Dietary Patterns and Glucose Tolerance Abnormalities in Chinese Adults
Open Access
- 12 August 2009
- journal article
- Published by American Diabetes Association in Diabetes Care
- Vol. 32 (11), 1972-1976
- https://doi.org/10.2337/dc09-0714
Abstract
OBJECTIVE: To investigate the association of the dietary pattern with the presence of newly diagnosed glucose tolerance abnormalities among Chinese adults. RESEARCH DESIGN AND METHODS: A total of 20,210 adults aged 45–69 years from the 2002 China National Nutrition and Health Survey were included. Information on dietary intake was collected using a validated food frequency questionnaire. Factor analysis and cluster analysis were used to identify the food factors and dietary pattern clusters. RESULTS: Four dietary pattern clusters were identified (“Green Water,” “Yellow Earth,” “Western Adopter,” and “New Affluence”). The prevalence of glucose tolerance abnormalities ranged from 3.9% in the Green Water to 8.0% in the New Affluence. After adjustment for area, age, sex, current smoking, and physical activity, subjects in the Yellow Earth cluster (prevalence ratio 1.22 [95% CI 1.04–1.43]) and New Affluence cluster (2.05 [1.76–2.37]) had significantly higher prevalence rates compared with those for the Green Water cluster. After further adjustment for BMI and waist-to-height ratio, the elevated risk in the New Affluence remained statistically significant. CONCLUSIONS: Dietary patterns and food factors are associated with the presence of glucose tolerance abnormalities in China, even independent of obesity. A New Affluence diet is an important modifiable risk factor, which needs attention from the prevention point of view.This publication has 22 references indexed in Scilit:
- Abdominal obesity and the prevalence of diabetes and intermediate hyperglycaemia in Chinese adultsPublic Health Nutrition, 2009
- Consumption and corpulence in China: A consumer segmentation study based on the food perspectiveFood Policy, 2008
- Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScorePreventive Medicine, 2007
- Dietary Calcium and Magnesium, Major Food Sources, and Risk of Type 2 Diabetes in U.S. Black WomenDiabetes Care, 2006
- Dietary Patterns and the Incidence of Type 2 DiabetesAmerican Journal of Epidemiology, 2005
- Food consumption and the incidence of type II diabetes mellitusEuropean Journal of Clinical Nutrition, 2005
- Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratioBMC Medical Research Methodology, 2003
- Alcohol consumption and the incidence of type II diabetesJournal of Epidemiology and Community Health, 2002
- Diet and risk of Type II diabetes: the role of types of fat and carbohydrateDiabetologia, 2001
- Dietary Factors Determining Diabetes and Impaired Glucose Tolerance: A 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries StudyDiabetes Care, 1995