糖尿病患者饮用含糖饮料与腹部肥胖风险相关。

Sugar-sweetened beverages consumption is associated with abdominal obesity risk in diabetic patients.

作者信息

Anari Razieh, Amani Reza, Veissi Masoud

机构信息

Department of Nutrition, Faculty of Autonomous Campus (Arvand International Unit), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Food Security Research Center, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Nutrition, Faculty of Paramedicine, Health Research Institute, Nutrition and Metabolic Disease Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Diabetes Metab Syndr. 2017 Dec;11 Suppl 2:S675-S678. doi: 10.1016/j.dsx.2017.04.024. Epub 2017 Apr 28.

DOI:10.1016/j.dsx.2017.04.024

PMID:28487104

Abstract

AIM

Sugar sweetened beverages (SSBs) are any beverages containing added-sugar and supposed to increase body lipogenesis and fat accumulation in healthy subjects. This study was performed to assess the possible association between SSBs consumption and obesity in type 2 diabetes (T2DM) patients.

METHODS

T2DM adults with no insulin treatment entered the study. Abdominal obesity and general adiposity were determined using waist circumference (WC) and body mass index (BMI), respectively. SSBs intake was extracted from a validated food frequency questionnaire.

RESULTS

Mean SSBs intake was 0.6 serving/d (145.6mL/d). There was no considerable association between SSBs intake and gender. About 46% of patients consumed at least one serving of SSBs per week. SSBs consumption was correlated neither to WC nor to BMI. After adjustment for confounding factors, abdominal obesity was associated with drinking SSBs ≥1 serving/week (OR=4.93, 95% CI: 1.35-18.03), and SSB ≥3 serving/week (OR=5.07, 95% CI: 1.22-21.15) compared to those consumed <1 serving/week. This association was not found for general obesity (OR=0.88, 95% CI: 0.60-1.23). Ex-smokers had higher SSBs intake compared to those never smoked (OR=3.94, 95% CI=1.06-14.71). Energy intake and macronutrients were similar in both SSBs sub-groups. Mean daily energy supplied by SSBs was 120kcal in participants having ≥1 serving of SSBs/week and 2.7kcal in <1 serving SSBs/week (OR=1.14, 95% CI: 1.09-1.20). Lower SSBs drinkers had 17% higher fiber intake (OR=0.83, 95% CI=0.73-0.96).

CONCLUSION

SSBs intake might increase abdominal obesity in diabetic population and therefore should be considered in diabetes control procedure.

摘要

目的

含糖饮料（SSB）是指任何含有添加糖的饮料，被认为会增加健康受试者的身体脂肪生成和脂肪堆积。本研究旨在评估2型糖尿病（T2DM）患者饮用SSB与肥胖之间的可能关联。

方法

未接受胰岛素治疗的成年T2DM患者进入本研究。分别使用腰围（WC）和体重指数（BMI）来确定腹部肥胖和总体肥胖情况。SSB摄入量通过一份经过验证的食物频率问卷得出。

结果

SSB的平均摄入量为0.6份/天（145.6毫升/天）。SSB摄入量与性别之间没有显著关联。约46%的患者每周至少饮用一份SSB。SSB的摄入量与WC和BMI均无相关性。在对混杂因素进行调整后，与每周饮用<1份SSB的患者相比，腹部肥胖与每周饮用≥1份SSB（比值比[OR]=4.93，95%置信区间[CI]：1.35 - 18.03）以及每周饮用≥3份SSB（OR=5.07，95% CI：1.22 - 21.15）相关。而在总体肥胖方面未发现这种关联（OR=0.88，95% CI：0.60 - 1.23）。与从不吸烟的人相比，曾经吸烟的人SSB摄入量更高（OR=3.94，95% CI=1.06 - 14.71）。两个SSB亚组的能量摄入和常量营养素相似。每周饮用≥1份SSB的参与者中，SSB提供的平均每日能量为120千卡，每周饮用<1份SSB的参与者中为2.7千卡（OR=1.14，95% CI：1.09 - 1.20）。饮用SSB较少的人膳食纤维摄入量高约17%（OR=0.83，95% CI=0.73 - 0.96）。