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Relationship between dietary intake and the development of type 2 diabetes in a Chinese population: the Hong Kong Dietary Survey.

Abstract

OBJECTIVE

To study the relationship between dietary intake and the development of type 2 diabetes among Chinese adults.

DESIGN

A prospective cohort study. Dietary assessment was carried out using a validated FFQ. Principal component analysis was used to identify dietary patterns. Dietary glycaemic load and variety of snacks were also calculated.

SETTING

A hospital-based centre at the Queen Mary Hospital in Hong Kong SAR, China.

SUBJECTS

A total of 1010 Chinese adults aged 25-74 years who participated in a territory-wide dietary and cardiovascular risk factor prevalence survey in 1995-1996 were followed up for 9-14 years for the development of diabetes.

RESULTS

A total of 690 (68·3 %) individuals completed follow-up during 2005-2008 and seventy-four cases of diabetes were identified over the follow-up period. Four dietary patterns were identified ('more snacks and drinks', 'more vegetables, fruits and fish', 'more meat and milk products' and 'more refined grains'). After adjustment for age, sex, BMI, waist-to-hip ratio, smoking, alcohol intake, participation in exercise/sports and family history of diabetes, the more vegetables, fruits and fish pattern was associated with a 14 % lower risk (OR per 1 sd increase in score = 0·76; 95 % CI 0·58, 0·99), whereas the more meat and milk products pattern was associated with a 39 % greater risk of diabetes (OR per 1 sd increase in score = 1·39; 95 % CI 1·04, 1·84). Dietary glycaemic load, rice intake, snack intake and variety of snacks were not independently associated with diabetes.

CONCLUSIONS

The more vegetables, fruits and fish pattern was associated with reduced risk and the more meat and milk products pattern was associated with an increased risk of diabetes.

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  • Authors+Show Affiliations

    ,

    Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Room 124021, 10/F, Clinical Sciences Building, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, People's Republic of China. rubyyu@cuhk.edu.hk

    , , , , , , ,

    Source

    Public health nutrition 14:7 2011 Jul pg 1133-41

    MeSH

    Adult
    Aged
    Asian Continental Ancestry Group
    Cohort Studies
    Diabetes Mellitus, Type 2
    Diet
    Diet Surveys
    Energy Intake
    Female
    Fruit
    Glycemic Index
    Hong Kong
    Humans
    Male
    Middle Aged
    Prevalence
    Principal Component Analysis
    Prospective Studies
    Risk Factors
    Seafood
    Surveys and Questionnaires
    Vegetables

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    21466742

    Citation

    Yu, Ruby, et al. "Relationship Between Dietary Intake and the Development of Type 2 Diabetes in a Chinese Population: the Hong Kong Dietary Survey." Public Health Nutrition, vol. 14, no. 7, 2011, pp. 1133-41.
    Yu R, Woo J, Chan R, et al. Relationship between dietary intake and the development of type 2 diabetes in a Chinese population: the Hong Kong Dietary Survey. Public Health Nutr. 2011;14(7):1133-41.
    Yu, R., Woo, J., Chan, R., Sham, A., Ho, S., Tso, A., ... Lam, K. (2011). Relationship between dietary intake and the development of type 2 diabetes in a Chinese population: the Hong Kong Dietary Survey. Public Health Nutrition, 14(7), pp. 1133-41. doi:10.1017/S136898001100053X.
    Yu R, et al. Relationship Between Dietary Intake and the Development of Type 2 Diabetes in a Chinese Population: the Hong Kong Dietary Survey. Public Health Nutr. 2011;14(7):1133-41. PubMed PMID: 21466742.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Relationship between dietary intake and the development of type 2 diabetes in a Chinese population: the Hong Kong Dietary Survey. AU - Yu,Ruby, AU - Woo,Jean, AU - Chan,Ruth, AU - Sham,Aprille, AU - Ho,Suzanne, AU - Tso,Annette, AU - Cheung,Bernard, AU - Lam,Tai Hing, AU - Lam,Karen, Y1 - 2011/04/05/ PY - 2011/4/7/entrez PY - 2011/4/7/pubmed PY - 2012/5/5/medline SP - 1133 EP - 41 JF - Public health nutrition JO - Public Health Nutr VL - 14 IS - 7 N2 - OBJECTIVE: To study the relationship between dietary intake and the development of type 2 diabetes among Chinese adults. DESIGN: A prospective cohort study. Dietary assessment was carried out using a validated FFQ. Principal component analysis was used to identify dietary patterns. Dietary glycaemic load and variety of snacks were also calculated. SETTING: A hospital-based centre at the Queen Mary Hospital in Hong Kong SAR, China. SUBJECTS: A total of 1010 Chinese adults aged 25-74 years who participated in a territory-wide dietary and cardiovascular risk factor prevalence survey in 1995-1996 were followed up for 9-14 years for the development of diabetes. RESULTS: A total of 690 (68·3 %) individuals completed follow-up during 2005-2008 and seventy-four cases of diabetes were identified over the follow-up period. Four dietary patterns were identified ('more snacks and drinks', 'more vegetables, fruits and fish', 'more meat and milk products' and 'more refined grains'). After adjustment for age, sex, BMI, waist-to-hip ratio, smoking, alcohol intake, participation in exercise/sports and family history of diabetes, the more vegetables, fruits and fish pattern was associated with a 14 % lower risk (OR per 1 sd increase in score = 0·76; 95 % CI 0·58, 0·99), whereas the more meat and milk products pattern was associated with a 39 % greater risk of diabetes (OR per 1 sd increase in score = 1·39; 95 % CI 1·04, 1·84). Dietary glycaemic load, rice intake, snack intake and variety of snacks were not independently associated with diabetes. CONCLUSIONS: The more vegetables, fruits and fish pattern was associated with reduced risk and the more meat and milk products pattern was associated with an increased risk of diabetes. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/21466742/Relationship_between_dietary_intake_and_the_development_of_type_2_diabetes_in_a_Chinese_population:_the_Hong_Kong_Dietary_Survey_ L2 - https://www.cambridge.org/core/product/identifier/S136898001100053X/type/journal_article DB - PRIME DP - Unbound Medicine ER -