察到由DII测量的促炎饮食与2型糖尿病发病率相关的证据,也没有证据表明肥胖改变了潜在的关系。需要在更大的队列和更长的随访中进行进一步的调查。
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引用次数: 8
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Journal of nutrition & intermediary metabolism
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