2型糖尿病患者的饮食模式和糖尿病微血管并发症之间的关系
1School of the First Clinical Medicine, Shanxi Medical University, Taiyuan, China. wysdyy@126.com.
European review for medical and pharmacological sciences
|October 2, 2023
概括
富含坚果和水果的饮食可能会降低2型糖尿病患者糖尿病病 (DKD) 的风险. 富含动物蛋白质的饮食可能会降低糖尿病外围神经病变 (DPN) 的风险.
科学领域:
- 营养科学 营养科学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病微血管并发症对2型糖尿病 (T2DM) 的健康负担很大.
- 饮食模式越来越被认为是影响T2DM结果的可修改因素.
- 了解饮食模式对微血管并发症的具体影响,对于预防和管理至关重要.
研究的目的:
- 调查不同饮食模式与中国2型糖尿病患者群体中微血管并发症的患病率之间的联系.
- 确定特定的饮食成分或模式,可以减轻糖尿病病 (DKD) 和糖尿病外围神经病变 (DPN) 的风险.
主要方法:
- 利用来自中国慢性病及其风险因素监测系统的数据,招募了1227名T2DM患者.
- 使用因子分析来确定六种主要的饮食模式.
- 应用二进制后勤回归分析,调整混因素,以评估饮食模式得分和微血管并发症之间的关系.
主要成果:
- 微血管并发症的总体患病率为55.3%,DKD,糖尿病视网膜病变和DPN分别影响了21.4%,12.7%和38.0%的患者.
- "坚果和水果"的饮食模式与43.3%的DKD风险降低有关 (OR = 0.567).
- "动物蛋白"饮食模式与42.8%降低DPN风险 (OR = 0.572) 有关.
结论:
- 坚持"坚果和水果"的饮食模式与2型糖尿病患者糖尿病病的风险较低有关.
- 摄入"动物蛋白"饮食模式可能有助于降低患糖尿病外围神经病变的风险.
- 这些发现强调了有针对性的饮食干预措施在预防T2DM中微血管并发症方面的潜力.
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