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Inadequate fat or carbohydrate intake was associated with an increased incidence of type 2 diabetes mellitus in Korean adults: A 12-year community-based prospective cohort study.
Diabetes Res Clin Pract. 2019 Feb; 148:254-261.DR

Abstract

AIMS

Few studies have focused on the relationship between long-term fat intake and type 2 diabetes mellitus (T2D) risk in Asia where fat intake is relatively lower than the Western countries. We examined association of dietary fat and carbohydrate intake with incidence of T2D among Korean adults.

METHODS

Based on the data from the Korean Genome and Epidemiology Study, a total of 5595 adults aged 40-69 years without diabetes, cardiovascular diseases or any cancer at baseline were included. Dietary intake was measured by the validated semi-quantitative food frequency questionnaire. Cox proportional hazards regression analysis was used to calculate multivariable-adjusted relative risks (RRs) and 95% confidence intervals (CIs).

RESULTS

During a median follow-up of 138-months, 1010 cases of T2D were newly determined. The proportion of participants with fat intake less than 15% of total energy and with carbohydrate intake more than 65% of total energy was 59.0% and 88.9%, respectively. After adjusting for confounders, a very-low-fat intake was associated with an increased risk of T2D (RR of Quartile 1 vs Quartile 4, 1.74; 95% CI, 1.18-2.57; p for trend = 0.0058) in women. A very-high-carbohydrate intake was associated with an increased risk of T2D in men (RR of Quartile 4 vs Quartile 1, 1.54; 95% CI, 1.03-2.30; p for trend = 0.0124) and women (RR of Quartile 4 vs Quartile 1, 1.69; 95% CI, 1.08-2.67; p for trend = 0.0376).

CONCLUSIONS

A very-low-fat or very-high-carbohydrate intake may increase the T2D risk and might be associated with lower intake of various nutrients and unbalanced macronutrient composition.

Authors+Show Affiliations

Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.Major of Food and Nutrition, School of Human Ecology, The Catholic University of Korea, Gyeonggi, Republic of Korea. Electronic address: yjsong@catholic.ac.kr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30703429

Citation

Ha, Kyungho, et al. "Inadequate Fat or Carbohydrate Intake Was Associated With an Increased Incidence of Type 2 Diabetes Mellitus in Korean Adults: a 12-year Community-based Prospective Cohort Study." Diabetes Research and Clinical Practice, vol. 148, 2019, pp. 254-261.
Ha K, Joung H, Song Y. Inadequate fat or carbohydrate intake was associated with an increased incidence of type 2 diabetes mellitus in Korean adults: A 12-year community-based prospective cohort study. Diabetes Res Clin Pract. 2019;148:254-261.
Ha, K., Joung, H., & Song, Y. (2019). Inadequate fat or carbohydrate intake was associated with an increased incidence of type 2 diabetes mellitus in Korean adults: A 12-year community-based prospective cohort study. Diabetes Research and Clinical Practice, 148, 254-261. https://doi.org/10.1016/j.diabres.2019.01.024
Ha K, Joung H, Song Y. Inadequate Fat or Carbohydrate Intake Was Associated With an Increased Incidence of Type 2 Diabetes Mellitus in Korean Adults: a 12-year Community-based Prospective Cohort Study. Diabetes Res Clin Pract. 2019;148:254-261. PubMed PMID: 30703429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inadequate fat or carbohydrate intake was associated with an increased incidence of type 2 diabetes mellitus in Korean adults: A 12-year community-based prospective cohort study. AU - Ha,Kyungho, AU - Joung,Hyojee, AU - Song,YoonJu, Y1 - 2019/01/28/ PY - 2018/08/14/received PY - 2018/12/31/revised PY - 2019/01/21/accepted PY - 2019/2/1/pubmed PY - 2019/4/9/medline PY - 2019/2/1/entrez KW - High-carbohydrate diet KW - Korea KW - Low-fat diet KW - Type 2 diabetes mellitus SP - 254 EP - 261 JF - Diabetes research and clinical practice JO - Diabetes Res Clin Pract VL - 148 N2 - AIMS: Few studies have focused on the relationship between long-term fat intake and type 2 diabetes mellitus (T2D) risk in Asia where fat intake is relatively lower than the Western countries. We examined association of dietary fat and carbohydrate intake with incidence of T2D among Korean adults. METHODS: Based on the data from the Korean Genome and Epidemiology Study, a total of 5595 adults aged 40-69 years without diabetes, cardiovascular diseases or any cancer at baseline were included. Dietary intake was measured by the validated semi-quantitative food frequency questionnaire. Cox proportional hazards regression analysis was used to calculate multivariable-adjusted relative risks (RRs) and 95% confidence intervals (CIs). RESULTS: During a median follow-up of 138-months, 1010 cases of T2D were newly determined. The proportion of participants with fat intake less than 15% of total energy and with carbohydrate intake more than 65% of total energy was 59.0% and 88.9%, respectively. After adjusting for confounders, a very-low-fat intake was associated with an increased risk of T2D (RR of Quartile 1 vs Quartile 4, 1.74; 95% CI, 1.18-2.57; p for trend = 0.0058) in women. A very-high-carbohydrate intake was associated with an increased risk of T2D in men (RR of Quartile 4 vs Quartile 1, 1.54; 95% CI, 1.03-2.30; p for trend = 0.0124) and women (RR of Quartile 4 vs Quartile 1, 1.69; 95% CI, 1.08-2.67; p for trend = 0.0376). CONCLUSIONS: A very-low-fat or very-high-carbohydrate intake may increase the T2D risk and might be associated with lower intake of various nutrients and unbalanced macronutrient composition. SN - 1872-8227 UR - https://www.unboundmedicine.com/medline/citation/30703429/Inadequate_fat_or_carbohydrate_intake_was_associated_with_an_increased_incidence_of_type_2_diabetes_mellitus_in_Korean_adults:_A_12_year_community_based_prospective_cohort_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8227(18)31244-0 DB - PRIME DP - Unbound Medicine ER -