Relationship between diet quality scores and all-cause mortality in diabetic patients of different genders

doi:10.3969/j.issn.1006-7795.2024.03.006

Abstract

Abstract:

Objective To prospectively study the influence and difference of various dietary patterns on all-cause mortality in diabetes patients of different genders.Methods A total of 20 002 participants (3 737 patients with diabetes) from National Health and Nutrition Examination Survey (NHANES) were enrolled. The relationship between dietary quality score and all-cause mortality was analyzed with COX proportional hazards regression model, and whether other factors interact with dietary pattern scores was evaluated with the method of stratified analysis.Results During the median follow-up period of 74 months, there were 512 deaths recorded, with 311 males and 201 females. The adjusted risk ratios for high dietary quality are as follows: dietary inflammation index ［male: hazard ratio(HR)= 1.22, P =0.084; female: HR= 1.00, P=0.818］, mediterranean diet score (male:HR= 0.99, P=0.873; female:HR= 0.79, P =0.027), healthy diet index 2020 (male:HR= 1.00, P =0.956; female: HR= 0.83, P =0.046). The influence of diet score on the death risk of diabetes patients is independent, and no internal interaction between diet score and other variables was found.Conclusion In the population with diabetes, mediterranean diet and healthy diet index 2020 are associated with lower mortality risk in women, while no significant association is found in men.

Key words: dietary quality score, , all cause mortality, diabetes

CLC Number:

R587.1

Liu Chang, Xin Zhong, Yang Jinkui. Relationship between diet quality scores and all-cause mortality in diabetic patients of different genders[J]. Journal of Capital Medical University, 2024, 45(3): 406-412.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2024.03.006

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2024/V45/I3/406

References

［1］Shang X W, Liu J H, Zhu Z T, et al. Healthy dietary patterns and the risk of individual chronic diseases in community-dwelling adults［J］. Nat Commun, 2023, 14(1): 6704.
［2］Li Y, Schoufour J, Wang D D, et al. Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study［J］. BMJ, 2020, 368: l6669.
［3］Wang X, Ma H, Li X, et al. Association of cardiovascular health with life expectancy free of cardiovascular disease, diabetes, cancer, and dementia in UK adults［J］. JAMA Intern Med, 2023, 183(4): 340－349.
［4］ ElSayed N A, Aleppo G, Aroda V R, et al. Facilitating positive health behaviors and well-being to improve health outcomes: standards of care in diabetes-2023［J］. Diabetes Care, 2023, 46: S68-S96.
［5］National Advisory Committee on Microbiological Criteria in Foods (NACMCF). Response to questions posed by the food safety and inspection service: enhancing salmonella control in poultry products［J］. J Food Prot, 2024, 87(2): 100168.
［6］Kant A K. Dietary patterns and health outcomes［J］. J Am Diet Assoc, 2004, 104(4): 615－635.
［7］Ahmadijoo P, Eftekhari M H, Masoumi S J, et al. The possible relationship between the healthy eating index-2015 and the 10-year risk of cardiovascular diseases［J］. BMC Nutr, 2023, 9(1): 76.
［8］Onwuzo C, Olukorode J O, Omokore O A, et al. DASH Diet: a review of its scientifically proven hypertension reduction and health benefits［J］. Cureus, 2023, 15(9): e44692.
［9］Blumenthal J A, Babyak M A, Hinderliter A, et al. Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study［J］. Arch Intern Med, 2010, 170(2): 126－135.
［10］Izquierdo M, Merchant R A, Morley J E, et al. International exercise recommendations in older adults (ICFSR): expert consensus guidelines［J］. J Nutr Health Aging, 2021, 25(7): 824－853.
［11］ Anon. Plan and operation of the third national health and nutrition examination survey, 1988－94［J］. Vital Health Stat 1, 1994(32): 1－407.
［12］ Zipf G, Chiappa M, Porter K S, et al. National health and nutrition examination survey: plan and operations, 1999－2010［J］. Vital Health Stat 1, 2013(56)： 1－37.
［13］Zhan J J. Dietaryindex: a user-friendly and versatile R package for standardizing dietary pattern analysis in epidemiological and clinical studies［Z/OL］. BioRxiv: Preprint, 2023: 548466 ［2024－02－21］. https://pubmed.ncbi.nlm.nih.gov/37609152/.
［14］Shan Z L, Wang F L, Li Y P, et al. Healthy eating patterns and risk of total and cause-specific mortality［J］. JAMA Intern Med, 2023, 183(2): 142－153.
［15］Li L, Wan Z Z, Geng T T, et al. Associations of healthy dietary patterns with mortality among people with prediabetes［J］. Eur J Nutr, 2023, 62(3): 1377－1387.
［16］Morze J, Danielewicz A, Hoffmann G, et al. Diet quality as assessed by the healthy eating index, alternate healthy eating index, dietary approaches to stop hypertension score, and health outcomes: a second update of a systematic review and meta-analysis of cohort studies［J］. J Acad Nutr Diet, 2020, 120(12): 1998－2031.e15.
［17］Hu E A, Steffen L M, Coresh J, et al. Adherence to the healthy eating index-2015 and other dietary patterns may reduce risk of cardiovascular disease, cardiovascular mortality, and all-cause mortality［J］. J Nutr, 2020, 150(2): 312－321.
［18］Zeinalabedini M, Nasli-Esfahani E, Esmaillzadeh A, et al. How is healthy eating index-2015 related to risk factors for cardiovascular disease in patients with type 2 diabetes［J］. Front Nutr, 2023, 10: 1201010.
［19］Xu Z, Steffen L M, Selvin E, et al. Diet quality, change in diet quality and risk of incident CVD and diabetes［J］. Public Health Nutr, 2020, 23(2): 329－338.
［20］Shivappa N, Godos J, Hébert J R, et al. Dietary inflammatory index and cardiovascular risk and mortality-a meta-analysis［J］. Nutrients, 2018, 10(2): 200.
［21］Liang Z, Feng Y F, Shivappa N, et al. Dietary inflammatory index and mortality from all causes, cardiovascular disease, and cancer: a prospective study［J］. Cancers (Basel), 2022, 14(19): 4609.
［22］Hariharan R, Odjidja E N, Scott D, et al. The dietary inflammatory index, obesity, type 2 diabetes, and cardiovascular risk factors and diseases［J］. Obes Rev, 2022, 23(1): e13349.
［23］Motamedi A, Askari M, Mozaffari H, et al. Dietary inflammatory index in relation to type 2 diabetes: a Meta-analysis［J］ Int J Clin Pract, 2022, 2022: 9953115.
［24］King D E, Xiang J. The dietary inflammatory index is associated with diabetes severity［J］. J Am Board Fam Med, 2019, 32(6): 801－806.
［25］Tan J X, Liu N Z, Sun P Y, et al. A proinflammatory diet may increase mortality risk in patients with diabetes mellitus［J］. Nutrients, 2022, 14(10): 2011.

