水果和2型糖尿病的风险:韩国基因组和流行病学研究队列。

IF 1.4 Q4 PRIMARY HEALTH CARE Korean Journal of Family Medicine Pub Date : 2024-01-01 Epub Date: 2023-11-23 DOI:10.4082/kjfm.23.0201
Hojun Yu, Cheol Min Lee, Seung-Won Oh
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引用次数: 0

摘要

背景:确定2型糖尿病与食用各种水果之间的关系。方法:韩国基因组和流行病学研究是一项正在进行的前瞻性纵向队列研究,从韩国国家健康考生登记处招募社区居民和参与者(男性和女性,年龄40-69岁)。使用食物频率问卷记录了他们对12种不同水果的个人消费习惯。然后根据他们的血糖指数和血糖负荷将水果分成三组。排除了高热量摄入、既往患有2型糖尿病、慢性肾病、慢性肝病和正在接受癌症治疗的参与者。该队列中2型糖尿病的发病率通过自我报告确定,并辅以糖化血红蛋白和空腹血糖水平。结果:在283033.8人年的随访期间,共有2549例2型糖尿病患者被记录在案。在调整了糖尿病的个人、生活方式和饮食风险因素后,每周每食用一份全水果,患2型糖尿病的总风险比为1.02(95%可信区间[CI], 0.98-1.05;P = 0.3)。通过对个别水果的相互调整,每周每食用一份水果,2型糖尿病的总风险比为0.94 (95% CI, 0.89-1.00;P=0.056),为0.90 (95% CI, 0.85-0.96;P=0.002)。结论:我们的研究结果表明,食用某些水果与患2型糖尿病的风险之间存在关联。在我们的队列中,更多的葡萄消费与较低的2型糖尿病风险显着相关,但水果消费总量与降低风险无关。
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Fruits and the Risk of Type 2 Diabetes: The Korean Genome and Epidemiology Study Cohort.

Background: To determine the association between type 2 diabetes mellitus and the consumption of various fruits.

Methods: The Korean Genome And Epidemiology Study is an ongoing prospective longitudinal cohort study of community dwellers and participants (men and women, aged 40-69 years) recruited from the national health examinee registry of Korea. Their individual consumption habits for 12 different fruit types were recorded using food frequency questionnaires. The fruits were then divided into three groups according to their glycemic indexes and glycemic loads. Participants with extreme caloric intakes, pre-existing type 2 diabetes mellitus, chronic kidney diseases, chronic liver diseases, and ongoing cancer treatments were excluded. The incidence of type 2 diabetes in the cohort was identified through self-reporting and supplemented by glycated hemoglobin and fasting blood glucose levels.

Results: A total of 2,549 cases of type 2 diabetes were documented during 283,033.8 person-years of follow-up. After adjusting for personal, lifestyle, and dietary risk factors for diabetes, the pooled hazard ratio of type 2 diabetes for every serving per week of total whole fruit consumption was 1.02 (95% confidence interval [CI], 0.99-1.06; P=0.2). With mutual adjustment of individual fruits, the pooled hazard ratios of type 2 diabetes for every serving per week were 0.94 (95% CI, 0.88-1.00; P=0.039) for bananas, and 0.90 (95% CI, 0.84-0.96; P<0.001) for grapes.

Conclusion: Our findings suggest associations between the consumption of certain fruits and the risk of developing type 2 diabetes. A greater consumption of grapes was significantly associated with a lower risk of type 2 diabetes in our cohort, but the total amount of fruit consumption was not associated with a reduced risk.

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来源期刊
Korean Journal of Family Medicine
Korean Journal of Family Medicine PRIMARY HEALTH CARE-
CiteScore
4.00
自引率
4.30%
发文量
51
审稿时长
53 weeks
期刊最新文献
Investigation of the Prevalence and Treatment of Atopic Dermatitis in South Korea Using a Large National Dataset. Low Bone Mineral Density Is Associated with High-Frequency Hearing Impairment in Women Over 50: An Observational Study in Korea. Effect of Electronic Cigarettes on the Change of Fagerstrom Test for Nicotine Dependence Scores during 1-Year Follow-up. Unhealthy Alcohol Use: Screening and Behavioral Counseling Interventions. Usefulness of Glycated Albumin Levels in Predicting the Maternal or Neonatal Complications of Gestational Diabetes Mellitus during Late Pregnancy in South Korea: A Retrospective Study.
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