Dietary intake in Japanese patients with type 2 diabetes: Analysis from Japan Diabetes Complications Study

Journal of Diabetes Investigation

Chika Horikawa³  Yukio Yoshimura⁴  Chiemi Kamada⁴  Shiro Tanaka⁵  Sachiko Tanaka²  Akane Takahashi¹  Osamu Hanyu³  Atsushi Araki⁷  Hideki Ito⁷  Akira Tanaka⁸  Yasuo Ohashi¹  Yasuo Akanuma⁶  Nobuhiro Yamada⁹ 

[1] Department of Biostatistics, Epidemiology and Preventive Health Sciences, University of Tokyo, Tokyo, Japan;Translational Research Center, Kyoto University School of Medicine, Kyoto, Japan;Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine, Niigata, Japan;Training Department of Administrative Dietitians, Shikoku University, Tokushima, Japan;EBM Research Center, Kyoto University School of Medicine, Kyoto, Japan;Institute for Adult Diseases Asahi Life Foundation, Tokyo, Japan;Department of Endocrinology and Metabolism, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan;Nutrition Clinic, Kagawa Nutrition University, Tokyo, Japan;Department of Internal Medicine, University of Tsukuba Institute of Clinical Medicine, Tsukuba, Japan

关键词: Asia;    Food intake;    Type 2 diabetes mellitus;   

DOI  :  10.1111/jdi.12146

来源: Wiley

【 摘 要 】

Abstract

Aims/Introduction

Though there are many differences in dietary habits and in the metabolic basis between Western and Asian people, the actual dietary intake in Asian patients with diabetes has not been investigated in a nationwide setting, unlike in Western countries. We aimed to clarify dietary intake among Japanese individuals with type 2 diabetes, and identify differences in dietary intake between Japanese and Western diabetic patients.

Materials and Methods

Nutritional and food intakes were surveyed and analyzed in 1,516 patients with type 2 diabetes aged 40–70 years from outpatient clinics in 59 university and general hospitals using the food frequency questionnaire based on food groups (FFQg).

Results

Mean energy intake for all participants was 1737 ± 412 kcal/day, and mean proportions of total protein, fat, and carbohydrate comprising total energy intake were 15.7, 27.6 and 53.6%, respectively. They consumed a ‘low-fat energy-restricted diet’ compared with Western diabetic patients, and the proportion of fat consumption was within the suggested range that has been traditionally recommended in Western countries. As a protein source, consumption of fish (100 g) and soybean products (71 g) was larger than that of meat (50 g) and eggs (29 g). These results imply that dietary content and food patterns among Japanese patients with type 2 diabetes are quite close to those reported as suitable for prevention of obesity, type 2 diabetes, cardiovascular disease, and total mortality in Europe and America.

Conclusions

A large difference was shown between dietary intake by Japanese and Western patients. These differences are important to establish ethnic-specific medical nutrition therapy for diabetes.

【 授权许可】

CC BY-NC   
© 2013 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and Wiley Publishing Asia Pty Ltd

Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.