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饮食和进餐模式对合并或不合并前期糖尿病或早发 2 型糖尿病成人血糖水平和变异性的影响:一项初步研究。

Diet and Meal Pattern Determinants of Glucose Levels and Variability in Adults with and without Prediabetes or Early-Onset Type 2 Diabetes: A Pilot Study.

机构信息

Division of Endocrinology, Nutrition Obesity Research Center, Columbia University Irving Medical Center, New York, NY 10032, USA.

Health Science Faculty, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain.

出版信息

Nutrients. 2024 Apr 26;16(9):1295. doi: 10.3390/nu16091295.

Abstract

This observational pilot study examined the association between diet, meal pattern and glucose over a 2-week period under free-living conditions in 26 adults with dysglycemia (D-GLYC) and 14 with normoglycemia (N-GLYC). We hypothesized that a prolonged eating window and late eating occasions (EOs), along with a higher dietary carbohydrate intake, would result in higher glucose levels and glucose variability (GV). General linear models were run with meal timing with time-stamped photographs in real time, and diet composition by dietary recalls, and their variability (SD), as predictors and glucose variables (mean glucose, mean amplitude of glucose excursions [MAGE], largest amplitude of glucose excursions [LAGE] and GV) as dependent variables. After adjusting for calories and nutrients, a later eating midpoint predicted a lower GV (β = -2.3, SE = 1.0, = 0.03) in D-GLYC, while a later last EO predicted a higher GV (β = 1.5, SE = 0.6, = 0.04) in N-GLYC. A higher carbohydrate intake predicted a higher MAGE (β = 0.9, SE = 0.4, = 0.02) and GV (β = 0.4, SE = 0.2, = 0.04) in N-GLYC, but not D-GLYC. In summary, our data suggest that meal patterns interact with dietary composition and should be evaluated as potential modifiable determinants of glucose in adults with and without dysglycemia. Future research should evaluate causality with controlled diets.

摘要

本观察性初步研究在 26 名血糖异常(D-GLYC)和 14 名血糖正常(N-GLYC)成年人在自由生活条件下,为期 2 周的时间内,研究了饮食、进餐模式与血糖之间的关联。我们假设,延长进食窗口和进食时间晚(EO),以及更高的膳食碳水化合物摄入量,将导致更高的血糖水平和血糖变异性(GV)。我们使用实时时间戳照片进行的进餐时间和饮食回忆的饮食组成以及其变异性(SD)作为预测因素,使用葡萄糖变量(平均血糖、血糖波动幅度 [MAGE]、最大血糖波动幅度 [LAGE]和 GV)作为因变量进行了一般线性模型分析。在调整了卡路里和营养素后,D-GLYC 中较晚的进食中点预测了较低的 GV(β=-2.3,SE=1.0, =0.03),而 N-GLYC 中较晚的最后一个 EO 预测了较高的 GV(β=1.5,SE=0.6, =0.04)。较高的碳水化合物摄入量预测了 N-GLYC 中较高的 MAGE(β=0.9,SE=0.4, =0.02)和 GV(β=0.4,SE=0.2, =0.04),但 D-GLYC 则没有。总之,我们的数据表明,进餐模式与饮食成分相互作用,应作为评估有或无血糖异常的成年人血糖的潜在可改变决定因素进行评估。未来的研究应使用对照饮食评估因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/11085124/2faef55f61b5/nutrients-16-01295-g001.jpg

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