一项针对印度2型糖尿病患者群体的饮食调查结果：一项淀粉研究。
Results from a dietary survey in an Indian T2DM population: a STARCH study.
作者信息
Joshi Shashank R, Bhansali Anil, Bajaj Sarita, Banzal Subodh S, Dharmalingam Mala, Gupta Shachin, Mukhopadhyay Satinath, Shah Parag R, Sahay Rakesh, Sarkar Swapan, Manjrekar Pravin V, Rathod Rahul T, Joshi Shilpa S
机构信息
Joshi Clinic, Mumbai, Maharashtra, India.
Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
BMJ Open. 2014 Oct 31;4(10):e005138. doi: 10.1136/bmjopen-2014-005138.
OBJECTIVE
To assess the dietary total and complex carbohydrate (CHO) contents in type-2 diabetes mellitus (T2DM) participants in India.
SETTING
We enrolled 796 participants in this cross-sectional, single-visit, multicentre, two-arm, single-country survey. Participants were enrolled from 10 specialty endocrinology/dialectology centres from five regions of India.
PARTICIPANTS
A total of 796 participants (Asian) were enrolled in this study (385, T2DM and 409, non-T2DM). Key inclusion criteria-male or female ≥18 years, diagnosed with T2DM ≥12 months (T2DM), and not on any diet plan (non-T2DM).
STUDY OUTCOME
Primary outcome was to find out the percentage of total energy intake as simple and complex CHO from total CHO. Secondary outcomes were to find the differences in percentage of total energy intake as simple CHO, complex CHO, proteins and fats between T2DM and non-T2DM groups. The percentage of T2DM participants adhering to diet plan and showing glycaemic controls were also examined.
RESULTS
The mean (SD) of total calorie intake per day (Kcal) was 1547 (610, 95% CI 1486 to 1608) and 2132 (1892, 95% CI 1948 to 2316), respectively, for T2DM and non-T2DM groups. In the T2DM group (n=385), the mean (SD) percentage of total energy intake as total CHO, complex CHO and simple CHO was 64.1±8.3 (95% CI 63.3 to 64.9), 57.0±11.0 (95% CI 55.9 to 58.1) and 7.1±10.8 (95% CI 6.0 to 8.2), respectively. The mean (SD) percentage of complex CHO intake from total CHO was 89.5±15.3 (95% CI 88.0 to 91.1). The mean (SD) total protein/fat intake per day (g) was 57.1 (74.0)/37.2 (18.6) and 57.9 (27.2)/55.3 (98.2) in T2DM and non-T2DM groups, respectively.
CONCLUSIONS
Our study shows that CHO constitutes 64.1% of total energy from diet in T2DM participants, higher than that recommended in India. However, our findings need to be confirmed in a larger epidemiological survey.
TRIAL REGISTRATION NUMBER
NCT01450592 & Clinical Trial Registry of India: CTRI/2012/02/002398.
目的
评估印度2型糖尿病（T2DM）患者饮食中总碳水化合物和复合碳水化合物（CHO）的含量。
设置
我们在这项横断面、单次就诊、多中心、双臂、单国调查中招募了796名参与者。参与者来自印度五个地区的10个专科内分泌/糖尿病中心。
参与者
本研究共招募了796名参与者（亚洲人）（385名T2DM患者和409名非T2DM患者）。主要纳入标准为年龄≥18岁的男性或女性，确诊T2DM≥12个月（T2DM组），以及未采用任何饮食计划（非T2DM组）。
研究结果
主要结果是确定总碳水化合物中简单和复合碳水化合物占总能量摄入的百分比。次要结果是找出T2DM组和非T2DM组之间简单碳水化合物、复合碳水化合物、蛋白质和脂肪占总能量摄入百分比的差异。还检查了坚持饮食计划并实现血糖控制的T2DM参与者的百分比。
结果
T2DM组和非T2DM组每天总卡路里摄入量（千卡）的均值（标准差）分别为1547（610，95%CI 1486至1608）和2132（1892，95%CI 1948至2316）。在T2DM组（n = 385）中，总碳水化合物、复合碳水化合物和简单碳水化合物占总能量摄入的均值（标准差）百分比分别为64.1±8.3（95%CI 63.3至64.9）、57.0±11.0（95%CI 55.9至58.1）和7.1±10.8（95%CI 6.0至8.2）。复合碳水化合物占总碳水化合物摄入量的均值（标准差）百分比为89.5±15.3（95%CI 88.0至91.1）。T2DM组和非T2DM组每天总蛋白质/脂肪摄入量（克）的均值（标准差）分别为57.1（74.0）/37.2（18.6）和57.9（27.2）/55.3（98.2）。
结论
我们的研究表明，T2DM参与者饮食中碳水化合物占总能量的64.1%，高于印度推荐的比例。然而，我们的研究结果需要在更大规模的流行病学调查中得到证实。
试验注册号
NCT01450592 & 印度临床试验注册中心：CTRI/2012/02/002398。
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