糖尿病成年人中粮食不安全和血糖控制之间的直接和间接途径
Rebekah J Walker1, Rabia Amjad2, Jennifer A Campbell1
1Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
粮食不安全会使糖尿病成年人的血糖控制恶化,直接和间接地通过增加腰围和更糟糕的健康饮食. 身体成分不是一个重要的因素.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 粮食不安全是已知的导致糖尿病成年人血糖控制不良的一个因素.
- 了解将粮食不安全与血糖控制联系在一起的途径对于有针对性的干预至关重要.
研究的目的:
- 调查糖尿病成年人粮食不安全和血糖控制之间的直接和间接关系.
- 检查身体组成,人体测量 (腰围) 和健康饮食的调解作用.
主要方法:
- 利用了国家健康和营养检查调查 (NHANES) 的数据 (2011-2018) 来自糖尿病成年人.
- 采用结构方程建模来分析粮食不安全,血糖控制 (HbA1c) 和潜在调解者之间的关联.
- 测量身体成分,人体测量,健康饮食指数 (HEI) 和食品不安全性,使用已建立的尺度.
主要成果:
- 较高的粮食不安全性与较高的HbA1c直接相关.
- 粮食不安全通过增加腰围和较低的HEI分数间接影响HbA1c.
- 腰围和HEI是显著的调解者,而身体组成则不是.
结论:
- 腰围和整体健康饮食指数是关联粮食不安全与糖尿病成年人血糖控制较差的重要途径.
- 针对健康饮食和体重管理的干预措施可以减轻粮食不安全对糖尿病结果的负面影响.
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