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Impact of eating rate on obesity and cardiovascular risk factors according to glucose tolerance status: the Fukuoka Diabetes Registry and the Hisayama Study
- Source :
- Diabetologia. 56(1)
- Publication Year :
- 2012
-
Abstract
- Medical nutrition therapy plays a critical role in the prevention and treatment of type 2 diabetes. However, appropriate measures of eating behaviours, such as eating rate, have not yet been clearly established. The aim of the present study was to examine the associations among eating rate, obesity and cardiovascular risk factors.A total of 7,275 Japanese individuals aged ≥40 years who had normal fasting glucose levels, impaired fasting glucose or diabetes were divided into four groups according to self-reported eating rate: slow, medium, relatively fast and very fast. The associations between eating rate and various cardiovascular risk factors were investigated cross-sectionally.The proportions of participants who were obese or who had elevated waist circumference levels increased progressively with increases in eating rate (p for trend0.001), regardless of glucose tolerance status. These associations remained significant after adjustment for potential confounders, namely, age, sex, total energy intake, dietary fibre intake, current smoking, current drinking and regular exercise (p for trend0.001). Blood pressure and lipid levels also tended to increase in association with eating rate. HbA(1c) rose significantly as eating rate increased, even after multivariate adjustment, including BMI, in diabetic patients on insulin therapy (p = 0.02), whereas fasting plasma glucose did not increase significantly.Our findings suggest that eating rate is associated with obesity and other cardiovascular risk factors and therefore may be a modifiable risk factor in the management of cardiovascular risk factors and diabetes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Cross-sectional study
Endocrinology, Diabetes and Metabolism
Type 2 diabetes
Prediabetic State
Japan
Risk Factors
Environmental health
Diabetes mellitus
Epidemiology
Glucose Intolerance
Internal Medicine
Diabetes Mellitus
Medicine
Humans
Hypoglycemic Agents
Insulin
Medical nutrition therapy
Obesity
Prospective Studies
Registries
Aged
Aged, 80 and over
Glycated Hemoglobin
business.industry
digestive, oral, and skin physiology
Type 2 Diabetes Mellitus
Feeding Behavior
Middle Aged
medicine.disease
Impaired fasting glucose
Cross-Sectional Studies
Cardiovascular Diseases
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 14320428
- Volume :
- 56
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Diabetologia
- Accession number :
- edsair.doi.dedup.....69eb043efac4214d103bb97200cf7596