Dietary glycemic index and glycemic load predict longitudinal change in glycemic and cardio-metabolic biomarkers among old diabetic adults living in a resource-poor country.
Autor: | Hoang YN; School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan., Nguyen TH; Department of Adult Nutrition Counselling, National Institute of Nutrition, Hanoi, Vietnam.; Department of Clinical Nutrition and Dietetics, National Hospital of Endocrinology, Hanoi, Vietnam., Ho DKN; School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan., Bai CH; School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.; Department of Public Health, College of Medicine, Taipei Medical University, Taipei, Taiwan., Lin WL; Graduate Institute of Metabolism and Obesity Sciences, Taipei Medical University, Taipei, Taiwan., Phan HD; National Hospital of Endocrinology, Hanoi, Vietnam., Phan HH; National Hospital of Endocrinology, Hanoi, Vietnam., Tran NL; National Hospital of Endocrinology, Hanoi, Vietnam., Chang JS; School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan.; Graduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan.; Nutrition Research Center, Taipei Medical University Hospital, Taipei, Taiwan.; Chinese Taipei Society for the Study of Obesity (CTSSO), Taipei, Taiwan.; TMU Research Center for Digestive Medicine, Taipei Medical University, Taipei, Taiwan. |
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Jazyk: | angličtina |
Zdroj: | International journal of food sciences and nutrition [Int J Food Sci Nutr] 2024 Sep; Vol. 75 (6), pp. 550-561. Date of Electronic Publication: 2024 Jul 01. |
DOI: | 10.1080/09637486.2024.2368843 |
Abstrakt: | This study aims to investigate longitudinal associations between the dietary glycemic index (GI) and glycemic load (GL) and changes in glycemic and cardio-metabolic outcomes. A 28-month retrospective cohort study included 110 Vietnamese diabetic patients, collecting their dietary GI and GL values along with blood biochemical data from baseline 24-h dietary recall and medical records. Latent class growth modelling identified three distinct HbA1c trajectories during the follow-up period, with 51% of patients achieving good glycemic control. The adjusted linear mixed-effect model showed that 1 unit increase in logarithms in dietary GL was associated with a 0.14% increase in the log-HbA1c. Among poorly controlled diabetic patients, baseline GL values were positively correlated with increases in HbA1c; GI showed effects on changes in fasting plasma glucose and the triglyceride-glucose (TyG) index. No significant association was observed in patients with good glycemic control. |
Databáze: | MEDLINE |
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