J Korean Med Sci.  2011 Sep;26(9):1201-1208. 10.3346/jkms.2011.26.9.1201.

Association between Dietary Patterns and Blood Lipid Profiles in Korean Adults with Type 2 Diabetes

• Lim JH
• Lee YS
• Chang HC
• Moon MK
• Song Y

• KMID: 1779395
• DOI: http://doi.org/10.3346/jkms.2011.26.9.1201

Abstract

We aimed to explore the associations of dietary patterns with blood lipid profiles and obesity in adults with type 2 diabetes. The data were obtained from the Forth Korean National Health and Nutrition Examination Survey, 2007-2008. Adults 30 yr or older, from which had both biochemical and dietary data were obtained. Among them, 680 subjects were defined as having diabetes based on criteria of fasting glucose > or = 126 mg/dL, anti-diabetic treatment, or previously diagnosed diabetes. Dietary data from a 24-hr recall were used to derive dietary patterns by factor analysis. Four dietary patterns by factor analysis were identified: 'Bread & Meat & Alcohol', 'Noodles & Seafood', 'Rice & Vegetables', and 'Korean Healthy' patterns. Serum cholesterol levels in the highest quartile of the 'Bread & Meat & Alcohol' pattern were significantly higher compared with those in the lowest quartile. In addition, total cholesterol and triglyceride levels in the highest quartile of the 'Korean Healthy' pattern were significantly lower after adjusting for potential confounders. Dietary patterns of adults with diabetes were found to be associated with blood lipid profiles. 'Korean Healthy' pattern including whole grains, legumes, vegetables, and fruits could thus improve lipid profiles among those with type 2 diabetes.

Keyword

Dietary Pattern; Factor Analysis; Diabetes Mellitus, Type 2; Blood Lipid Profiles

MeSH Terms

Adult
Aged
Cholesterol/blood
Demography
Diabetes Mellitus, Type 2/*blood/complications/pathology
*Diet
Female
Food Habits
Humans
Lipids/*blood
Male
Middle Aged
Nutrition Surveys
Obesity/complications
Republic of Korea
Triglycerides/blood

Reference

1. Cho NH. The epidemiology of diabetes in Korea: from the economics to genetics. Korean Diabetes J. 2010. 34:10–15.

2. Choi YJ, Kim HC, Kim HM, Park SW, Kim J, Kim DJ. Prevalence and management of diabetes in Korean adults: Korea National Health and Nutrition Examination Surveys 1998-2005. Diabetes Care. 2009. 32:2016–2020.

3. Unwin N, Whiting D, Gan D, Jacqmain O, Ghyoot G, editors. IDF diabetes atlas. 2009. 4th ed. Brussels: International Diabetes Federation.

4. Ministry of Health and Welfare. Center for Disease Control. National Health Nutrition Examination Survey Report 2009. 2011. Seoul:

5. Villegas R, Liu S, Gao YT, Yang G, Li H, Zheng W, Shu XO. Prospective study of dietary carbohydrates, glycemic index, glycemic load, and incidence of type 2 diabetes mellitus in middle-aged Chinese women. Arch Intern Med. 2007. 167:2310–2316.

6. Liu S, Manson JE, Stampfer MJ, Hu FB, Giovannucci E, Colditz GA, Hennekens CH, Willett WC. A prospective study of whole-grain intake an d risk of type 2 diabetes mellitus in US women. Am J Public Health. 2000. 90:1409–1415.

7. Anderson JW, Randles KM, Kendall CW, Jenkins DJ. Carbohydrate and fiber recommendations for individuals with diabetes: a quantitative assessment and meta-analysis of the evidence. J Am Coll Nutr. 2004. 23:5–17.

8. Song Y, Buring JE, Manson JE, Liu S. Dietary magnesium intake in relation to plasma insulin levels and risk of type 2 diabetes in women. Diabetes Care. 2004. 27:59–65.

9. Fumeron F, Lamri A, Abi Khalil C, Jaziri R, Porchay-Baldérelli I, Lantieri O, Vol S, Balkau B, Marre M. Dairy consumption and the incidence of hyperglycemia and the metabolic syndrome: results from a French prospective study, Data from the Epidemiological Study on the Insulin Resistance Syndrome (DESIR). Diabetes Care. 2011. 34:813–817.

10. Ford ES, Mokdad AH. Fruit and vegetable consumption and diabetes mellitus incidence among U.S. adults. Prev Med. 2001. 32:33–39.

11. Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev. 2004. 62:177–203.

12. Villegas R, Yang G, Gao YT, Cai H, Li H, Zheng W, Shu XO. Dietary patterns are associated with lower incidence of type 2 diabetes in middle-aged women: the Shanghai Women's Health Study. Int J Epidemiol. 2010. 39:889–899.

13. Erber E, Hopping BN, Grandinetti A, Park SY, Kolonel LN, Maskarinec G. Dietary patterns and risk for diabetes: the multiethnic cohort. Diabetes Care. 2010. 33:532–538.

14. Nanri A, Mizoue T, Yoshida D, Takahashi R, Takayanagi R. Dietary patterns and A1C in Japanese men and women. Diabetes Care. 2008. 31:1568–1573.

15. Mizoue T, Yamaji T, Tabata S, Yamaguchi K, Ogawa S, Mineshita M, Kono S. Dietary patterns and glucose tolerance abnormalities in Japanese men. J Nutr. 2006. 136:1352–1358.

16. Cho YA, Kim J, Cho ER, Shin A. Dietary patterns and the prevalence of metabolic syndrome in Korean women. Nutr Metab Cardiovasc Dis. 2010. doi:10.1016/j.numecd.2010.02.018.

17. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis. 2010. doi:10.1016/j.numecd.2010.09.

18. Cai H, Shu XO, Gao YT, Li H, Yang G, Zheng W. A prospective study of dietary patterns and mortality in Chinese women. Epidemiology. 2007. 18:393–401.

19. He Y, Ma G, Zhai F, Li Y, Hu Y, Feskens EJ, Yang X. Dietary patterns and glucose tolerance abnormalities in Chinese adults. Diabetes Care. 2009. 32:1972–1976.

20. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol. 2010. 139:234–240.

21. Hu FB, van Dam RM, Liu S. Diet and risk of type II diabetes: the role of types of fat and carbohydrate. Diabetologia. 2001. 44:805–817.

22. Lewis JE, Arheart KL, LeBlanc WG, Fleming LE, Lee DJ, Davila EP, Caban-Martinez AJ, Dietz NA, McCollister KE, Bandiera FC, Clark JD Jr. Food label use and awareness of nutritional information and recommendations among persons with chronic disease. Am J Clin Nutr. 2009. 90:1351–1357.

23. Borland SE, Robinson SM, Crozier SR, Inskip HM. Stability of dietary patterns in young women over a 2-year period. Eur J Clin Nutr. 2008. 62:119–126.

24. Newby PK, Weismayer C, Akesson A, Tucker KL, Wolk A. Long-term stability of food patterns identified by use of factor analysis among Swedish women. J Nutr. 2006. 136:626–633.