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采用分位数回归分析多种矿物质和B族维生素摄入量与血糖的关系:2007 - 2014年美国国家健康与营养检查调查(NHANES)

Association of multiple mineral and vitamin B group intake with blood glucose using quantile regression analysis: NHANES 2007-2014.

作者信息

Yan Shoumeng, Li Meng, Ma Xiaoyu, Jiang Shan, Sun Mengzi, Wang Changcong, Pan Yingan, Sun Chong, Yao Yan, Jin Lina, Li Bo

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, P. R. China.

Key Laboratory of Organ Regeneration and Transplantation of Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, P. R. China.

出版信息

Food Nutr Res. 2019 Dec 3;63. doi: 10.29219/fnr.v63.3560. eCollection 2019.

Abstract

BACKGROUND

Hyperglycaemia and diabetes have become major public health problems worldwide. There is increasing evidence that minerals and the vitamin B group might play specific roles in hyperglycaemia and the pathogenesis and progression of diabetes or metabolic complications.

OBJECTIVES

The main aim of this study is to investigate the effect of mineral and vitamin B group supplementation on the blood glucose levels of different populations.

DESIGN

This was a cross-sectional study. Data from the National Health and Nutrition Examination Survey (NHANES) 2007-2014 were used in this study. A total of 8,322 participants (4,169 men and 4,153 women) were included in the study. Quantile regression (QR) was performed to identify the influence of mineral and vitamin B group intake on the level of fasting plasma glucose (FPG) in individuals in different quantiles of FPG.

RESULTS

After adjusting for age, income, education, race, smoking, and alcohol consumption, FPG had a negative association with folic acid in individuals with normal or high FPG, with calcium in individuals with normal FPG, and with magnesium in males. FPG was negatively associated with folic acid and calcium in individuals with normal FPG, and magnesium in most of the quantiles for females.

DISCUSSION

Hyperglycaemia and diabetes are currently becoming popular research topics. However, little is known about how the whole continuum of blood glucose is associated with commonly researched nutrient supplementation in terms of hyperglycaemia and diabetes.

CONCLUSIONS

The intake of calcium, folic acid and magnesium was negatively associated with blood glucose levels in individuals in different quantiles of FPG. Appropriate prevention and treatment strategies should be developed for people with different blood glucose levels.

摘要

背景

高血糖和糖尿病已成为全球主要的公共卫生问题。越来越多的证据表明,矿物质和B族维生素可能在高血糖以及糖尿病或代谢并发症的发病机制和进展中发挥特定作用。

目的

本研究的主要目的是调查补充矿物质和B族维生素对不同人群血糖水平的影响。

设计

这是一项横断面研究。本研究使用了2007 - 2014年美国国家健康与营养检查调查(NHANES)的数据。共有8322名参与者(4169名男性和4153名女性)纳入研究。进行分位数回归(QR)以确定矿物质和B族维生素摄入量对空腹血糖(FPG)处于不同分位数的个体的空腹血糖水平的影响。

结果

在调整年龄、收入、教育程度、种族、吸烟和饮酒因素后,空腹血糖正常或偏高的个体中,空腹血糖与叶酸呈负相关;空腹血糖正常的个体中,空腹血糖与钙呈负相关;男性中,空腹血糖与镁呈负相关。空腹血糖正常的个体中,空腹血糖与叶酸和钙呈负相关;女性的大多数分位数中,空腹血糖与镁呈负相关。

讨论

高血糖和糖尿病目前正成为热门研究话题。然而,关于在高血糖和糖尿病方面,整个血糖连续区间如何与常见研究的营养素补充相关联,人们知之甚少。

结论

空腹血糖不同分位数的个体中,钙、叶酸和镁的摄入量与血糖水平呈负相关。应针对不同血糖水平的人群制定适当的预防和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed4b/6958618/8336518e007a/FNR-63-3560-g001.jpg

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