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CN 34-1304/RISSN 1674-3679

Volume 27 Issue 1
Jan.  2023
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QIAO Ting-ting, ZHANG Huan-wen, LUO Tao, ZHAO Hui, ZHANG Guo-zhen, DAI Jiang-hong. Association between blood lipids-related dietary patterns derived by reduced rank regression and diabetes[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 29-35. doi: 10.16462/j.cnki.zhjbkz.2023.01.006
Citation: QIAO Ting-ting, ZHANG Huan-wen, LUO Tao, ZHAO Hui, ZHANG Guo-zhen, DAI Jiang-hong. Association between blood lipids-related dietary patterns derived by reduced rank regression and diabetes[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 29-35. doi: 10.16462/j.cnki.zhjbkz.2023.01.006

Association between blood lipids-related dietary patterns derived by reduced rank regression and diabetes

doi: 10.16462/j.cnki.zhjbkz.2023.01.006
Funds:

National Natural Science Foundation of China 82160640

National Key Research and Development Program of China 2017YFC0907203

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  • Corresponding author: DAI Jiang-hong, E-mail: epi102@sina.com
  • Received Date: 2022-05-19
  • Rev Recd Date: 2022-07-29
  • Available Online: 2023-02-09
  • Publish Date: 2023-01-10
  •   Objective  To explore the association between lipid-related dietary patterns and diabetes, thus providing a scientific basis for dietary intervention in diabetes.  Methods  A total of 4 759 rural residents from Huocheng County in Yili were selected as the study subjects, and relevant data were collected through questionnaires, physical examinations and laboratory tests. Lipid-related dietary patterns were extracted by reduced-rank regression. The correlations between lipid-related dietary pattern scores and intake of each food group and lipid were assessed by Pearson correlation analysis. The relationship between lipid-related dietary pattern and diabetes risk was analyzed by logistic regression model.  Results  Lipid-related dietary pattern was characterized by higher intakes of wheat, meat and fried pasta, and lower intake of mixed grains, vegetables and fruits. Lipid-related dietary pattern was positively correlated with total cholesterol (r=0.296, P < 0.001), low density lipoprotein cholesterol (r=0.225, P < 0.001) and triglyceride (r=0.332, P < 0.001), and negatively correlated with high density lipoprotein cholesterol (r=-0.237, P < 0.001). Logistic regression analysis showed that after adjusting for confounding factors, the risk of diabetes increased by 99% (OR=1.99; 95% CI: 1.47-2.68; P < 0.001) in the lipid-related dietary pattern score Q4 group compared with Q1 group. And there was a linear trend of significantly higher risk of diabetes with increasing dietary pattern scores (Ptrend < 0.001).  Conclusions  Lipid-related dietary pattern scores are positively associated with diabetes risk, and optimizing lipid levels through diet may contribute to early prevention of diabetes.
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