title: Association between nutrient intake and obesity in type 2 diabetic patients from the Korean National Diabetes Program: a cross-sectional study.
abstract: The aim of the study was to assess the association between usual dietary nutrient intake and obesity in Korean type 2 diabetic patients. We examined 2,832 type 2 diabetic patients from the Korean National Diabetes Program cohort who completed dietary assessment and clinical evaluation in this cross-sectional study. In men, higher dietary fiber intake was associated with a lower odds of being obese (P(trend) = 0.003) and in women, higher protein intake was associated with a lower odds of being obese (P(trend) = 0.03) after adjustment for age, diabetes duration, HbA1c, alcohol drinking, income, education level, and calorie intake. In men, higher fiber intake was associated with lower odds of obesity after further adjustment for diastolic blood pressure, physical activity, and possible confounding nutritional intake and medication. The multivariable adjusted odds ratio for the highest quintile of fiber intake was 0.37 (P(trend) < 0.001). In women, protein intake was not associated with obesity after further adjustment. In conclusion, higher intake of dietary fiber is associated with lower odds of being obese in type 2 diabetic men, suggesting a role for dietary fiber in the management and prevention of obesity in type 2 diabetes (ClinicalTrials.gov: NCT 01212198).
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: So Hun
authors.initials: SH
authors.lastname: Kim
authors.forename: Seong Bin
authors.initials: SB
authors.lastname: Hong
authors.forename: Young Ju
authors.initials: YJ
authors.lastname: Suh
authors.forename: Yun Jin
authors.initials: YJ
authors.lastname: Choi
authors.forename: Moonsuk
authors.initials: M
authors.lastname: Nam
authors.forename: Hyoung Woo
authors.initials: HW
authors.lastname: Lee
authors.forename: Ie Byung
authors.initials: IeB
authors.lastname: Park
authors.forename: Suk
authors.initials: S
authors.lastname: Chon
authors.forename: Jeong-Taek
authors.initials: JT
authors.lastname: Woo
authors.forename: Sei Hyun
authors.initials: SH
authors.lastname: Baik
authors.forename: Yongsoo
authors.initials: Y
authors.lastname: Park
authors.forename: Dae Jung
authors.initials: DJ
authors.lastname: Kim
authors.forename: Kwan Woo
authors.initials: KW
authors.lastname: Lee
authors.forename: Young Seol
authors.initials: YS
authors.lastname: Kim
mesh_terms: D044466:Asian People; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003710:Demography; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000175:diagnosis; D004043:Dietary Fiber; D002149:Energy Intake; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000209:etiology*; D016017:Odds Ratio; D056910:Republic of Korea; D012307:Risk Factors
keywords: Dietary fiber; Nutrients; Obesity; Type 2 diabetes mellitus