Association between nutrient intake and obesity in type 2 diabetic patients from the Korean National Diabetes Program: a cross-sectional study

The aim of the study was to assess the association between usual dietary nutrient intake and obesity in Korean type 2 diabetic patients. We examined 2,832 type 2 diabetic patients from the Korean National Diabetes Program cohort who completed dietary assessment and clinical evaluation in this cross-...

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Published in:Journal of Korean medical science 2012, 27(10), 169, pp.1188-1195
Main Authors: Kim, So Hun, Hong, Seong Bin, Suh, Young Ju, Choi, Yun Jin, Nam, Moonsuk, Lee, Hyoung Woo, Park, Ie Byung, Chon, Suk, Woo, Jeong-Taek, Baik, Sei Hyun, Park, Yongsoo, Kim, Dae Jung, Lee, Kwan Woo, Kim, Young Seol
Format: Article
Language:English
Subjects:
Asian Continental Ancestry Group
Cohort Studies
Cross-Sectional Studies
Demography
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - diagnosis
Dietary Fiber
Energy Intake
Female
Humans
Male
Middle Aged
Obesity - etiology
Odds Ratio
Original
Republic of Korea
Risk Factors
의학일반
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Summary:The aim of the study was to assess the association between usual dietary nutrient intake and obesity in Korean type 2 diabetic patients. We examined 2,832 type 2 diabetic patients from the Korean National Diabetes Program cohort who completed dietary assessment and clinical evaluation in this cross-sectional study. In men, higher dietary fiber intake was associated with a lower odds of being obese (P(trend) = 0.003) and in women, higher protein intake was associated with a lower odds of being obese (P(trend) = 0.03) after adjustment for age, diabetes duration, HbA1c, alcohol drinking, income, education level, and calorie intake. In men, higher fiber intake was associated with lower odds of obesity after further adjustment for diastolic blood pressure, physical activity, and possible confounding nutritional intake and medication. The multivariable adjusted odds ratio for the highest quintile of fiber intake was 0.37 (P(trend) < 0.001). In women, protein intake was not associated with obesity after further adjustment. In conclusion, higher intake of dietary fiber is associated with lower odds of being obese in type 2 diabetic men, suggesting a role for dietary fiber in the management and prevention of obesity in type 2 diabetes (ClinicalTrials.gov: NCT 01212198).
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2012.27.10.1188