Korean J Fam Pract.  2021 Feb;11(1):29-38. 10.21215/kjfp.2021.11.1.29.

Simple Sugar Intake in Diabetics and Non-Diabetic Patients Who Visit Primary Care Clinic

• Park SY
• Moon GB
• Kim YS
• Kim SH

• KMID: 2513125
• DOI: http://doi.org/10.21215/kjfp.2021.11.1.29

Abstract

Background
Several studies have analyzed the relationship between sugar-sweetened beverages and the risk of diabetes mellitus (DM) in other countries. However, only few studies have assessed the relationship between sugar intake and DM in the adult Korean population, and no research has investigated the sugar-intake patterns after dietary therapy in patients with DM. This study aimed to compare the patterns of simple-sugar intake between patients with and without DM.
Methods
This study included 165 adults who visited the outpatient clinic of the department of family medicine at a tertiary medical center and completed a standardized questionnaire from August 5 to 30, 2019. Chi-square test and logistic regression analysis were performed to evaluate the relationship between simple-sugar intake and risk of DM.
Results
In the multivariable logistic regression analysis adjusted for sex, age, and body mass index, patients with DM showed a significantly lower intake of carbonated beverages (3–6 times/week; odds ratio [OR]=0.045, 95% confidence interval [CI]=0.002–0.883) and significantly higher intake of sugar-free yogurt (1–2 times/week; OR=8.008, 95% CI=1.298–49.427) as compared to those without. Among the patients with DM, fruit intake was higher among adults aged ≥65 years (P=0.015) as compared to other age groups, and male consumed carbonated beverages (P=0.025) and snacks (P=0.033) more frequently than female did.
Conclusion
There is a need to strengthen the differentiated dietary education by sex and age among patients with DM to reduce simple sugarcontaining food intake.

Keyword

Diabetes Mellitus; Simple Sugar; Nutrition Education