期刊论文详细信息
BMC Endocrine Disorders
Is dietary zinc protective for type 2 diabetes? Results from the Australian longitudinal study on women’s health
John Attia2  Deborah Loxton3  Julie Byles3  Amanda Patterson5  David Sibbritt4  Md Rafiqul Islam4  Abul Hasnat Milton4  Zumin Shi1  Mark McEvoy4  Khanrin Phungamla Vashum4 
[1] Discipline of Medicine, University of Adelaide, Adelaide, South Australia;Hunter Medical Research Institute, and Department of General Medicine, John Hunter Hospital, Newcastle, Australia;Research Centre for Gender, Health and Ageing, University of Newcastle, Newcastle, New South Wales, Australia;Centre for Clinical Epidemiology & Biostatistics, School of Medicine & Public Health, University of Newcastle, HMRI Building, Callaghan-2308 Newcastle, NSW, Australia;School of Health Sciences, University of Newcastle, Newcastle, Australia
关键词: Zinc;    Women &;    Australia;    Diabetes;   
Others  :  1085631
DOI  :  10.1186/1472-6823-13-40
 received in 2013-07-05, accepted in 2013-09-18,  发布年份 2013
PDF
【 摘 要 】

Background

Animal studies have shown that zinc intake has protective effects against type 2 diabetes, but few studies have been conducted to examine this relationship in humans. The aim of this study is to investigate if dietary zinc is associated with risk of type 2 diabetes in a longitudinal study of mid-age Australian women.

Methods

Data were collected from a cohort of women aged 45-50 years at baseline, participating in the Australian Longitudinal Study on Women’s Health. A validated food frequency questionnaire was used to assess dietary intake and other nutrients. Predictors of 6-year incidence of type 2 diabetes were examined using multivariable logistic regression.

Results

From 8921 participants, 333 incident cases of type 2 diabetes were identified over 6 years of follow-up. After adjustment for dietary and non-dietary factors, the highest quintile dietary zinc intake had almost half the odds of developing type 2 diabetes (OR = 0.50, 95% C.I. 0.32–0.77) compared with the lowest quintile. Similar findings were observed for the zinc/iron ratio; the highest quintile had half the odds of developing type 2 diabetes (OR = 0.50, 95% C.I 0.30-0.83) after multivariable adjustment of covariates.

Conclusions

Higher total dietary zinc intake and high zinc/iron ratio are associated with lower risk of type 2 diabetes in women. This finding is a positive step towards further research to determine if zinc supplementation may reduce the risk of developing type 2 diabetes.

