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KMID : 0191120120270101188
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Journal of Korean Medical Science
2012 Volume.27 No. 10 p.1188 ~ p.1195
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Association between Nutrient Intake and Obesity in Type 2 Diabetic Patients from the Korean National Diabetes Program: A Cross-Sectional Study
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Kim So-Hun
Hong Seong-Bin
Suh Young-Ju
Choi Yun-Jin
Nam Moon-Suk
Lee Hyoung-Woo
Park Ie-Byung
Chon Suk
Woo Jeong-Taek
Baik Sei-Hyun
Park Yong-Soo
Kim Dae-Jung
Lee Kwan-Woo
Kim Young-Seol
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Abstract
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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 (Ptrend = 0.003) and in women, higher protein intake was associated with a lower odds of being obese (Ptrend = 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 (Ptrend < 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).
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KEYWORD
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Type 2 diabetes mellitus, Nutrients, Dietary fiber, Obesity
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