PMID- 31382699
OWN - NLM
STAT- MEDLINE
DCOM- 20200128
LR  - 20200225
IS  - 2072-6643 (Electronic)
IS  - 2072-6643 (Linking)
VI  - 11
IP  - 8
DP  - 2019 Aug 4
TI  - Identification of Dietary Patterns Associated with Incidence of Hyperglycemia in 
      Middle-Aged and Older Korean Adults.
LID - 10.3390/nu11081801 [doi]
LID - 1801
AB  - Little is known about the association between dietary patterns and hyperglycemia 
      incidence among Korean adults. Hence, we aimed to prospectively investigate the 
      major dietary patterns associated with hyperglycemia among middle-aged and older 
      Korean adults. In total, 55,457 adults (18,292 men and 37,165 women) aged 40 to 
      79 years, who were previously enrolled in the Health Examinee Study of the Korean 
      Genome and Epidemiology Study and had no history of type 2 diabetes mellitus 
      (T2DM) or cancer at baseline, were included. Dietary patterns were identified by 
      a factor analysis based on dietary data, which were assessed at baseline using a 
      validated food-frequency questionnaire. Participants were classified as having 
      hyperglycemia if fasting blood glucose levels were >/=126 mg/dL or physician 
      diagnosed T2DM during follow-up. Multivariable Cox proportional hazard models 
      were used to examine the associations between each dietary pattern and future 
      hyperglycemia risk after adjusting for potential confounders. After a mean 
      follow-up of 4.9 years, 2574 new cases of hyperglycemia were identified. Using a 
      factor analysis, four distinct dietary patterns were identified: "prudent;" 
      "fatty fish, meat, and flour-based food;" "coffee and sweets;" and "whole grain 
      (men)" or "white rice (women)." The "prudent" pattern was inversely associated 
      with hyperglycemia risk only in women (hazard ratio [HR], 0.75; 95% confidence 
      interval [CI], 0.63-0.89; p for trend = 0.0003). Conversely, women in the highest 
      quintile of the "fatty fish, meat, and flour-based food" pattern showed an 
      increased risk of hyperglycemia (HR, 1.22; 95% CI, 1.03-1.44; p for trend = 
      0.0210) compared with those in the lowest quintile. The "coffee and sweets" and 
      "white rice" patterns were not associated with hyperglycemia risk in women. The 
      dietary patterns observed in men had no associations with hyperglycemia 
      incidence. Our findings suggest that a diet rich in vegetables, mushrooms, 
      seaweeds, fruits, and soy products and low in fatty fish and high-fat meat may 
      potentially play a protective role in T2DM development with sex differences in 
      middle-aged and older Korean adults.
FAU - Lee, Kyung Won
AU  - Lee KW
AUID- ORCID: 0000-0003-4430-3241
AD  - Division of Epidemiology and Health Index, Center for Genome Science, Korea 
      National Institute of Health, Korea Centers for Disease Control and Prevention, 
      Chungcheongbuk-do 28160, Korea.
FAU - Woo, Hae Dong
AU  - Woo HD
AD  - Division of Epidemiology and Health Index, Center for Genome Science, Korea 
      National Institute of Health, Korea Centers for Disease Control and Prevention, 
      Chungcheongbuk-do 28160, Korea.
FAU - Cho, Mi Jin
AU  - Cho MJ
AD  - Division of Epidemiology and Health Index, Center for Genome Science, Korea 
      National Institute of Health, Korea Centers for Disease Control and Prevention, 
      Chungcheongbuk-do 28160, Korea.
FAU - Park, Jae Kyung
AU  - Park JK
AD  - Division of Epidemiology and Health Index, Center for Genome Science, Korea 
      National Institute of Health, Korea Centers for Disease Control and Prevention, 
      Chungcheongbuk-do 28160, Korea.
FAU - Kim, Sung Soo
AU  - Kim SS
AD  - Division of Epidemiology and Health Index, Center for Genome Science, Korea 
      National Institute of Health, Korea Centers for Disease Control and Prevention, 
      Chungcheongbuk-do 28160, Korea. ksungsoo@korea.kr.
LA  - eng
PT  - Journal Article
DEP - 20190804
PL  - Switzerland
TA  - Nutrients
JT  - Nutrients
JID - 101521595
RN  - 0 (Biomarkers)
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Biomarkers/blood
MH  - Blood Glucose/*metabolism
MH  - Diabetes Mellitus, Type 2/blood/diagnosis/*epidemiology/prevention & control
MH  - Diet/*adverse effects
MH  - *Feeding Behavior
MH  - Female
MH  - Humans
MH  - Hyperglycemia/blood/diagnosis/*epidemiology/prevention & control
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Nutrition Surveys
MH  - Nutritive Value
MH  - Prospective Studies
MH  - Protective Factors
MH  - Republic of Korea/epidemiology
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sex Factors
PMC - PMC6723075
OTO - NOTNLM
OT  - KoGES
OT  - Korean adults
OT  - dietary pattern
OT  - factor analysis
OT  - hyperglycemia
OT  - prospective study
OT  - type 2 diabetes
COIS- The authors declare no conflicts of interest.
EDAT- 2019/08/07 06:00
MHDA- 2020/01/29 06:00
PMCR- 2019/08/01
CRDT- 2019/08/07 06:00
PHST- 2019/06/24 00:00 [received]
PHST- 2019/08/02 00:00 [revised]
PHST- 2019/08/02 00:00 [accepted]
PHST- 2019/08/07 06:00 [entrez]
PHST- 2019/08/07 06:00 [pubmed]
PHST- 2020/01/29 06:00 [medline]
PHST- 2019/08/01 00:00 [pmc-release]
AID - nu11081801 [pii]
AID - nutrients-11-01801 [pii]
AID - 10.3390/nu11081801 [doi]
PST - epublish
SO  - Nutrients. 2019 Aug 4;11(8):1801. doi: 10.3390/nu11081801.