Ida Satoshi, Imataka Kanako, Morii Shoki, Murata Kazuya
Department of Diabetes and Metabolism, Ise Red Cross Hospital, 1-471-2, Funae, 1-chome, Ise- shi, Mie, Ise- shi, Mie, 516-8512, Japan.
BMC Nutr. 2024 Sep 27;10(1):126. doi: 10.1186/s40795-024-00928-9.
Some studies suggest that the habit of eating vegetables may initially be correlated with maintenance of a higher-level functional capacity; however, such a correlation has not been demonstrated. This study aimed to correlate the habit of eating vegetables first and higher-level functional capacity in older adults with diabetes.
Patients aged ≥ 60 years who were treated at Japanese Red Cross Ise Hospital on an ambulatory basis were included in this study. A self-administered questionnaire using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) was used to evaluate higher-level functional capacity. Participants were instructed to answer the questionnaire regarding the order in which they consumed the mentioned food types, and based on their answers, they were classified into "no order of eating," "carbohydrates first," "protein first," and "vegetables first" groups. Multiple regression analyses with the TMIG-IC score as a dependent variable and the order of eating as explanatory variables were used to determine the partial regression coefficients of the "vegetables first" dietary habit with higher-level functional capacity.
This study included 346 patients. The adjusted partial regression coefficients of the "carbohydrates first," "protein first," and "vegetables first" dietary habits with the TMIG-IC score were 0.27 (95% confidence interval [CI], - 0.29 to 0.84), 0.17 (95% CI, - 0.54 to 0.90), and 0.77 (95% CI, 0.23 to 1.31), respectively.
The habit of eating vegetables first was correlated with higher-level functional capacity in older adults with diabetes.
一些研究表明，食用蔬菜的习惯最初可能与维持较高水平的功能能力相关；然而，这种相关性尚未得到证实。本研究旨在探讨糖尿病老年患者中先食用蔬菜的习惯与较高水平功能能力之间的相关性。
本研究纳入了日本红十字伊势医院门诊治疗的年龄≥60岁的患者。使用东京都老人综合研究所能力指数（TMIG-IC）的自填式问卷来评估较高水平的功能能力。参与者被要求回答关于他们食用上述食物类型的顺序的问卷，并根据他们的回答，将他们分为“无进食顺序”、“先吃碳水化合物”、“先吃蛋白质”和“先吃蔬菜”组。以TMIG-IC评分为因变量，进食顺序为解释变量进行多元回归分析，以确定“先吃蔬菜”饮食习惯与较高水平功能能力的偏回归系数。
本研究共纳入346例患者。“先吃碳水化合物”、“先吃蛋白质”和“先吃蔬菜”饮食习惯与TMIG-IC评分的调整后偏回归系数分别为0.27（95%置信区间[CI]，-0.29至0.84）、0.17（95%CI，-0.54至0.90）和0.77（95%CI，0.23至1.31）。
糖尿病老年患者先吃蔬菜的习惯与较高水平的功能能力相关。
