Bagheri Fariba, Siassi Fereydoun, Koohdani Fariba, Mahaki Behzad, Qorbani Mostafa, Yavari Parvaneh, Shaibu Osman Mohammed, Sotoudeh Gity
1Department of Community Nutrition,School of Nutritional Sciences and Dietetics,Tehran University of Medical Sciences,Hojatdost Street, Naderi Street, Keshavarz Blv., 14155/6117, Tehran,Iran.
2Department of Cellular and Molecular Nutrition,School of Nutritional Sciences and Dietetics,Tehran University of Medical Sciences,Hojatdost Street, Naderi Street, Keshavarz Blv., 14155/6117, Tehran,Iran.
Br J Nutr. 2016 Sep;116(5):874-81. doi: 10.1017/S0007114516002634. Epub 2016 Jul 25.
Pre-diabetes increases the risk of diabetes and CVD. Several studies have investigated the relationship between food intake and pre-diabetes morbidity, but the dietary patterns of pre-diabetes subjects were not taken into consideration. The aim of this study was to determine the relationship between dietary patterns and pre-diabetes. In this regard, 150 pre-diabetic subjects and 150 healthy controls, who attended the diabetes screening centre in Shahreza, Iran, were matched for age group and sex. The weight, height, waist circumference, physical activity, systolic and diastolic blood pressures, and blood glucose levels of all participants were measured. Dietary information was collected using a semi-quantitative FFQ. Using factor analysis, two dietary patterns were identified: the vegetables, fruits and legumes (VFL) dietary pattern and the sweet, solid fat, meat and mayonnaise (SSMM) dietary pattern. Multivariate logistic regression was used to assess the relationship between pre-diabetes and dietary patterns. After adjusting for age, education, physical activity, BMI and energy intake, the VFL dietary pattern was found to be negatively associated with lower pre-diabetes (OR 0·16; 95 % CI 0·10, 0·26). Furthermore, the SSMM dietary pattern was positively associated with pre-diabetes (OR 5·45; 95 % CI 3·22, 9·23). In conclusion, the VFL dietary pattern is inversely related to pre-diabetes, whereas the SSMM dietary pattern is associated with increased risk of pre-diabetes.
糖尿病前期会增加患糖尿病和心血管疾病的风险。多项研究调查了食物摄入量与糖尿病前期发病率之间的关系，但未考虑糖尿病前期患者的饮食模式。本研究的目的是确定饮食模式与糖尿病前期之间的关系。在这方面，对150名糖尿病前期患者和150名健康对照者进行了匹配，这些患者和对照者均来自伊朗沙赫雷扎的糖尿病筛查中心，年龄和性别相匹配。测量了所有参与者的体重、身高、腰围、身体活动情况、收缩压和舒张压以及血糖水平。使用半定量食物频率问卷收集饮食信息。通过因子分析，确定了两种饮食模式：蔬菜、水果和豆类（VFL）饮食模式以及甜食、固体脂肪、肉类和蛋黄酱（SSMM）饮食模式。使用多因素逻辑回归评估糖尿病前期与饮食模式之间的关系。在对年龄、教育程度、身体活动、体重指数和能量摄入进行调整后，发现VFL饮食模式与较低的糖尿病前期呈负相关（比值比0·16；95%可信区间0·10, 0·26）。此外，SSMM饮食模式与糖尿病前期呈正相关（比值比5·45；95%可信区间3·22, 9·23）。总之，VFL饮食模式与糖尿病前期呈负相关，而SSMM饮食模式与糖尿病前期风险增加有关。
