PMID- 38075228 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231211 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 10 DP - 2023 TI - Monounsaturated and polyunsaturated fatty acids concerning prediabetes and type 2 diabetes mellitus risk among participants in the National Health and Nutrition Examination Surveys (NHANES) from 2005 to March 2020. PG - 1284800 LID - 10.3389/fnut.2023.1284800 [doi] LID - 1284800 AB - OBJECTIVE: Unsaturated fatty acids (UFA) may be related to glycometabolism. While associations between UFA intake (especially their subtype) and prediabetes or type 2 diabetes mellitus (T2DM) need to be further studied. In this study, we aimed to evaluate the potential relation of UFA with prediabetes and T2DM. METHODS: A total of 16,290 adults aged older than 18 years from the National Health and Nutrition Examination Survey (NHANES) from 2005 to March 2020 were included in the present analysis. Dietary intake was assessed by two day, 24-hour dietary recalls and daily intake of total monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA); four specific fatty acids of MUFA and seven specific fatty acids of PUFA were calculated. Prediabetes and T2DM were diagnosed by fasting glucose, glycohemoglobin, and self-reported medication or insulin. Rao-Scott modified chi-square tests, the Taylor series linearization method, and multivariable logistic regression analyses were applied to analyze the associations of dietary MUFA and PUFA intake with diabetes risk. RESULTS: Of the participants, 44.34% had prediabetes and 13.16% had T2DM patients. From multivariate analysis, we found that intake of MUFA, PUFA, and some subtypes was negatively associated with the risk of prediabetes and T2DM in Americans. Compared with adults in the lowest tertile, those in the highest MUFA (PUFA) tertile had an approximately 50% (49%) and 69% (68%) lower risk of prediabetes and T2DM, respectively. Moreover, the effects of the subtypes of MUFA and PUFA on prediabetes and T2DM were different. Higher intakes of MFA 18:1, MFA 20:1, PFA 18:2, and PFA 18:3 and higher tertile intakes of MFA 16:1 and PFA 20:4 were related to a lower risk of prediabetes and T2DM. Similarly, the effects of MUFA, PUFA, and subtype on prediabetes and T2DM varied among different age groups, being weakened along with age. CONCLUSION: Our study suggested that total MUFA and PUFA intake might be essential in preventing prediabetes and T2DM, especially in Americans. However, this protective effect may decrease with age. Moreover, the effects of the specific UFA on prediabetes and T2DM need further consideration. CI - Copyright (c) 2023 Jiang, Yang, Li, Feng, Miao, Shi and Xue. FAU - Jiang, Susu AU - Jiang S AD - Department of Child and Adolescent Health, School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong, China. FAU - Yang, Wenhan AU - Yang W AD - Department of Child and Adolescent Health, School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong, China. FAU - Li, Yanmei AU - Li Y AD - Department of Child and Adolescent Health, School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong, China. FAU - Feng, Jingying AU - Feng J AD - Food Science School, Guangdong Pharmaceutical University, Zhongshan, Guangdong, China. FAU - Miao, Junjie AU - Miao J AD - School of Public Health, Hebei Medical University, Shijiazhuang, Hebei, China. FAU - Shi, Hongmei AU - Shi H AD - School of Public Health, Hebei Medical University, Shijiazhuang, Hebei, China. FAU - Xue, Hongmei AU - Xue H AD - The First Hospital of Hebei Medical University, Shijiahzunag, Hebei, China. AD - College of Public Health, Hebei University, Baoding, Hebei, China. LA - eng PT - Journal Article DEP - 20231124 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC10704138 OTO - NOTNLM OT - NHANES OT - monounsaturated fatty acids OT - polyunsaturated fatty acid OT - prediabetes OT - type 2 diabetes COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/12/11 06:45 MHDA- 2023/12/11 06:46 PMCR- 2023/01/01 CRDT- 2023/12/11 05:54 PHST- 2023/08/29 00:00 [received] PHST- 2023/10/30 00:00 [accepted] PHST- 2023/12/11 06:46 [medline] PHST- 2023/12/11 06:45 [pubmed] PHST- 2023/12/11 05:54 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2023.1284800 [doi] PST - epublish SO - Front Nutr. 2023 Nov 24;10:1284800. doi: 10.3389/fnut.2023.1284800. eCollection 2023.