Socio-demographic and lifestyle factors associated with dietary patterns among adults with type 2 diabetes mellitus in Tehran, Iran
Tóm tắt
This study aimed to assess the dietary patterns among adults with type 2 diabetes mellitus living in Tehran, Iran, and their association with socio-demographic and lifestyle factors. In a cross-sectional study, 400 male and female subjects aged between 40–60 years with type 2 diabetes mellitus were selected. Socio-demographic and lifestyle characteristics and dietary intake were assessed using a food frequency questionnaire. To determine the dietary patterns, factor analysis was carried out, and to assess the association between socio-demographic and lifestyle factors to dietary patterns, analysis of covariance was performed. Three dietary patterns were found. These patterns were labeled as “vegetable and poultry,” “Western” and “mixed.” In this study, the vegetable and poultry pattern was associated with being female, primary education, and hypertension. The Western pattern was associated with being male, non-smokers, and lower physical activity. The mixed pattern was associated with higher income and family history of diabetes. We found that socio-demographic and lifestyle factors of diabetic patients were different according to the dietary pattern type. Further studies are necessary to confirm the benefits of this pattern.
Tài liệu tham khảo
American Diabetes Association. Nutrition recommendations and interventions for diabetes (position statement). Diabetes Care. 2008;31:S61–78.
Nor Munirah MY, Siti shafurah A, Norazmir MN, Hayati Adilin M, Ajau D. Roles of whole grains-based products in maintaining treatment targets among type 2 diabetes mellitus patients. Asia J Clin Nutr. 2012;4:67–76.
Jenkins DJ, Kendall CW, Marchie AL, et al. Type 2 diabetes and the vegetarian diet. Am J Clin Nutr. 2003;78:610S–6S.
Shahar DR, Abel R, Elhayany A. Does dairy calcium intake enhance weight loss among overweight diabetic patients? Diabetes Care. 2007;30:485–9.
Brand-Miller J, Hayne S, Petocz P, Colagiuri S. Low-glycemic index diets in the management of diabetes. Diabetes Care. 2003;26:2261–7.
Franz MJ, Bantle JP, Beebe CA, et al. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care. 2002;25:148–98.
Lim JH, Lee YS, Chang HC, Moon MK, Song Y. Association between dietary patterns and blood lipid profiles in Korean adults with type 2 diabetes. J Korean Med Sci. 2011;26:1201–8.
Yang EJ, Kerver JM, Song WO. Dietary patterns of Korean Americans described by factor analysis. J Am Coll Nutr. 2005;24:115–21.
Brunner EJ, Mosdol A, Witte DR, et al. Dietary patterns and 15-y risks of major coronary events, diabetes, and mortality. Am J Clin Nutr. 2008;87:1414–21.
Hu FB, Rimm EB, Stampfer MJ, Ascherio A, Spiegelman D, Willett WC. Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr. 2000;72:912–21.
International Physical Activity Questionnaire (accessed at http://www.ipaq.ki.se/on February 28, 2006)
Lima FEL, Latorre MRDO, Costa MJC, Fisberg RM. Diet and cancer in Northeast Brazil: evaluation of eating habits and food group consumption in relation to breast cancer. Cad Saúde Pública. 2008;24:820–8.
Naja F, Nasreddine L, Itani L, et al. Dietary patterns and their association with obesity and sociodemographic factors in a national sample of Lebanese adults. Public Health Nutr. 2011;14:1570–80.
McCann SE, Marshall JR, Brasure JR, Graham S, Freudenheim JL. Analysis of patterns of food intake in nutritional epidemiology: food classification in principal components analysis and the subsequent impact on estimates for endometrial cancer. Public Health Nutr. 2001;4:989–97.
Rezazadeh A, Rashidkhani B, Omidvar N. Association of major dietary patterns with socioeconomic and lifestyle factors of adult women living in Tehran, Iran. Nutrition. 2010;26:337–41.
Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Dietary patterns, insulin resistance, and prevalence of the metabolic syndrome in women. Am J Clin Nutr. 2007;85:910–8.
Panagiotakos DB, Tzima N, Pitsavos C, et al. The association between adherence to the Mediterranean diet and fasting indices of glucose homoeostasis: the ATTICA Study. J Am Coll Nutr. 2007;26:32–8.
Montonen J, Knekt P, Härkänen T, et al. Dietary patterns and the incidence of type 2 diabetes. Am J Epidemiol. 2005;161:219–27.
Park SY, Murphy SP, Wilkens LR, et al. Dietary patterns using the food guide pyramid groups are associated with socio-demographic and lifestyle factors: the multiethnic cohort study. J Nutr. 2005;135:843–9.
Hamer M, Mishra GD. Dietary patterns and cardiovascular risk markers in the UK Low Income Diet and Nutrition Survey. Nutr Metab Cardiovasc Dis. 2010;20:491–7.
Uusitalo U, Sobal J, Moothoosamy L, et al. Dietary Westernisation: conceptualisation and measurement in Mauritius. Public Health Nutr. 2005;8:608–19.
Mullie P, Clarys P, Hulens M, Vansant G. Dietary patterns and socioeconomic position. Eur J Clin Nutr. 2010;64:231–8.
Mirmiran P, Azadbakht L, Azizi F. Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr. 2007;10:897–901.
Deshmukh-Taskar PR, O’Neil CE, Nicklas TA, et al. Dietary patterns associated with metabolic syndrome, sociodemographic and lifestyle factors in young adults: the Bogalusa Heart Study. Public Health Nutr. 2009;12:2493–503.
Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J Nutr. 2008;138:358–63.
Cunha DB, Rodrigues de Almeida RMV, Sichieri R, Pereira RA. Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil. Br J Nutr. 2010;104:908–13.
Sichieri R. Dietary patterns and their associations with obesity in the Brazilian city of Rio de Janeiro. Obes Res. 2002;10:42–8.
Kerver JM, Yang EJ, Bianchi L, Song WO. Dietary patterns associated with risk factors for cardiovascular disease in healthy US adults. Am J Clin Nutr. 2003;78:1103–10.
Esmaillzadeh A, Mirmiran P, Azizi F. Whole-grain intake and the prevalence of the hypertriglyceridemic waist phenotype in Tehranian adults. Am J Clin Nutr. 2005;81:55–63.