[1]	Zhang Lin, Xie Rongrong, Yang Fangyuan, Li Mei, Luo Sha, Wan Xiaohua, Tian Wei, Yang Jinkui. Diagnostic value of renal tubular and glomerular markers in different stages of renal injury in patients with type 2 diabetes [J]. Journal of Capital Medical University, 2024, 45(3): 429-437.
[2]	Hu Yafen, Hua Lin. The causal relationship between intestinal flora and diabetes, inflammatory factors and C-reactive protein: Mendelian randomized analysis [J]. Journal of Capital Medical University, 2024, 45(3): 488-493.
[3]	Zheng Ming , Wu Jianyou , Sima Yutong, Wang Xiangdong, Zhang Luo, . Comparison of clinical characteristics between odontogenic sinusitis patients with and without sinusitis symptoms [J]. Journal of Capital Medical University, 2024, 45(2): 239-245.
[4]	Xu Jingxing, Zhou Quan, Ying Jianming. Recent progress on immunotherapy for tumor microenvironment of triple negative breast cancer [J]. Journal of Capital Medical University, 2023, 44(5): 882-888.
[5]	He Sha, Yuan Mengwei, Gao Yan, Gou Dongyun, Li Yang, Qiu Huiqing. Association between ApoE gene polymorphism and cardiovascular and cerebrovascular diseases in Hebei Han nationality [J]. Journal of Capital Medical University, 2023, 44(5): 852-858.
[6]	Zhou Li, Zhu Chao, Wang Fucai, Cui Hehe, Liu Qingbo, Zhao Huiqiang, Chen Hui. Drug-coated balloons in primary percutaneous coronary intervention for acute myocardial infarction [J]. Journal of Capital Medical University, 2023, 44(4): 669-675.
[7]	Li Yuyang, Zhu Xiaorong, Liu Jing, Zheng Xiaomin, Yang Jinkui, Yang Fangyuan. Analysis of haptoglobin gene polymorphisms and serum haptoglobin levels in patients with diabetes kidney disease [J]. Journal of Capital Medical University, 2023, 44(3): 375-380.
[8]	Li Mingjia, Zhao Miaomiao , Yang Jinkui . Research progress of cathepsin in the mechanism of diabetes and diabetic nephropathy [J]. Journal of Capital Medical University, 2023, 44(3): 413-419.
[9]	Zhang Yudong, Wei Houyi, Wang Runjin, Jiang Mingxin, Yang Kun, Wang Mingshuai, Wasilijiang Wahafu, Song Liming, Jin Mulan, Xing Nianzeng, Niu Yinong. Prognostic significance of the controlling nutritional status (CONUT) score in patients with bladder cancer treated with radical cystectomy and ileal conduit [J]. Journal of Capital Medical University, 2023, 44(3): 449-456.
[10]	Zhao Huiqing, Zhang Yaqing. Investigation and analysis of migraine diagnosis and treatment in general practitioners [J]. Journal of Capital Medical University, 2023, 44(3): 482-486.
[11]	Xia Ning, Nie Xiuhong, Wang Meiping, Feng Zhihong, Mu Zhijing, Fan Xiaojun. Association between sleep efficiency and diabetes mellitus in obstructive sleep apnea syndrome and primary snoring patients [J]. Journal of Capital Medical University, 2023, 44(3): 487-496.
[12]	Liang Fa, Wu Youxuan, Wang Xinyan, Jian Minyu, Liu Haiyang, Han Ruquan. Effects of emergency conversion to general anesthesia on neurological outcomes of patients with acute ischemic stroke undergoing mechanical thrombectomy [J]. Journal of Capital Medical University, 2023, 44(2): 237-243.
[13]	Yin Hongyu , Wei Hua, Liu Jinchun. Role of retinoic acid and thyroid hormone in chondrogenic differentiation of bone marrow mesenchymal stem cells [J]. Journal of Capital Medical University, 2023, 44(2): 258-264.