{"title":"乳制品的通常摄入量与糖尿病前期血糖恢复正常或发展为 2 型糖尿病的几率:9 年跟踪调查","authors":"Zahra Bahadoran, Parvin Mirmiran, Fereidoun Azizi","doi":"10.1038/s41387-024-00257-7","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>We assessed the possible effect of usual dairy consumption on pre-diabetes (Pre-DM) remission or progression to type 2 diabetes (T2D).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Pre-DM adults (<i>n</i> = 334, mean age of 49.4 years, and 51.5% men) were assessed for dairy intakes (2006–2008) and followed up to 9 years for incidence of T2D or normal glycemia (NG). All biochemical measurements were done at baseline and all subsequent examinations with 3-y follow-up intervals. Multinomial regression models with adjustment of confounding variables were used to estimate odds ratios (OR) and 95% confidence intervals (CIs) of incident T2D and NG for each serving/d dairy consumption.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The odds of NG was significantly elevated by 69% (OR = 1.69, 95% CI = 1.00–2.86, <i>P</i> = 0.05) per 200 g/d increased high-fat dairy intake, while the amount of total dairy or low-fat dairy was not related to the outcomes. Higher intakes of yogurt were more likely to be associated with an increased odds of NG (OR = 1.82, 95% CI = 1.20–2.74, <i>P</i> = 0.01). Usual intakes of milk, cheese, or cream-butter were not associated to Pre-DM remission or progression to T2D.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Regular dairy consumption may increase the chance of Pre-DM regression to NG.</p>","PeriodicalId":19339,"journal":{"name":"Nutrition & Diabetes","volume":"1 1","pages":""},"PeriodicalIF":4.6000,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Usual intake of dairy products and the chance of pre-diabetes regression to normal glycemia or progression to type 2 diabetes: a 9-year follow-up\",\"authors\":\"Zahra Bahadoran, Parvin Mirmiran, Fereidoun Azizi\",\"doi\":\"10.1038/s41387-024-00257-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Background</h3><p>We assessed the possible effect of usual dairy consumption on pre-diabetes (Pre-DM) remission or progression to type 2 diabetes (T2D).</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>Pre-DM adults (<i>n</i> = 334, mean age of 49.4 years, and 51.5% men) were assessed for dairy intakes (2006–2008) and followed up to 9 years for incidence of T2D or normal glycemia (NG). All biochemical measurements were done at baseline and all subsequent examinations with 3-y follow-up intervals. Multinomial regression models with adjustment of confounding variables were used to estimate odds ratios (OR) and 95% confidence intervals (CIs) of incident T2D and NG for each serving/d dairy consumption.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>The odds of NG was significantly elevated by 69% (OR = 1.69, 95% CI = 1.00–2.86, <i>P</i> = 0.05) per 200 g/d increased high-fat dairy intake, while the amount of total dairy or low-fat dairy was not related to the outcomes. Higher intakes of yogurt were more likely to be associated with an increased odds of NG (OR = 1.82, 95% CI = 1.20–2.74, <i>P</i> = 0.01). Usual intakes of milk, cheese, or cream-butter were not associated to Pre-DM remission or progression to T2D.</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusion</h3><p>Regular dairy consumption may increase the chance of Pre-DM regression to NG.</p>\",\"PeriodicalId\":19339,\"journal\":{\"name\":\"Nutrition & Diabetes\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2024-04-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nutrition & Diabetes\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1038/s41387-024-00257-7\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition & Diabetes","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41387-024-00257-7","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
摘要
方法 对糖尿病前期成人(n = 334,平均年龄 49.4 岁,51.5% 为男性)的乳制品摄入量进行评估(2006-2008 年),并对糖尿病前期或血糖正常(NG)的发病率进行长达 9 年的随访。所有生化指标均在基线和所有后续检查中进行,随访间隔为 3 年。结果高脂乳制品摄入量每增加200克/天,NG发生几率显著增加69%(OR = 1.69,95% CI = 1.00-2.86,P = 0.05),而乳制品总量或低脂乳制品量与结果无关。酸奶摄入量越高,发生 NG 的几率越高(OR = 1.82,95% CI = 1.20-2.74,P = 0.01)。牛奶、奶酪或奶油黄油的通常摄入量与糖尿病前期缓解或发展为 T2D 无关。
Usual intake of dairy products and the chance of pre-diabetes regression to normal glycemia or progression to type 2 diabetes: a 9-year follow-up
Background
We assessed the possible effect of usual dairy consumption on pre-diabetes (Pre-DM) remission or progression to type 2 diabetes (T2D).
Methods
Pre-DM adults (n = 334, mean age of 49.4 years, and 51.5% men) were assessed for dairy intakes (2006–2008) and followed up to 9 years for incidence of T2D or normal glycemia (NG). All biochemical measurements were done at baseline and all subsequent examinations with 3-y follow-up intervals. Multinomial regression models with adjustment of confounding variables were used to estimate odds ratios (OR) and 95% confidence intervals (CIs) of incident T2D and NG for each serving/d dairy consumption.
Results
The odds of NG was significantly elevated by 69% (OR = 1.69, 95% CI = 1.00–2.86, P = 0.05) per 200 g/d increased high-fat dairy intake, while the amount of total dairy or low-fat dairy was not related to the outcomes. Higher intakes of yogurt were more likely to be associated with an increased odds of NG (OR = 1.82, 95% CI = 1.20–2.74, P = 0.01). Usual intakes of milk, cheese, or cream-butter were not associated to Pre-DM remission or progression to T2D.
Conclusion
Regular dairy consumption may increase the chance of Pre-DM regression to NG.
期刊介绍:
Nutrition & Diabetes is a peer-reviewed, online, open access journal bringing to the fore outstanding research in the areas of nutrition and chronic disease, including diabetes, from the molecular to the population level.