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Article: Relationship between dietary intake and the development of type 2 diabetes in a Chinese population: The Hong Kong Dietary Survey

TitleRelationship between dietary intake and the development of type 2 diabetes in a Chinese population: The Hong Kong Dietary Survey
Authors
KeywordsChinese
Dietary patterns
Mediterranean diet
Type 2 diabetes
Issue Date2011
PublisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=PHN
Citation
Public Health Nutrition, 2011, v. 14 n. 7, p. 1133-1141 How to Cite?
AbstractObjective To study the relationship between dietary intake and the development of type 2 diabetes among Chinese adults.Design A prospective cohort study. Dietary assessment was carried out using a validated FFQ. Principal component analysis was used to identify dietary patterns. Dietary glycaemic load and variety of snacks were also calculated.Setting A hospital-based centre at the Queen Mary Hospital in Hong Kong SAR, China.Subjects A total of 1010 Chinese adults aged 25-74 years who participated in a territory-wide dietary and cardiovascular risk factor prevalence survey in 1995-1996 were followed up for 9-14 years for the development of diabetes.Results A total of 690 (68·3 %) individuals completed follow-up during 2005-2008 and seventy-four cases of diabetes were identified over the follow-up period. Four dietary patterns were identified ('more snacks and drinks-, 'more vegetables, fruits and fish-, 'more meat and milk products- and 'more refined grains-). After adjustment for age, sex, BMI, waist-to-hip ratio, smoking, alcohol intake, participation in exercise/sports and family history of diabetes, the more vegetables, fruits and fish pattern was associated with a 14 % lower risk (OR per 1 sd increase in score = 0·76; 95 % CI 0·58, 0·99), whereas the more meat and milk products pattern was associated with a 39 % greater risk of diabetes (OR per 1 sd increase in score = 1·39; 95 % CI 1·04, 1·84). Dietary glycaemic load, rice intake, snack intake and variety of snacks were not independently associated with diabetes.Conclusions The more vegetables, fruits and fish pattern was associated with reduced risk and the more meat and milk products pattern was associated with an increased risk of diabetes. © 2011 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/135211
ISSN
2015 Impact Factor: 2.433
2015 SCImago Journal Rankings: 0.995
ISI Accession Number ID
Funding AgencyGrant Number
Research Grants Council, Hong Kong GovernmentHKU 7626/07M
Centre for Nutritional Studies, Faculty of Medicine
Chinese University of Hong Kong
Health and Health Services Research Fund06070951
Funding Information:

The present study was supported by grants from the Research Grants Council, Hong Kong Government (Grant number: HKU 7626/07M), the Centre for Nutritional Studies, Faculty of Medicine, the Chinese University of Hong Kong, and the Health and Health Services Research Fund (Grant no. 06070951). The authors have no conflict of interest to declare. R.Y. contributed to the writing of the manuscript and to data analyses; J.W. developed the concept, planned the data analyses, designed the study and contributed to data analyses and writing of the manuscript; R.C. contributed to the development of glycaemic index coding; A.S. contributed to data handling and analyses; S.H. contributed to dietary data collection and analyses; A.T., B.M.Y.C., T.H.L. and K.S.L.L. contributed to determining the follow-up cohort and clinical diagnoses, as well as to data collection and writing of the manuscript. The authors thank all individuals for their participation.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorYu, Ren_HK
dc.contributor.authorWoo, Jen_HK
dc.contributor.authorChan, Ren_HK
dc.contributor.authorSham, Aen_HK
dc.contributor.authorHo, Sen_HK
dc.contributor.authorTso, Aen_HK
dc.contributor.authorCheung, Ben_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorLam, Ken_HK
dc.date.accessioned2011-07-27T01:30:02Z-
dc.date.available2011-07-27T01:30:02Z-
dc.date.issued2011en_HK
dc.identifier.citationPublic Health Nutrition, 2011, v. 14 n. 7, p. 1133-1141en_HK
dc.identifier.issn1368-9800en_HK
dc.identifier.urihttp://hdl.handle.net/10722/135211-
dc.description.abstractObjective To study the relationship between dietary intake and the development of type 2 diabetes among Chinese adults.Design A prospective cohort study. Dietary assessment was carried out using a validated FFQ. Principal component analysis was used to identify dietary patterns. Dietary glycaemic load and variety of snacks were also calculated.Setting A hospital-based centre at the Queen Mary Hospital in Hong Kong SAR, China.Subjects A total of 1010 Chinese adults aged 25-74 years who participated in a territory-wide dietary and cardiovascular risk factor prevalence survey in 1995-1996 were followed up for 9-14 years for the development of diabetes.Results A total of 690 (68·3 %) individuals completed follow-up during 2005-2008 and seventy-four cases of diabetes were identified over the follow-up period. Four dietary patterns were identified ('more snacks and drinks-, 'more vegetables, fruits and fish-, 'more meat and milk products- and 'more refined grains-). After adjustment for age, sex, BMI, waist-to-hip ratio, smoking, alcohol intake, participation in exercise/sports and family history of diabetes, the more vegetables, fruits and fish pattern was associated with a 14 % lower risk (OR per 1 sd increase in score = 0·76; 95 % CI 0·58, 0·99), whereas the more meat and milk products pattern was associated with a 39 % greater risk of diabetes (OR per 1 sd increase in score = 1·39; 95 % CI 1·04, 1·84). Dietary glycaemic load, rice intake, snack intake and variety of snacks were not independently associated with diabetes.Conclusions The more vegetables, fruits and fish pattern was associated with reduced risk and the more meat and milk products pattern was associated with an increased risk of diabetes. © 2011 The Authors.en_HK
dc.languageengen_US
dc.publisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=PHNen_HK
dc.relation.ispartofPublic Health Nutritionen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectChineseen_HK
dc.subjectDietary patternsen_HK
dc.subjectMediterranean dieten_HK
dc.subjectType 2 diabetesen_HK
dc.titleRelationship between dietary intake and the development of type 2 diabetes in a Chinese population: The Hong Kong Dietary Surveyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1368-9800&volume=14&issue=7&spage=1133&epage=1141&date=2011&atitle=Relationship+between+dietary+intake+and+the+development+of+type+2+diabetes+in+a+Chinese+population:+the+Hong+Kong+Dietary+Survey-
dc.identifier.emailTso, A: awk.tso@gmail.comen_HK
dc.identifier.emailCheung, B: mycheung@hku.hken_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailLam, K: ksllam@hku.hken_HK
dc.identifier.authorityTso, A=rp00535en_HK
dc.identifier.authorityCheung, B=rp01321en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityLam, K=rp00343en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1017/S136898001100053Xen_HK
dc.identifier.pmid21466742-
dc.identifier.scopuseid_2-s2.0-79960118551en_HK
dc.identifier.hkuros187097en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79960118551&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue7en_HK
dc.identifier.spage1133en_HK
dc.identifier.epage1141en_HK
dc.identifier.isiWOS:000292210700002-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectA population-based prospective study to investigate the associations of obesity and adipokines with the incidence of cardiovascular disease and cancer-
dc.identifier.scopusauthoridYu, R=36054076300en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK
dc.identifier.scopusauthoridChan, R=31168233400en_HK
dc.identifier.scopusauthoridSham, A=7004122137en_HK
dc.identifier.scopusauthoridHo, S=7403716908en_HK
dc.identifier.scopusauthoridTso, A=6701371436en_HK
dc.identifier.scopusauthoridCheung, B=7103294806en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridLam, K=8082870600en_HK
dc.identifier.citeulike9399371-

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