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Suboptimal diet quality is associated with the incidence of type 2 diabetes mellitus in middle-aged and older populations in China: evidence from a population-based cross-sectional study.
- Source :
-
Nutrition research (New York, N.Y.) [Nutr Res] 2024 Jul; Vol. 127, pp. 123-132. Date of Electronic Publication: 2024 Jun 03. - Publication Year :
- 2024
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Abstract
- The association between dietary quality and type 2 diabetes mellitus (T2DM) based on the Chinese Dietary Balance Index (DBI-16) is seldom reported. We hypothesized that poor dietary quality might increase the risk of T2DM in the middle-aged and older populations. A total of 1816 individuals (≥50 years) were included in the study. Demographic characteristics and dietary intake data were collected. Logistic regression and restricted cubic spline (RCS) analyses were conducted to explore the association between DBI-16 indexes and the risk of T2DM. The insufficient intake of vegetables and dairy might decrease the risk of T2DM (OR <subscript>Vegetable</subscript> = 0.77, 95% CI = 0.60-0.97; OR <subscript>Dairy</subscript> = 0.58, 95% CI = 0.35-0.96), but the individuals with insufficient intake of fruit were more likely to have a higher risk of T2DM (OR <subscript>fruit</subscript> = 2.26, 95% CI = 1.69-3.06). Compared with the subjects with the lowest quartile of Low Bound Score (LBS) or Diet Quality Distance (DQD), the individuals with Q2 and Q3 level of LBS (OR <subscript>Q2</subscript> = 1.40, 95% CI = 1.03-1.90, P = .033; OR <subscript>Q3</subscript> = 1.52, 95% CI = 1.11-2.08, P < .01) or DQD (OR <subscript>Q2</subscript> = 1.45, 95% CI = 1.06-1.99, P = .021; OR <subscript>Q3</subscript> = 1.64, 95% CI = 1.20-2.24, P < .01) showed increased risk of T2DM with a nonlinear association observed by RCS analysis. We concluded that imbalanced dietary intake, especially insufficient daily fruit intake, might predict an increased risk of T2DM in the middle-aged and elderly Chinese.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1879-0739
- Volume :
- 127
- Database :
- MEDLINE
- Journal :
- Nutrition research (New York, N.Y.)
- Publication Type :
- Academic Journal
- Accession number :
- 38943730
- Full Text :
- https://doi.org/10.1016/j.nutres.2024.05.008