【 授权许可】

   
2013 Vashum et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150113175037650.pdf 171KB PDF download
【 参考文献 】
  • [1]WHO Media centre: Diabetes fact sheet N°312. WHO Media centre: World Health Organisation; 2013.
  • [2]Jansen J, Karges W, Rink L: Zinc and diabetes–clinical links and molecular mechanisms. J Nutr Biochem 2009, 20:399-417.
  • [3]Simon SF, Taylor CG: Dietary zinc supplementation attenuates hyperglycemia in db/db mice. Exp Biol Med 2001, 226:43.
  • [4]Taylor CG: Zinc, the pancreas, and diabetes: insights from rodent studies and future directions. Biometals 2005, 18:305-312.
  • [5]Chausmer AB: Zinc, insulin and diabetes. J Am Coll Nutr 1998, 17:109.
  • [6]Marreiro DN, Geloneze B, Tambascia MA, Lerrio AC, Halpern A, Cozzolino SMF: Effect of zinc supplementation on serum leptin levels and insulin resistance of obese women. Biol Trace Elem Res 2006, 112:109-118.
  • [7]Al-Maroof RA, Al-Sharbatti SS: Serum zinc levels in diabetic patients and effect of zinc supplementation on glycemic control of type 2 diabetics. Saudi Med J 2006, 27:344.
  • [8]Anderson RA, Roussel AM, Zouari N, Mahjoub S, Matheau JM, Kerkeni A: Potential antioxidant effects of zinc and chromium supplementation in people with type 2 diabetes mellitus. J Am Coll Nutr 2001, 20:212.
  • [9]Nascimento Marreiro D, Martins MPSC, Sousa SSR, Ibiapina V, Torres S, Pires LV, Nascimento Nogueira N, Lima JMC, Monte SJH: Urinary excretion of zinc and metabolic control of patients with diabetes type 2. Biol Trace Elem Res 2007, 120:42-50.
  • [10]Beletate V, El Dib R, Atallah A: Zinc supplementation for the prevention of type 2 diabetes mellitus. Cochrane Database Syst Rev 2007., 1
  • [11]Sun Q, Van Dam RM, Willett WC, Hu FB: Prospective study of zinc intake and risk of type 2 diabetes in women. Diabetes Care 2009, 32:629.
  • [12]Shi Z, Yuan B, Qi L, Dai Y, Zuo H, Zhou M: Zinc intake and the risk of hyperglycemia among Chinese adults: the prospective Jiangsu nutrition study (JIN). J Nutr Health Aging 2010, 14:332-335.
  • [13]Lee C, Dobson AJ, Brown WJ, Bryson L, Byles J, Warner-Smith P, Young AF: Cohort profile: the Australian longitudinal study on women’s health. Int J Epidemiol 2005, 34:987.
  • [14]Ireland P, Jolley D, Giles G, OíDea K, Powles J, Rutishauser I, Wahlqvist ML, Williams J: Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. Asia Pac J Clin Nutr 1994, 3:19-31.
  • [15]Hodge A, Patterson AJ, Brown WJ, Ireland P, Giles G: The Anti Cancer Council of Victoria FFQ: relative validity of nutrient intakes compared with weighed food records in young to middle aged women in a study of iron supplementation. Aust N Z J Public Health 2000, 24:576-583.
  • [16]Lewis J, Milligan G, Hunt A: NUTTAB95 nutrient data table for use in Australia. Canberra: Australian Government Publishing Service; 1995.
  • [17]Brown W, Mishra G, Lee C, Bauman A: Leisure time physical activity in Australian women: relationship with well being and symptoms. Res Q Exerc Sport 2000, 71:206.
  • [18]Booth ML, Owen N, Bauman AE, Gore CJ: Retest reliability of recall measures of leisure-time physical activity in Australian adults. Int J Epidemiol 1996, 25:153.
  • [19]Whittaker P: Iron and zinc interactions in humans. Am J Clin Nutr 1998, 68:4425-4465.
  • [20]Rink L: Zinc and the immune system. Proc Nutr Soc 2000, 59:541-552.
  • [21]Barthel A, Ostrakhovitch EA, Walter PL, Kampk tter A, Klotz LO: Stimulation of phosphoinositide 3-kinase/Akt signaling by copper and zinc ions: mechanisms and consequences. Arch Biochem Biophys 2007, 463:175-182.
  • [22]Adachi Y, Yoshida J, Kodera Y, Kiss T, Jakusch T, Enyedy EA, Yoshikawa Y, Sakurai H: Oral administration of a zinc complex improves type 2 diabetes and metabolic syndromes. Biochem Biophys Res Commun 2006, 351:165-170.
  • [23]Chen MD, Liou SJ, Lin PY, Yang VC, Alexander PS, Lin WH: Effects of zinc supplementation on the plasma glucose level and insulin activity in genetically obese (ob/ob) mice. Biol Trace Elem Res 1998, 61:303-311.
  • [24]Shisheva A, Gefel D, Shechter Y: Insulinlike effects of zinc ion in vitro and in vivo. Preferential effects on desensitized adipocytes and induction of normoglycemia in streptozocin-induced rats. Diabetes 1992, 41:982.
  • [25]Coulston L, Dandona P: Insulin-like effect of zinc on adipocytes. Diabetes 1980, 29:665.
  • [26]Begin-Heick N, Dalpe-Scott M, Rowe J, Heick H: Zinc supplementation attenuates insulin secretory activity in pancreatic islets of the ob/ob mouse. Diabetes 1985, 34:179.
  • [27]Dodson G, Steiner D: The role of assembly in insulin’s biosynthesis. Curr Opin Struct Biol 1998, 8:189-194.
  • [28]Costarelli L, Muti E, Malavolta M, Cipriano C, Giacconi R, Tesei S, Piacenza F, Pierpaoli S, Gasparini N, Faloia E: Distinctive modulation of inflammatory and metabolic parameters in relation to zinc nutritional status in adult overweight/obese subjects. J Nutr Biochem 2010, 21:432-437.
  • [29]Gunasekara P, Hettiarachchi M, Liyanage C, Lekamwasam S: Blood Sugar lowering effect of zinc and multi vitamin/mineral supplementation is dependent on initial fasting blood glucose. J Diabetol 2011, 1:2.
  • [30]Jayawardena R, Ranasinghe P, Galappatthy P, Malkanthi R, Constantine G, Katulanda P: Effects of zinc supplementation on diabetes mellitus: a systematic review and meta-analysis. Diabetol Metab Syndr 2012, 4:13. BioMed Central Full Text
  • [31]Roussel A-M, Kerkeni A, Zouari N, Mahjoub S, Matheau J-M, Anderson RA: Antioxidant effects of zinc supplementation in Tunisians with type 2 diabetes mellitus. J Am Coll Nutr 2003, 22:316-321.
  • [32]Afkhami-Ardekani M, Karimi M, Mohammadi SM, Nourani F: Effect of zinc sulfate supplementation on lipid and glucose in type 2 diabetic patients. Pak J Nutr 2008, 7:550-553.
  • [33]Schwartz SL, Fischer JS, Kipnes MS: Sugar-free zinc gluconate glycine lozenges (Cold-Eeze) do not adversely affect glucose control in patients with type 1 or type 2 diabetes mellitus. Am J Ther 2001, 8:247-252.
  • [34]Seet R, Lee C-YJ, Lim EC, Quek AM, Huang H, Huang SH, Looi WF, Long LH, Halliwell B: Oral zinc supplementation does not improve oxidative stress or vascular function in patients with type 2 diabetes with normal zinc levels. Atherosclerosis 2011, 219:231-239.
  • [35]Liu L, Wang PP, Roebothan B, Ryan A, Tucker CS, Colbourne J, Baker N, Cotterchio M, Yi Y, Sun G: Assessing the validity of a self-administered food-frequency questionnaire (FFQ) in the adult population of Newfoundland and Labrador Canada. Nutri J 2013, 12:49. BioMed Central Full Text
  文献评价指标  
  下载次数:3次 浏览次数:14次