Relations of nutritional intake to age, sex and body mass index in Japanese elderly patients with type 2 diabetes: The Japanese Elderly Diabetes Intervention Trial

Yoshimura, Y.; Kamada, Chiemi; Takahashi, Keiko; Kaimoto, Tae; Iimuro, Satoshi; Ohashi, Yasuo; Araki, Atsushi; Umegaki, Hiroyuki; Sakurai, Takashi; Ito, Hideki

doi:10.1111/j.1447-0594.2011.00810.x

Cited by 16 publications

(18 citation statements)

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“…The detailed report on nutrition as a whole is reported in the present issue of the journal by Yoshimura et al and Kamada et al 13,14 In these reports, using the data of food intake that classified food into 16 classes, multivariable analysis was carried out, and from the dietary pattern obtained, the relationship to mortality was studied. Although the study design for the J-EDIT was a randomized control study by two groups, in which elderly diabetes patients were randomly allocated to standard therapy or intensive therapy, 12 there was no significant difference in the distribution of dietary patterns in the two groups (data not shown); therefore, we combined the two groups and analyzed them as a single cohort in the present.…”

Section: Resultsmentioning

confidence: 99%

“…The study design and the details of J-EDIT are described in the article by Araki et al 12 in the present issue of the journal, and the details of the questionnaire for the nutritional survey are described in the article by Yoshimura et al 13 and Kamada et al 14 Following is a brief outline of the study: J-EDIT studied elderly type 2 diabetes patients, randomizing them to standard therapy or intensive therapy. It was a prospective randomized controlled trial that followed the patients for 6 years.…”

Section: Participants and Follow Upmentioning

confidence: 99%

“…13 Various data were obtained; however, for the present study, we focused on the data for the amount of food intake that classified the food into 16 classes adjusted for the energy contents (see Table 1). …”

Section: Data On Dietmentioning

confidence: 99%

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Dietary pattern and mortality in Japanese elderly patients with type 2 diabetes mellitus: Does a vegetable‐ and fish‐rich diet improve mortality? An explanatory study

Iimuro

Yoshimura

Umegaki

et al. 2012

Geriatrics Gerontology Int

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Aim:To assess the effect of dietary patterns on all deaths and diabetes-related deaths in the Japanese Elderly Diabetes Intervention Trial (J-EDIT). Methods:We investigated relationships between that of overall mortality and dietary pattern, and diabetes-related deaths and dietary pattern as observed among 912 registered cases of the J-EDIT study, which is a prospective follow-up study of elderly Japanese type 2 diabetic patients.Results: Factor analysis with the factor number 3 led to deriving three dietary patterns (healthy type, snack type and greasy type). The relationship between these patterns and overall mortality or diabetes-related death was investigated. Although not statistically significant, there was a lower tendency of overall mortality and diabetes-related deaths for the healthy type dietary pattern. When the tendencies of overall mortality were analyzed for "young-old," who are younger than 75 years-of age, and "old-old" of over 75 years-of-age, the mortality rate for the greasy type and healthy type dietary patterns were nearly the same and higher than the snack type dietary pattern in young-old. In contrast, in old-old, a higher mortality rate was reported for the greasy type dietary pattern and a lower mortality rate was reported for the healthy type dietary pattern. The hazard ratio by Cox regression analysis for greasy type to healthy type in old-old was 3.03 (P = 0.04, CI 1.07-8.57). Furthermore, in old-old, as vegetable consumption increased, the lower the tendency for overall mortality, and the more fish that was consumed, the overall mortality significantly decreased (P = 0.020) in the tertile. Conclusions:The greasy type dietary pattern with an increased amount of sugar, fat and meat led to poor life prognosis for elderly Japanese type 2 diabetic patients. The healthy type dietary pattern rich in vegetable and fish, which is similar to the Mediterranean diet and Dietary Approach to Stop Hypertension diet, was suggested to improve life prognosis. Geriatr Gerontol Int 2012; 12 (Suppl. 1): 59-67.Keywords: dietary pattern, elderly type 2 diabetes mellitus, mortality, sugar-fat-and meat-rich diet, vegetable-and fish-rich diet. IntroductionThe relationship between diet and health is an ancient interest, and nutritional epidemiology is one of the important branches of epidemiology. 1 In the study of circulatory disease since World War II, "associations between food and disease" has become one of the major research topics, yielding important study results such as the over consumption of salt and saturated fatty acids being risk factors for arteriosclerosis. [2][3][4] According to the Vital Statistics Survey, and the National Health and Nutrition Survey by the Japanese Ministry of Health, Labor and Welfare, the disease frequency patterns of modern Japanese are becoming similar to that of Europe and the USA, with the Westernization of diet characterized by increased meat and fat consumption. Studies on Japanese immigrants who moved to the USA and other countries showed that in the younger generat...

