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Qin Zhu
Zhejiang Hospital
Corresponding Author
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Background: Despite decades of research, data on the relationship between dietary patterns and glycemic control(hemoglobin(Hb)A1c<7%) in China are sparse. The objective of this study was to ascertain the association between different dietary patterns and glycemic control in a large group of Chinese adults aged between 45 and 59 years.
Methods: A total of 1739 subjects aged 45-59 years from Hangzhou were included in the analysis. Information on dietary intake was collected by well-trained interviewers using a validated food frequency questionnaire(FFQ). Factor analysis with principal component method was applied to ascertain the main dietary patterns, and the associations between dietary patterns and glycemic control were determined using multivariable logistic regression models. Poor glycemic control was defined as HbA1c≥7.0.
Results:Three dietary patterns were ascertained and labeled as traditional southern Chinese, Western, and grains-vegetables patterns. After controlling of the possible confounders, participants in the highest quartile of Western pattern scores had greater odds ratio(OR) for HbA1c≥7.0(OR=1.05; 95% confidence interval(CI):1.000-1.095; P=0.048) than did those in the lowest quartile. Compared with those in the lowest quartile of grains-vegetables pattern, participants in the highest quartile had lower OR for HbA1c≥7.0(OR=0.82; 95% CI:0.720-0.949; P=0.038). Besides, no significant relationship between the traditional southern Chinese pattern and HbA1c≥7.0 was observed(P>0.05).
Conclusions:This study indicated that the Western pattern was associated with a higher risk, and the grains-vegetables pattern was associated with a lower risk for HbA1c≥7.0. Future prospective studies are needed to confirm our findings.
Keywords
Dietary patterns, Glycemic control, Factor analysis, Cross-sectional study, China
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Qin Zhu
Zhejiang Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 12 Feb, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Nutrition & Dietetics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Despite decades of research, data on the relationship between dietary patterns and glycemic control(hemoglobin(Hb)A1c<7%) in China are sparse. The objective of this study was to ascertain the association between different dietary patterns and glycemic control in a large group of Chinese adults aged between 45 and 59 years.
Methods: A total of 1739 subjects aged 45-59 years from Hangzhou were included in the analysis. Information on dietary intake was collected by well-trained interviewers using a validated food frequency questionnaire(FFQ). Factor analysis with principal component method was applied to ascertain the main dietary patterns, and the associations between dietary patterns and glycemic control were determined using multivariable logistic regression models. Poor glycemic control was defined as HbA1c≥7.0.
Results:Three dietary patterns were ascertained and labeled as traditional southern Chinese, Western, and grains-vegetables patterns. After controlling of the possible confounders, participants in the highest quartile of Western pattern scores had greater odds ratio(OR) for HbA1c≥7.0(OR=1.05; 95% confidence interval(CI):1.000-1.095; P=0.048) than did those in the lowest quartile. Compared with those in the lowest quartile of grains-vegetables pattern, participants in the highest quartile had lower OR for HbA1c≥7.0(OR=0.82; 95% CI:0.720-0.949; P=0.038). Besides, no significant relationship between the traditional southern Chinese pattern and HbA1c≥7.0 was observed(P>0.05).
Conclusions:This study indicated that the Western pattern was associated with a higher risk, and the grains-vegetables pattern was associated with a lower risk for HbA1c≥7.0. Future prospective studies are needed to confirm our findings.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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