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[Analysis of dietary pattern and diabetes mellitus influencing factors identified by classification tree model in adults of Fujian].
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 May 10; 38(5):602-610.ZL

Abstract

Objective:

To find out the dietary patterns and explore the relationship between environmental factors (especially dietary patterns) and diabetes mellitus in the adults of Fujian.

Methods:

Multi-stage sampling method were used to survey residents aged ≥18 years by questionnaire, physical examination and laboratory detection in 10 disease surveillance points in Fujian. Factor analysis was used to identify the dietary patterns, while logistic regression model was applied to analyze relationship between dietary patterns and diabetes mellitus, and classification tree model was adopted to identify the influencing factors for diabetes mellitus.

Results:

There were four dietary patterns in the population, including meat, plant, high-quality protein, and fried food and beverages patterns. The result of logistic analysis showed that plant pattern, which has higher factor loading of fresh fruit-vegetables and cereal-tubers, was a protective factor for non-diabetes mellitus. The risk of diabetes mellitus in the population at T2 and T3 levels of factor score were 0.727 (95%CI:0.561-0.943) times and 0.736 (95%CI: 0.573-0.944) times higher, respectively, than those whose factor score was in lowest quartile. Thirteen influencing factors and eleven group at high-risk for diabetes mellitus were identified by classification tree model. The influencing factors were dyslipidemia, age, family history of diabetes, hypertension, physical activity, career, sex, sedentary time, abdominal adiposity, BMI, marital status, sleep time and high-quality protein pattern.

Conclusion:

There is a close association between dietary patterns and diabetes mellitus. It is necessary to promote healthy and reasonable diet, strengthen the monitoring and control of blood lipids, blood pressure and body weight, and have good lifestyle for the prevention and control of diabetes mellitus.

Authors+Show Affiliations

Department of Epidemiology and Biostatistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China.Department of Epidemiology and Biostatistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China;Fujian Provincial Center for Disease Control and Prevention, Fuzhou 350001, China.Department of Epidemiology and Biostatistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China;Fujian Provincial Center for Disease Control and Prevention, Fuzhou 350001, China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

28651395

Citation

Yu, F L., et al. "[Analysis of Dietary Pattern and Diabetes Mellitus Influencing Factors Identified By Classification Tree Model in Adults of Fujian]." Zhonghua Liu Xing Bing Xue Za Zhi = Zhonghua Liuxingbingxue Zazhi, vol. 38, no. 5, 2017, pp. 602-610.
Yu FL, Ye Y, Yan YS. [Analysis of dietary pattern and diabetes mellitus influencing factors identified by classification tree model in adults of Fujian]. Zhonghua Liu Xing Bing Xue Za Zhi. 2017;38(5):602-610.
Yu, F. L., Ye, Y., & Yan, Y. S. (2017). [Analysis of dietary pattern and diabetes mellitus influencing factors identified by classification tree model in adults of Fujian]. Zhonghua Liu Xing Bing Xue Za Zhi = Zhonghua Liuxingbingxue Zazhi, 38(5), 602-610. https://doi.org/10.3760/cma.j.issn.0254-6450.2017.05.009
Yu FL, Ye Y, Yan YS. [Analysis of Dietary Pattern and Diabetes Mellitus Influencing Factors Identified By Classification Tree Model in Adults of Fujian]. Zhonghua Liu Xing Bing Xue Za Zhi. 2017 May 10;38(5):602-610. PubMed PMID: 28651395.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Analysis of dietary pattern and diabetes mellitus influencing factors identified by classification tree model in adults of Fujian]. AU - Yu,F L, AU - Ye,Y, AU - Yan,Y S, PY - 2017/6/28/entrez PY - 2017/6/28/pubmed PY - 2017/9/5/medline KW - Classification tree KW - Diabetes mellitus KW - Dietary pattern KW - Factor analysis KW - Influencing factors SP - 602 EP - 610 JF - Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi JO - Zhonghua Liu Xing Bing Xue Za Zhi VL - 38 IS - 5 N2 - Objective: To find out the dietary patterns and explore the relationship between environmental factors (especially dietary patterns) and diabetes mellitus in the adults of Fujian. Methods: Multi-stage sampling method were used to survey residents aged ≥18 years by questionnaire, physical examination and laboratory detection in 10 disease surveillance points in Fujian. Factor analysis was used to identify the dietary patterns, while logistic regression model was applied to analyze relationship between dietary patterns and diabetes mellitus, and classification tree model was adopted to identify the influencing factors for diabetes mellitus. Results: There were four dietary patterns in the population, including meat, plant, high-quality protein, and fried food and beverages patterns. The result of logistic analysis showed that plant pattern, which has higher factor loading of fresh fruit-vegetables and cereal-tubers, was a protective factor for non-diabetes mellitus. The risk of diabetes mellitus in the population at T2 and T3 levels of factor score were 0.727 (95%CI:0.561-0.943) times and 0.736 (95%CI: 0.573-0.944) times higher, respectively, than those whose factor score was in lowest quartile. Thirteen influencing factors and eleven group at high-risk for diabetes mellitus were identified by classification tree model. The influencing factors were dyslipidemia, age, family history of diabetes, hypertension, physical activity, career, sex, sedentary time, abdominal adiposity, BMI, marital status, sleep time and high-quality protein pattern. Conclusion: There is a close association between dietary patterns and diabetes mellitus. It is necessary to promote healthy and reasonable diet, strengthen the monitoring and control of blood lipids, blood pressure and body weight, and have good lifestyle for the prevention and control of diabetes mellitus. SN - 0254-6450 UR - https://www.unboundmedicine.com/medline/citation/28651395/[Analysis_of_dietary_pattern_and_diabetes_mellitus_influencing_factors_identified_by_classification_tree_model_in_adults_of_Fujian]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0254-6450&year=2017&vol=38&issue=5&fpage=602 DB - PRIME DP - Unbound Medicine ER -