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血清高血糖可能与饮食中的脂肪成分无关,而蔬菜成分可能改善台湾糖尿病患者的血糖控制。

Serum hyperglycemia might be not related to fat composition of diet and vegetable composition of diet might improve sugar control in taiwanese diabetic subjects.

作者信息

Hou Yi-Cheng, Chang Ya-Lin, Kuo Shi-Ching, Chiang Chih-Fan, Chiang Cheng-Yang, Lin Yu-Fang, Weng Pei-Chen, Hu Fang-Ching, Wu Jing-Hui, Lai Chien-Han

机构信息

1. Department of Nutrition, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan;

2. Department of Psychiatry, Cheng Hsin General Hospital, Taipei, Taiwan.

出版信息

Int J Med Sci. 2014 Mar 29;11(5):515-21. doi: 10.7150/ijms.8158. eCollection 2014.

Abstract

OBJECTIVE

This is an Asian study, which was designed to examine the correlations between biochemical data and food composition of diabetic patients in Taiwan.

METHODS

One hundred and seventy Taiwanese diabetic patients were enrolled. The correlations between biochemical data and diet composition (from 24-hour recall of intake food) of these patients were explored (Spearman correlation, p < 0.05). Diet components were also correlated with each other to show diet characteristics of diabetic patients in Taiwan. Linear regression was also performed for the significantly correlated groups to estimate possible impacts from diet composition to biochemical data.

RESULTS

Postprandial serum glucose level was negatively correlated with fat percentage of diet, intake amount of polyunsaturated fatty acid and fiber diet composition. Hemoglobin A1c was negatively correlated with fat diet, polyunsaturated fatty acid and vegetable diet. Fat composition, calorie percentage accounted by polyunsaturated fatty acid and monounsaturated fatty acid in diet seemed to be negatively correlated with sugar percentage of diet and positively correlated with vegetable and fiber composition of diet. Linear regression showed that intake amount of polyunsaturated fatty acid, calorie percentage accounted by polyunsaturated fatty acid, fat percentage of diet, vegetable composition of diet would predict lower hemoglobin A1c and postprandial blood sugar. Besides, higher percentage of fat diet composition could predict higher percentage of vegetable diet composition in Taiwanese diabetic patients.

CONCLUSION

Fat diet might not elevate serum glucose. Vegetable diet and polyunsaturated fatty acid diet composition might be correlated with better sugar control in Taiwanese diabetic patients.

摘要

目的

本研究为一项亚洲研究,旨在探讨台湾糖尿病患者的生化数据与食物组成之间的相关性。

方法

招募了170名台湾糖尿病患者。探讨了这些患者的生化数据与饮食组成(通过24小时饮食摄入量回忆)之间的相关性(Spearman相关性,p < 0.05)。还分析了饮食成分之间的相互关系,以显示台湾糖尿病患者的饮食特征。对显著相关的组进行线性回归,以估计饮食组成对生化数据的可能影响。

结果

餐后血糖水平与饮食中的脂肪百分比、多不饱和脂肪酸摄入量和膳食纤维组成呈负相关。糖化血红蛋白与脂肪饮食、多不饱和脂肪酸和蔬菜饮食呈负相关。饮食中的脂肪组成、多不饱和脂肪酸和单不饱和脂肪酸占热量的百分比似乎与饮食中的糖百分比呈负相关,与饮食中的蔬菜和纤维组成呈正相关。线性回归显示,多不饱和脂肪酸摄入量、多不饱和脂肪酸占热量的百分比、饮食中的脂肪百分比、饮食中的蔬菜组成可预测较低的糖化血红蛋白和餐后血糖。此外,较高的脂肪饮食组成百分比可预测台湾糖尿病患者较高的蔬菜饮食组成百分比。

结论

脂肪饮食可能不会升高血糖。蔬菜饮食和多不饱和脂肪酸饮食组成可能与台湾糖尿病患者更好的血糖控制相关。

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