Comparison of the Dietary Intakes of Individuals with and without Type 1 Diabetes in China

Citation

Jaacks, Lindsay M.; Du, Shufa; Mendez, Michelle A.; Crandell, Jamie L.; Liu, Wei; Ji, Linong; Rosamond, Wayne D.; Popkin, Barry M.; & Mayer-Davis, Elizabeth J. (2015). Comparison of the Dietary Intakes of Individuals with and without Type 1 Diabetes in China. Asia Pacific Journal of Clinical Nutrition, 24(4), 639-649. PMCID: PMC5462653

Abstract

BACKGROUND AND OBJECTIVES: The objective was to compare the dietary intakes of individuals with type 1 diabetes (T1D) to individuals without diabetes in China.
METHODS AND STUDY DESIGN: Data are from 1) the 3C Nutrition Ancillary Study, a cross-sectional study of individuals with T1D in China, and 2) the China Health and Nutrition Survey. Dietary intake in both samples was assessed using three 24-hour recalls. ANCOVA and multivariable logistic regression, adjusted for sex, age, and urban-rural residence, were used to assess differences in nutrient and food group intake between participants without diabetes (n=1059) and participants with T1D (n=97), who were stratified by insulin regimen (basal-bolus, n=49, versus fixed, n=48).
RESULTS: Participants with T1D had a lower percentage of energy from carbohydrates, higher vegetable intake, and were more likely to consume lowfat cakes and fungi/sea weed compared to participants without diabetes (all p<0.05). Distinguishing characteristics of insulin regimen groups also emerged. Participants on fixed regimens had higher intakes of wheat and were less likely to consume fruit and more likely to consume high-fat cakes and dairy compared to participants without diabetes (all p<0.05). Participants on basal-bolus regimens were less likely to consume fried foods and more likely to consume fish/shellfish compared to participants without diabetes (all p<0.05).
CONCLUSIONS: Differences in dietary intake between participants with and without T1D in China suggest that dietary modifications are common and reflect carbohydrate-conscious nutrition recommendations for individuals with T1D. Future research should focus on the health effects of these modifications.

URL

http://dx.doi.org/10.6133/apjcn.2015.24.4.03

Reference Type

Journal Article

Year Published

2015

Journal Title

Asia Pacific Journal of Clinical Nutrition

Author(s)

Jaacks, Lindsay M.
Du, Shufa
Mendez, Michelle A.
Crandell, Jamie L.
Liu, Wei
Ji, Linong
Rosamond, Wayne D.
Popkin, Barry M.
Mayer-Davis, Elizabeth J.

PMCID

PMC5462653

ORCiD

Popkin - 0000-0001-9495-9324
Du - 0000-0003-1156-0866