Diabetes Metab J.  2012 Aug;36(4):300-306. 10.4093/dmj.2012.36.4.300.

Total Energy Intake May Be More Associated with Glycemic Control Compared to Each Proportion of Macronutrients in the Korean Diabetic Population

• Kang HM
• Kim DJ

• KMID: 2174430
• DOI: http://doi.org/10.4093/dmj.2012.36.4.300

Abstract

BACKGROUND
Major macronutrients for energy intake vary among countries and cultures. Carbohydrates, including rice, are the major component of daily energy intake in Korea. The aim of this study was to examine the association of daily energy intake or each proportion of macronutrients, especially carbohydrates, with glycemic control in diabetic Koreans.
METHODS
A total of 334 individuals with diabetes (175 men, age 57.4+/-0.8 years; 159 women, age 60.9+/-0.9 years) who participated in the 2005 Korean National Health and Nutrition Examination Survey were examined. Glycemic control was categorized based on concentration of glycated hemoglobin (HbA1c; HbA1c < or =6.5%; 6.6% to 8.0%; > or =8.1%). Dietary intake was assessed by using a 24-recall item questionnaire.
RESULTS
High total energy intake was associated with poor glycemic control (HbA1c < or =6.5%, 1,824+/-75 kcal; 6.6% to 8.0%, 1,990+/-57 kcal; > or =8.1%, 2,144+/-73 kcal; P value for trend=0.002). Each proportion of protein, fat, or carbohydrate was not associated with glycemic control. Even after adjusting for several parameters, the association of daily energy intake with glycemic control still persisted.
CONCLUSION
Total energy intake may be more closely related to glycemic control than each proportionof macronutrients in Korean diabetics.

Keyword

Diabetes mellitus; Glycated hemoglobin; Korea; Macronutrient intake

MeSH Terms

Carbohydrates
Diabetes Mellitus
Energy Intake
Female
Hemoglobins
Humans
Korea
Male
Nutrition Surveys
Carbohydrates
Hemoglobins

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