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Section: Resultsmentioning

confidence: 99%

Section: Participants and Follow Upmentioning

confidence: 99%

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Dietary pattern and mortality in Japanese elderly patients with type 2 diabetes mellitus: Does a vegetable‐ and fish‐rich diet improve mortality? An explanatory study

Iimuro

Yoshimura

Umegaki

et al. 2012

Geriatrics Gerontology Int

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“…Yoshimura et al (20) found that in elderly Japanese patients with type 2 diabetes increased energy intake per kilogram of standard body weight correlated with increase of BMI in men, but not in women. Intakes of soft drinks in both sexes and alcohol in women correlated with increase of BMI.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Living with Diabetes Mellitus

Siddiqui¹,

Khan²,

Carline³

2013

Mater Sociomed

103

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Conflict of interest: none declared.The aim of this review is to discuss the gender difference among diabetic population. Metabolic control, age and gender significantly affect their psychosocial responses to disease. Psychosocial problems may also occur secondary to negative diabetes related experiences including diagnosis, increased stress and onset of complications. Although significant problems do not occur in all diabetic population, they occur in few patients. More work is needed in the area of identifying those patients having adjustment difficulties to diabetic related challenges. This review indicates that male diabetics are observed to be living more effectively with diabetes, lesser depression and anxiety but more energy and better positive wellbeing

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“…In a previous report, 12 we reported that characteristics of the dietary intake of diabetic patients suffering from obesity included a reduced intake of green vegetables and an increased intake of soft drinks and oils, and indulgences, such as alcohol.…”

Section: Introductionmentioning

confidence: 91%

Effects of total and green vegetable intakes on glycated hemoglobin A1c and triglycerides in elderly patients with type 2 diabetes mellitus: The Japanese Elderly Intervention Trial

Takahashi

Kamada

Yoshimura

et al. 2012

Geriatrics Gerontology Int

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Aim:Many reports have shown that vegetable intake is effective in inhibiting the onset and progression of diabetes mellitus, although the amount of vegetable intake required to be effective remains as unclear. The present study therefore aimed to clarify the relationship between the amount of vegetable intake and glycated hemoglobin A1c (HbA1c) and other metabolic parameters using male Japanese type 2 diabetic patients aged 65 years or older as subjects.Method: Participants were 417 male type 2 diabetic patients aged 65 years or older enrolled in the Japanese Elderly Diabetes Intervention Trial. Dietary intakes were measured by using the Food Frequency Questionnaires method. The patients were divided into five groups by their daily total vegetable intake (A1:~100 g, A2: 100~150 g, A3: 150~200 g, A4: 200~300 g, A5: 300 g~), and compared HbA1c and other metabolic parameters. Furthermore, the relationship between daily green vegetable intake and HbA1c and other metabolic parameters were examined among five groups divided by quintile methods.Results: There were significant decreases in HbA1c, triglycerides and waist circumference with an increase of total vegetable intake. A significant decrease of HbA1c levels was observed in patients with a daily total vegetable intake of 150 g or more. Furthermore, there was a significant decrease of serum triglyceride levels in patients with a total vegetable intake of 200 g or more. HbA1c levels showed a decreasing tendency with the increase of green vegetable intake, and HbA1c levels in the Q1 group (green vegetable intake: less than 40 g) was significantly higher than those in the other four groups (ANOVA P = 0.025). In addition, there were significant decreases of body mass index, triglyceride levels and waist circumference with the increase of green vegetable intake. Triglyceride levels decreased significantly from the Q3 group (green vegetable intake: 70 g or more) to the Q5 group (green vegetable intake: 130 g or more; ANOVA P = 0.016). In the group with a lower intake of total vegetables and green vegetables, the protein energy ratio decreased significantly. As a result, the fat energy ratio and energy intake tended to increase with the decrease of total and green vegetable intakes. Furthermore, intake of grains, sweets and alcoholic beverages increased with the decrease of total vegetable intake. In contrast, intake of nuts, potatoes, sugar, legumes, fruit, seaweed and fish increased with the increase of total vegetable intake Conclusions: Daily total vegetable intake of 200 g or more, and green vegetable intake of 70 g or more correlated with improved control of HbA1c and triglyceride levels in elderly type 2 diabetes patients through achieving a well-balanced diet. Geriatr Gerontol Int 2012; 12 (Suppl. 1): 50-58.

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Relations of nutritional intake to age, sex and body mass index in Japanese elderly patients with type 2 diabetes: The Japanese Elderly Diabetes Intervention Trial

Cited by 16 publications

References 44 publications

Dietary pattern and mortality in Japanese elderly patients with type 2 diabetes mellitus: Does a vegetable‐ and fish‐rich diet improve mortality? An explanatory study

Dietary pattern and mortality in Japanese elderly patients with type 2 diabetes mellitus: Does a vegetable‐ and fish‐rich diet improve mortality? An explanatory study

Gender Differences in Living with Diabetes Mellitus

Effects of total and green vegetable intakes on glycated hemoglobin A1c and triglycerides in elderly patients with type 2 diabetes mellitus: The Japanese Elderly Intervention Trial

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