Department of Family Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin 16995, Republic of Korea.
Primary Care Research Center, National Health Insurance Service, Ilsan Hospital, Goyang 10326, Republic of Korea.
Nutrients. 2023 May 27;15(11):2497. doi: 10.3390/nu15112497.
Mitigating the risk of type 2 diabetes mellitus (T2DM) can be achieved through the maintenance of a healthy weight, the adoption of a healthy diet, and engaging in regular physical activity. The oxidative balance score (OBS), an integrated measure of pro- and antioxidant exposure conditions, represents an individual's overall oxidative balance status. This study aimed to evaluate the association between OBS and T2DM incidence using data from a large, community-based, prospective cohort study. Data from 7369 participants aged 40-69 years who engaged in the Korean Genome and Epidemiology Study (KoGES) were analyzed. The hazard ratio (HR) and 95% confidence interval (CI) for T2DM incidence of sex-specific OBS tertile groups were calculated using univariable and multivariable Cox proportional hazard regression analyses. During the mean 13.6-year follow-up period, 908 men and 880 women developed T2DM. The fully-adjusted HR (95% CI) for incident T2DM of the middle and highest tertile groups, compared with the referent lowest tertile group, were 0.86 (0.77-1.02) and 0.83 (0.70-0.99) in men and were 0.94 (0.80-1.11) and 0.78 (0.65-0.94) in women, respectively. Individuals with a high OBS are at lower risk for the development of T2DM. This implies that lifestyle modification with more antioxidant properties could be a preventive strategy for T2DM.
通过保持健康的体重、采用健康的饮食和进行规律的身体活动,可以降低 2 型糖尿病(T2DM)的风险。氧化平衡评分(OBS)是衡量个体整体氧化平衡状态的综合指标,反映了促氧化剂和抗氧化剂暴露条件的平衡。本研究旨在利用来自大型社区前瞻性队列研究的数据,评估 OBS 与 T2DM 发病之间的关联。对参与韩国基因组与流行病学研究(KoGES)的 7369 名 40-69 岁的参与者的数据进行了分析。使用单变量和多变量 Cox 比例风险回归分析计算了特定性别 OBS 三分位组的 T2DM 发病风险比(HR)和 95%置信区间(CI)。在平均 13.6 年的随访期间,908 名男性和 880 名女性发生了 T2DM。与最低三分位组相比,男性中中三分位组和最高三分位组的 T2DM 发病的校正后 HR(95%CI)分别为 0.86(0.77-1.02)和 0.83(0.70-0.99),女性中分别为 0.94(0.80-1.11)和 0.78(0.65-0.94)。OBS 较高的个体发生 T2DM 的风险较低。这意味着具有更多抗氧化特性的生活方式改变可能是 T2DM 的预防策略。