Dietary and physical activity of adult patients with type 2 diabetes in <scp>Z</scp>hejiang province of eastern <scp>C</scp>hina: Data from a cross‐sectional study

He, Xiaowen; Pan, Jie; Ming-xia, Pan; Wang, Jiawei; Dong, Jingfen; Yuan, Hui; Zhou, Lei; Chen, Minhua; Chen, Yunfen; Lu, Yiping; Gu, Huiqin; Chen, Yanshu; Wu, Liqin; Chen, Yajuan; Jin, Fubi; Li, Bijun; Gu, Wei

doi:10.1111/jdi.12458

Cited by 10 publications

(7 citation statements)

References 34 publications

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“…A cross-sectional survey by He et al [17] indicates that nearly 50% of diabetes subjects didn't meet minimum PA recommendations, whereas the number raised to almost 60% in our study. He's survey was carried out in 12 hospitals and targeted outpatient populations with higher attention to lifestyle interventions compared to community-dwelling participants, which may partly explain the numerical discrepancy.…”

Section: Discussioncontrasting

confidence: 83%

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Zeng

Bian

Cui

et al. 2020

IJERPH

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Background: Diabetes and physical inactivity are prevalent worldwide. Risk of diabetes is known to be related with insufficient physical activity (PA), but associations with the respective dimensions of PA is unclear. Objective: To describe the patterns of physical activity among Chinese middle- and older-aged individuals and figure out their associations with diabetes risk in different dimensions. Methods: Extracting self-reported data from China Health and Retirement Longitudinal Study (CHARLS, 2015), this study included 6196 participants. Multivariate logistic regression was conducted to determine the association between diabetes risk and PA dimensions such as intensity, frequency, duration, and volume. Results: Concerning frequency, lower diabetes risk was associated with performing vigorous PA at any frequency overall. For duration, smaller odds of diabetes were observed in performing vigorous PA 2–4 h/day (OR 0.46, 95%CI 0.30 to 0.71), moderate PA ≥4 h/day (OR 0.59, 95%CI 0.42 to 0.82) and light PA ≥4 h/day (OR 0.59, 95%CI 0.41 to 0.85) overall. For volume, lower diabetes risk was associated with performing moderate-to-vigorous PA (MVPA) ≥2250 METs/week (OR 0.58, 95%CI 0.42 to 0.81) in middle-aged group (45–64 years), whereas no significant associations between MVPA and diabetes risk were found in older aged group (≥65 years). Conclusions: Our results revealed that physical inactivity is prevalent in China, with a greater proportion in the diabetes group. Lower risk of diabetes was associated with higher frequency, longer duration and longer volume of PA at higher intensity in middle-aged respondents and similar associations at lower intensity for the older adults. Additionally, further well-designed prospective studies are needed to confirm our findings.

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Section: Discussioncontrasting

confidence: 83%

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Zeng

Bian

Cui

et al. 2020

IJERPH

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“…The difference was statistically significant, as was the percentage of energy from individual macronutrients. In the group of women, the percentage of energy from carbohydrates and protein was higher, and the percentage of energy from fat was lower in daily food intake [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Recommendations of the Polish Society of Diabetology and the Lifestyle of Patients with Type 2 Diabetes Mellitus: An Own Research

Gętek-Paszek¹,

Całyniuk

Ganczarek-Gamrot

et al. 2020

Healthcare

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Background and Objectives:Currently, diabetes is becoming a very serious challenge in medicine;type 2 diabetes mellitus (T2DM) is referred to as a noncontagious epidemic of the 21st century. The aim of the study is to assess the lifestyle of patients with type 2 diabetes, in particular eating habits, physical activity, and tobacco smoking, and to compare the obtained values with the latest recommendations of the Polish Society of Diabetology. Materials and Methods: The study group was comprised of 460 patients with type 2 diabetes, treated in the Diabetes Outpatient Clinic (n = 299) and the Clinical Department of Internal Medicine (n = 166). The study was conducted using a questionnaire, which included the Food Intake Frequency Questionnaire, 24 h dietary recall, and the International Physical Activity Questionnaire. Results: Abnormal excessive consumption of saturated fatty acids and salt and insufficient intake of dietary fiber was observed in the study group. Physical activity was insufficient in over 50% of the study group. In the study group, 17% of patients were smokers and the mean number of pack-years was 23. Conclusions:In the study group, excessive fat consumption (i.e.,saturated fatty acids) and dietary fiber deficiency were found in the daily diet.

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“…In a Korean study, the distribution of macronutrients (C:F:P, % of total energy) was reported as 68%:16%:16%, respectively [ 29 ]. According to data from eastern China, in patients with T2DM, the proportion of calories derived from carbohydrate, fat and protein were 61.4%, 25.4% and 13.3%, respectively [ 30 ]. As we can see from the Asian data, an HCLF pattern (C:F:P = 60%:16%–25%:15%–24%) is predominant in Asian patients with T2DM.…”

Section: Literature About the Effects Of High Carbohydrate On Metamentioning

confidence: 99%

Impact of High-Carbohydrate Diet on Metabolic Parameters in Patients with Type 2 Diabetes

Jung

Choi

2017

Nutrients

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In patients with type 2 diabetes mellitus (T2DM), whether dietary carbohydrates have beneficial or detrimental effects on cardiometabolic risk factors has drawn attention. Although a high-carbohydrate (HC) diet and a low-carbohydrate (LC) diet have gained popularity for several decades, there is scarce review focusing on the effects of HC diet on glucose, lipids and body weight in patients with T2DM. In this review, we examined recently-published literature on the effects of HC diets on metabolic parameters in T2DM. HC diets are at least as effective as LC diets, leading to significant weight loss and a reduction in plasma glucose, HbA1c and low density lipoprotein-cholesterol (LDL-C) levels. The major concern is that HC diets may raise serum triglyceride levels and reduce high density lipoprotein-cholesterol (HDL-C) levels, increasing the risk of cardiovascular disease. However, these untoward effects were not a persistent consequence and may be ameliorated with the consumption of a low glycemic index (GI)/low glycemic load (GL) and high fiber. Carbohydrate intake should be individualized, and low caloric intake remains a crucial factor to improve insulin sensitivity and reduce body weight; however, an HC diet, rich in fiber and with a low GI/GL, may be recommendable in patients with T2DM.

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Dietary and physical activity of adult patients with type 2 diabetes in Zhejiang province of eastern China: Data from a cross‐sectional study

Cited by 10 publications

References 34 publications

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Recommendations of the Polish Society of Diabetology and the Lifestyle of Patients with Type 2 Diabetes Mellitus: An Own Research

Impact of High-Carbohydrate Diet on Metabolic Parameters in Patients with Type 2 Diabetes

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