Dietary patterns are associated with insulin resistance in Chinese adults without known diabetes

Zuo, Hui; Shi, Zumin; Bao, Yuan; Dai, Yue; Pan, Xiaoqun; Wu, Gaolin; Hussain, Akhtar

doi:10.1017/s0007114512003674

Cited by 21 publications

(17 citation statements)

References 36 publications

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“…This is reasonable because even in these studies, a considerably high intake of wheat, fried wheat and other cereals was observed in the ‘Western’ dietary pattern. In addition, in the Jiangsu Province, a pattern similar to our ‘modern high-wheat’ dietary pattern was found, in which the Western-type pattern was also related to the intake of fried wheat and cakes ( 29 ) . Taken together, it is clear that the regional tradition and availability of wheat in the North region and of rice in the South region are still the main drivers of food selection in the Chinese population.…”

Section: Discussionsupporting

confidence: 64%

Longitudinal analysis of dietary patterns in Chinese adults from 1991 to 2009

et al. 2013

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Our aims were to identify the changes or stability in the structure of dietary patterns and the tracking, trends and factors related to the adherence of these patterns in China from 1991 to 2009. We used seven waves of the China Health and Nutrition Survey and included 9,253 adults with ≥3 waves complete. Diet was measured over a 3-day period with 24-hr recalls and a household food inventory. Using factor analysis in each wave we found that the structure of the two dietary patterns identified, remained stable over the studied period. The traditional southern pattern was characterized by high intake of rice, fresh leafy vegetables, low-fat red meat, pork, organ meats, poultry and fish/seafood and low intakes of wheat flour, corn/coarse grains; and the modern high-wheat pattern was characterized by high intake of wheat buns/breads, cakes/cookies/pastries, deep-fried wheat, nuts/seeds, starchy roots/tubers products, fruits, eggs/eggs products, soy milk, animal-based milk and instant noodles/frozen dumplings. Temporal tracking (maintenance of a relative position over time) was higher for the traditional southern, whereas adherence to the modern high-wheat had an upward trend over time. Higher income, education and urbanicity level were positively associated with both dietary patterns, but the association became smaller in the later years. These results suggest that even in the context of rapid economic changes in China; the way people chose to combine their foods remained relatively stable. However, the increasing popularity of the modern high-wheat pattern, a pattern associated with several energy-dense foods is cause of concern.

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Section: Discussionsupporting

confidence: 64%

Longitudinal analysis of dietary patterns in Chinese adults from 1991 to 2009

et al. 2013

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“…[10][11][12][13] These common approaches have methodological and conceptual limitations, 14,15 in that they can detect the effects of only a single nutrient or food on bone health and thus cannot explain the interactions among nutrients and foods. 16 In addition, such studies do not provide tangible practical dietary advice, because of course, nobody normally consumes just a single food or nutrient. 14,15,17 Recently, dietary pattern analysis has been widely used to assess relationships between overall diet and health outcomes.…”

Section: Introductionmentioning

confidence: 99%

A fruit, milk and whole grain dietary pattern is positively associated with bone mineral density in Korean healthy adults

2014

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“…Dietary patterns are different based on sex, geographical, region, ethnicity, economic and culture (10)(11)(12). Cumulative studies including the 2010 wave of the China Health and Nutrition Survey have used principal component analysis (PCA) on dietary intake data to derive dietary patterns that predict incident of diabetes in Chinese populations (13)(14)(15)(16)(17)(18). However, to date, data on the associations between dietary patterns and T2DM in the Chinese Uygur population are limited.…”

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confidence: 99%

Association of Dietary Patterns with Type 2 Diabetes Mellitus among Middle-Aged Adults in Uygur Population of Xinjiang Region

Cai

Nuli

Zhang

et al. 2019

J Nutr Sci Vitaminol

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Observational and interventional studies have showed associations between dietary patterns and the risk of type 2 diabetes (T2DM). The aim of the present study was to identify dietary patterns and examine their association with incident of T2DM and physiopathologic mechanism in the Uygur population of Xinjiang, China. A community-based case control study in Urumqi, Xinjiang Uygur Autonomous Region, China. We enrolled 836 Uygur adults (345 newly diagnosed T2DM and 491 healthy controls) receiving physical examination in community health service centers. Dietary patterns were evaluated using a validated 121 items semi-quantitative food frequency questionnaire (SQFFQ). Dietary patterns were identified by exploratory factor analysis. Data on demographic, anthropometric, socioeconomic characteristics were collected. Homeostasis model assessment index for insulin resistance (HOMA-IR) and for b cell function (HOMA-b) were calculated. Multivariate logistic regression were used to estimate the associations between dietary patterns and the risk of T2DM and multiple linear regression were used to evaluate the association between dietary patterns and fasting plasm glucose (FPG), fasting insulin (FINS), HOMA-IR and HOMA-b, adjusting for confounding factors. Five major dietary patterns were identified: (1) the "vegetable and tubes" pattern; (2) the "fruit and nut" pattern; (3) the "refined grains and meat" pattern; (4) the "dairy, legume and egg" pattern; and (5) the "oil and salt" pattern. Logistic regression results demonstrated that the "vegetable and tubes" dietary pattern and the "fruit and nut" dietary pattern were related to T2DM, OR values were 0.223 (95% CI: 0.135-0.371), 0.160 (95% CI: 0.093-0.275), respectively. The "refined grains and meat" dietary pattern and the "oil and salt" dietary pattern were related to T2DM, OR values were 6.146 (95% CI: 3.217-11.739), 9.554 (95% CI: 5.668-16.104), respectively. Multiple linear regression analysis showed that the above five dietary patterns were related to log (FPG), b values were 20.040, 20.039, 0.028, 20.010 and 0.036, respectively, all p,0.05. The "vegetable and tubes" pattern, the "fruit and nut" pattern, the "refined grains and meat" pattern and the "oil and salt" pattern were related to log (HOMA-IR), b values were 20.061, 20.060, 0.045, and 0.042, and were related to log (HOMA-b), b values were 0.071, 0.063, 20.035 and 20.070, respectively, all p,0.05. The "refined grains and meat" dietary pattern and the "oil and salt" dietary pattern may be the important reason for the rapid increase of T2DM incidence among Chinese Uygur residents. Our findings suggest that modifying dietary patterns could reduce T2DM incidence in the adult Uygur population.

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Dietary patterns are associated with insulin resistance in Chinese adults without known diabetes

Cited by 21 publications

References 36 publications

Longitudinal analysis of dietary patterns in Chinese adults from 1991 to 2009

Longitudinal analysis of dietary patterns in Chinese adults from 1991 to 2009

A fruit, milk and whole grain dietary pattern is positively associated with bone mineral density in Korean healthy adults

Association of Dietary Patterns with Type 2 Diabetes Mellitus among Middle-Aged Adults in Uygur Population of Xinjiang Region

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