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在中国成年人中,饮用黑茶与血糖异常风险降低以及尿糖和尿钠排泄增加有关。

Dark tea consumption is associated with a reduced risk of dysglycaemia and increased urinary glucose and sodium excretion in Chinese adults.

作者信息

Li Tingting, Sang Miaomiao, Wang Jinbang, Sun Zilin, Wang Duolao, Xie Cong, Huang Weikun, Rayner Christopher K, Horowitz Michael, Qiu Shanhu, Wu Tongzhi

机构信息

Department of Endocrinology, Zhongda Hospital, Institute of Diabetes, School of Medicine, Southeast University, Nanjing, China.

Centre of Research Excellence in Translating Nutritional Science to Good Health, Adelaide Medical School, The University of Adelaide, Adelaide, Australia.

出版信息

Diabetes Obes Metab. 2024 Oct;26(10):4705-4712. doi: 10.1111/dom.15839. Epub 2024 Aug 7.

Abstract

AIM

To examine the associations of tea consumption (both frequency and type) with (1) prediabetes and diabetes and (2) urinary glucose and sodium excretion in Chinese community-dwelling adults.

MATERIALS AND METHODS

In 1923 participants (457 with diabetes, 720 with prediabetes, and 746 with normoglycaemia), the frequency (occasional, frequent, daily, or nil) and type (green, black, dark, or other) of tea consumption were assessed using a standardized questionnaire. Morning spot urinary glucose and urine glucose-to-creatinine ratios (UGCRs) were assessed as markers of urinary glucose excretion. Tanaka's equation was used to estimate 24-h urinary sodium excretion. Logistic and multivariate linear regression analyses were performed.

RESULTS

Compared with non-tea drinkers, the corresponding multivariable-adjusted odds ratios (ORs) for prediabetes and diabetes were 0.63 (95% confidence interval [CI] 0.48, 0.83) and 0.58 (95% CI 0.41, 0.82) in participants drinking tea daily. However, only drinking dark tea was associated with reduced ORs for prediabetes (0.49, 95% CI 0.36, 0.66) and diabetes (0.41, 95% CI 0.28, 0.62). Dark tea consumption was associated with increased morning spot urinary glucose (0.22 mmol/L, 95% CI 0.11, 0.34 mmol/L), UGCR (0.15 mmol/mmol, 95% CI 0.05, 0.25 mmol/L) and estimated 24-h urinary sodium (7.78 mEq/day, 95% CI 2.27, 13.28 mEq/day).

CONCLUSIONS

Regular tea consumption, especially dark tea, is associated with a reduced risk of dysglycaemia and increased urinary glucose and sodium excretion in Chinese community-dwelling adults.

摘要

目的

研究饮茶(包括频率和种类)与(1)中国社区居住成年人的糖尿病前期和糖尿病以及(2)尿葡萄糖和钠排泄之间的关联。

材料与方法

在1923名参与者(457名糖尿病患者、720名糖尿病前期患者和746名血糖正常者)中,使用标准化问卷评估饮茶频率(偶尔、频繁、每天或从不)和种类(绿茶、红茶、黑茶或其他)。评估晨尿葡萄糖和尿葡萄糖与肌酐比值(UGCRs)作为尿葡萄糖排泄的标志物。使用田中方程估计24小时尿钠排泄量。进行逻辑回归和多变量线性回归分析。

结果

与不饮茶者相比,每天饮茶的参与者中,糖尿病前期和糖尿病的相应多变量调整优势比(ORs)分别为0.63(95%置信区间[CI]0.48,0.83)和0.58(95%CI0.41,0.82)。然而,只有饮用黑茶与糖尿病前期(0.49,95%CI0.36,0.66)和糖尿病(0.41,95%CI0.28,0.62)的ORs降低有关。饮用黑茶与晨尿葡萄糖增加(0.22 mmol/L,95%CI0.11,0.34 mmol/L)、UGCR(0.15 mmol/mmol,95%CI0.05,0.25 mmol/L)和估计的24小时尿钠(7.78 mEq/天,95%CI2.27,13.28 mEq/天)有关。

结论

在中国社区居住成年人中,经常饮茶,尤其是黑茶,与血糖异常风险降低以及尿葡萄糖和钠排泄增加有关。

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