Department of Nutrition, Faculty of Medicine, Diponegoro University, Tembalang, Semarang 50275, Indonesia.
Center of Nutrition Research (Cenure), Diponegoro University, Tembalang, Semarang 50275, Indonesia.
J Obes. 2023 Mar 22;2023:2885769. doi: 10.1155/2023/2885769. eCollection 2023.
It has been shown that dietary patterns are associated with glucose control. However, the association between the types of food consumed and blood glucose in overweight or obese individuals is still unclear. The present study aimed to determine the association between unhealthy food consumption and impaired glucose metabolism in adults with overweight or obesity.
The analysis presented in this study was based on the data from a population-based, cross-sectional, nationally representative survey (Indonesian Basic Health Research 2018/RISKESDAS 2018). The body mass index (BMI) was calculated as weight (kg)/height squared (m) and was determined based on the World Health Organization (WHO) criteria for the Asian population. A validated questionnaire and food card were used to assess the diet. Fasting plasma glucose and 2-hpost-prandial glucose were employed to determine blood glucose markers.
In total, 8752 adults with overweight or obesity were included in this analysis. We found that consumption of sweet, grilled, and processed foods was associated with impaired fasting plasma glucose (IFG) before and after adjustment ( < 0.05). Consumption of high-fat foods was also associated with impaired glucose tolerance (IGT) for all models tested ( < 0.05). Furthermore, all models showed a link between processed food consumption and combined glucose intolerance (CGI) ( ≤ 0.001).
Differential food group consumption was associated with IFG, IGT, and CGI in Indonesian adults who were overweight or obese.
已证实饮食模式与血糖控制有关。然而，超重或肥胖人群所摄入食物种类与血糖之间的关系仍不清楚。本研究旨在确定超重或肥胖成年人中不健康食物消费与葡萄糖代谢受损之间的关系。
本研究中的分析基于一项基于人群的、横断面的、全国代表性调查（2018 年印度尼西亚基本健康研究/ RISKESDAS 2018）的数据。体重指数（BMI）的计算方法为体重（kg）/身高的平方（m），并根据世界卫生组织（WHO）针对亚洲人群的标准进行确定。使用经过验证的问卷和食物卡片来评估饮食。采用空腹血浆葡萄糖和餐后 2 小时血糖来确定血糖标志物。
共纳入 8752 名超重或肥胖成年人进行分析。我们发现，摄入甜食、烧烤和加工食品与空腹血糖受损（IFG）有关，且在调整前后均有统计学意义（ < 0.05）。高脂肪食物的摄入也与所有测试模型的糖耐量受损（IGT）有关（ < 0.05）。此外，所有模型均显示加工食品的摄入与合并糖耐量受损（CGI）之间存在关联（ ≤ 0.001）。
不同的食物组消费与印度尼西亚超重或肥胖成年人的 IFG、IGT 和 CGI 有关。
