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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

Authors
Kim, So HunHong, Seong BinSuh, Young JuChoi, Yun JinNam, MoonsukLee, Hyoung WooPark, Ie ByungChon, SukWoo, Jeong-TaekBaik, Sei HyunPark, YongsooKim, Dae JungLee, Kwan WooKim, Young Seol
Issue Date
10월-2012
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Type 2 diabetes mellitus; Nutrients; Dietary fiber; Obesity
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.27, no.10, pp.1188 - 1195
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
27
Number
10
Start Page
1188
End Page
1195
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/107297
DOI
10.3346/jkms.2012.27.10.1188
ISSN
1011-8934
Abstract
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).
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