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本文引用的文献

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Abdominal obesity and the prevalence of diabetes and intermediate hyperglycaemia in Chinese adults.中国成年人的腹型肥胖与糖尿病及糖尿病前期的患病率
Public Health Nutr. 2009 Aug;12(8):1078-84. doi: 10.1017/S1368980008003856. Epub 2008 Nov 6.
2
Prospective study of dietary carbohydrates, glycemic index, glycemic load, and incidence of type 2 diabetes mellitus in middle-aged Chinese women.中国中年女性膳食碳水化合物、血糖指数、血糖负荷与2型糖尿病发病率的前瞻性研究。
Arch Intern Med. 2007 Nov 26;167(21):2310-6. doi: 10.1001/archinte.167.21.2310.
3
Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore.坚持地中海饮食模式可预测健康成年人中高血压、高胆固醇血症、糖尿病和肥胖症的患病率；地中海饮食评分的准确性。
Prev Med. 2007 Apr;44(4):335-40. doi: 10.1016/j.ypmed.2006.12.009. Epub 2006 Dec 30.
4
[Comparison of assessment of food intakes by using 3 dietary survey methods].[使用三种膳食调查方法对食物摄入量评估的比较]
Zhonghua Yu Fang Yi Xue Za Zhi. 2006 Jul;40(4):273-80.
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Dietary calcium and magnesium, major food sources, and risk of type 2 diabetes in U.S. black women.膳食钙和镁、主要食物来源与美国黑人女性2型糖尿病风险
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6
Dietary patterns and glucose tolerance abnormalities in Japanese men.日本男性的饮食模式与葡萄糖耐量异常
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Dietary patterns and the incidence of type 2 diabetes.饮食模式与2型糖尿病的发病率
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Dietary patterns, meat intake, and the risk of type 2 diabetes in women.饮食模式、肉类摄入量与女性2型糖尿病风险
Arch Intern Med. 2004 Nov 8;164(20):2235-40. doi: 10.1001/archinte.164.20.2235.
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Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women.血糖生成指数、血糖负荷、膳食纤维摄入量与中青年女性2型糖尿病发病率的关系
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中国人的饮食模式与葡萄糖耐量异常。

Dietary patterns and glucose tolerance abnormalities in Chinese adults.

机构信息

National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China.

出版信息

Diabetes Care. 2009 Nov;32(11):1972-6. doi: 10.2337/dc09-0714. Epub 2009 Aug 12.

DOI:10.2337/dc09-0714
PMID:19675202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2768212/
Abstract

OBJECTIVE

To investigate the association of the dietary pattern with the presence of newly diagnosed glucose tolerance abnormalities among Chinese adults.

RESEARCH DESIGN AND METHODS

A total of 20,210 adults aged 45-69 years from the 2002 China National Nutrition and Health Survey were included. Information on dietary intake was collected using a validated food frequency questionnaire. Factor analysis and cluster analysis were used to identify the food factors and dietary pattern clusters.

RESULTS

Four dietary pattern clusters were identified ("Green Water," "Yellow Earth," "Western Adopter," and "New Affluence"). The prevalence of glucose tolerance abnormalities ranged from 3.9% in the Green Water to 8.0% in the New Affluence. After adjustment for area, age, sex, current smoking, and physical activity, subjects in the Yellow Earth cluster (prevalence ratio 1.22 [95% CI 1.04-1.43]) and New Affluence cluster (2.05 [1.76-2.37]) had significantly higher prevalence rates compared with those for the Green Water cluster. After further adjustment for BMI and waist-to-height ratio, the elevated risk in the New Affluence remained statistically significant.

CONCLUSIONS

Dietary patterns and food factors are associated with the presence of glucose tolerance abnormalities in China, even independent of obesity. A New Affluence diet is an important modifiable risk factor, which needs attention from the prevention point of view.

摘要

目的

探讨中国成年人饮食模式与新诊断葡萄糖耐量异常之间的关联。

研究设计和方法

共纳入 20210 名年龄在 45-69 岁的 2002 年中国营养与健康调查的成年人。采用经过验证的食物频率问卷收集饮食摄入信息。采用因子分析和聚类分析来识别食物因素和饮食模式聚类。

结果

确定了四个饮食模式聚类（“绿水”、“黄土”、“西方采用者”和“新富裕”）。葡萄糖耐量异常的患病率从“绿水”的 3.9%到“新富裕”的 8.0%不等。在调整了地区、年龄、性别、当前吸烟和体力活动后，与“绿水”聚类相比，“黄土”聚类（患病率比 1.22[95%CI 1.04-1.43]）和“新富裕”聚类（2.05[1.76-2.37]）的患病率明显更高。进一步调整 BMI 和腰围身高比后，“新富裕”的风险仍然具有统计学意义。

结论

饮食模式和食物因素与中国葡萄糖耐量异常的发生有关，即使与肥胖无关。“新富裕”饮食是一个重要的可改变风险因素，需要从预防的角度引起重视。