The Relationship between Dietary Intake and Age Onset of Disease in Type 2 Diabetes Mellitus

• Main Authors: Chia-Chin Chen, 陳加津
• Other Authors: 莊秀美
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/52310297565006542938

碩士 === 國立中興大學 === 生命科學院碩士在職專班 === 103 === OBJECTIVE—In order to evaluate the eating habits in newly developed type 2 diabetes mellitus (T2DM) and ensuing development of primary preventive intervention, a nationally standardized health care program – Diabetes Case Management Program, DCMP 2001 was implement in medical center, Mid-Taiwan. RESEARCH DESIGN AND METHODS—From Jan. 2003 to Dec. 2006, 6928 diabetes beneficiaries were randomly and cumulatively recruited in DCMP 2001. The individualized nutritional assessment was achieved after adequate record of dietary history. All the newly developed T2DM (n=1378) were divided up into 6 groups with different age of onset of disease, ＜40 years, 40-49 years, 50-59 years, 60-69, 70-79 years and over 80 years, whereas the rest of previously diagnosed T2DM in this cohort (n=5550) were also fitted into these 6 groups by their ages of onset of diabetes. The macronutrient consumptions of total daily caloric intakes were classified under 10 Groups, G1: carbohydrate 45%-50% and fat 30%-35% and protein 15%-20%, G2a, G2b, G2c, G3a, G3b, G3c, G4a, G4b, and G4c (G2: CHO>50%, G3:CHO≦45%, G4: CHO 45%-50%; a: fat>35%, b: fat≦30%, c: fat 30%-35% ). RESULTS—In case of younger onset of newly developed T2DM, the eating habits showed the more than 60% cases (G3a and G4a as a group) were high fat in their daily intakes. The older onset of newly developed T2DM, however, more than 60% case (G2b and G2c as a group) were low fat in their daily food. The differences of macronutrient consumptions between younger (G3a and G4a as a high fat group) and older (G2b and G2c as a low fat group) onset of diabetes at the different age ranges in both sexes were statistically significant not only in the newly developed T2DM (p<0.001 in male, p=0.004 in female) but also in the previously diagnosed T2DM (p<0.0001 in male, p=0.001 in female) CONCLUSION—The results clearly indicated that the eating habits of macronutrient consumption with high fat contents would be prone to develop T2DM in younger age, whereas in case with low fat contents onset of disease would be found to be older in their life even though patients with previously diagnosed T2DM received the dietary assessment following DCMP 2001 in very recent years.