Skip to main content Accessibility help
×
Home

Long-term effect of dietary fibre intake on glycosylated haemoglobin A1c level and glycaemic control status among Chinese patients with type 2 diabetes mellitus

  • Luxi Yang (a1), Le Shu (a1), Junyi Jiang (a2), Hua Qiu (a2), Genming Zhao (a1), Yi Zhou (a2), Qingwu Jiang (a1), Qiao Sun (a2), Guoyou Qin (a3), Hongyan Wu (a2), Liming Yang (a2), Xiaonan Ruan (a2) and Wang Hong Xu (a1)...

Abstract

Objective

Dietary fibre has been linked to lower levels of glycosylated haemoglobin A1c (HbA1c) among diabetes patients. The present study aimed to evaluate the long-term effect of dietary fibre on HbA1c levels among Chinese patients with type 2 diabetes mellitus.

Design

Two cross-sectional surveys were conducted in 2006 and 2011, with the second one being a repeat survey on a sub-sample from the initial one. In both surveys, an in-person interview was conducted to collect information on demographic characteristics and lifestyles following a similar protocol. Dietary intake was assessed with a validated FFQ. Anthropometric measures and biochemical assays were performed at the interview.

Setting

Communities in Pudong New Area of Shanghai, China.

Subjects

Chinese patients (n 934) with type 2 diabetes mellitus.

Results

An inverse association was observed between dietary fibre and glycaemic status indicated by HbA1c level in both surveys, although it was significant only in the first survey. Among 497 patients participating in both surveys, dietary fibre intake at the first survey was inversely associated with uncontrolled glycaemic status at the second survey, with adjusted odds ratios across the tertiles of intake being 1·00, 0·72 (95 % CI 0·43, 1·21) and 0·58 (95 % CI 0·34, 0·99; P trend = 0·048). The change in fibre intake was slightly associated with glycaemic status, with each increase in tertile scores of intake linked to a 0·138 % (β = −0·138; 95 % CI −0·002, 0·278) decrease in HbA1c value and a 19 % (OR = 0·81; 95 % CI 0·65, 1·02) reduced risk of uncontrolled glycaemic status at the second survey.

Conclusions

Dietary fibre may have a long-term beneficial effect on HbA1c level among Chinese diabetes patients.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Long-term effect of dietary fibre intake on glycosylated haemoglobin A1c level and glycaemic control status among Chinese patients with type 2 diabetes mellitus
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Long-term effect of dietary fibre intake on glycosylated haemoglobin A1c level and glycaemic control status among Chinese patients with type 2 diabetes mellitus
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Long-term effect of dietary fibre intake on glycosylated haemoglobin A1c level and glycaemic control status among Chinese patients with type 2 diabetes mellitus
      Available formats
      ×

Copyright

Corresponding author

*Corresponding authors: E-mail wanghong.xu@fudan.edu.cn, ruan_118@hotmail.com

References

Hide All
1. van Dieren, S, Beulens, JW, van der Schouw, YT et al. (2010) The global burden of diabetes and its complications: an emerging pandemic. Eur J Cardiovasc Prev Rehabil 17, Suppl. 1, S3S8.
2. Herman, WH & Zimmet, P (2012) Type 2 diabetes: an epidemic requiring global attention and urgent action. Diabetes Care 35, 943944.
3. Ismail-Beigi, F, Craven, T, Banerji, MA et al. (2010) Effect of intensive treatment of hyperglycaemia on microvascular outcomes in type 2 diabetes: an analysis of the ACCORD randomised trial. Lancet 376, 419430.
4. Ray, KK, Seshasai, SR, Wijesuriya, S et al. (2009) Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomised controlled trials. Lancet 373, 17651772.
5. Stratton, IM, Adler, AI, Neil, HA et al. (2000) Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ 321, 405412.
6. American Diabetes Association (2012) Standards of medical care in diabetes – 2012. Diabetes Care 35, Suppl. 1, S11S63.
7. Chandalia, M, Garg, A, Lutjohann, D et al. (2000) Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342, 13921398.
8. Jenkins, DJ, Kendall, CW, McKeown-Eyssen, G et al. (2008) Effect of a low-glycemic index or a high-cereal fiber diet on type 2 diabetes: a randomized trial. JAMA 300, 27422753.
9. Post, RE, Mainous, AG 3rd, King, DE et al. (2012) Dietary fiber for the treatment of type 2 diabetes mellitus: a meta-analysis. J Am Board Fam Med 25, 1623.
10. He, M, van Dam, RM, Rimm, E et al. (2010) Whole-grain, cereal fiber, bran, and germ intake and the risks of all-cause and cardiovascular disease-specific mortality among women with type 2 diabetes mellitus. Circulation 121, 21622168.
11. Institute of Medicine, Food and Nutrition Board (2005) Dietary, functional, and total fiber. In Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients), pp. 339421. Washington, DC: The National Academies Press.
12. Zhou, BF, Stamler, J, Dennis, B et al. (2003) Nutrient intakes of middle-aged men and women in China, Japan, United Kingdom, and United States in the late 1990s: the INTERMAP study. J Hum Hypertens 17, 623630.
13. Yin, WY, Zheng, WD, Huang, CY et al. (2005) Investigation of dietary fiber intakes and varies in 53 patients with diabetes. Zhonghua Yu Fang Yi Xue Za Zhi 39, 342344.
14. Liu, Z, Fu, C, Wang, W et al. (2010) Prevalence of chronic complications of type 2 diabetes mellitus in outpatients – a cross-sectional hospital based survey in urban China. Health Qual Life Outcomes 8, 62.
15. Jiang, JY, Qiu, H, Zhao, GM et al. (2012) Dietary fibre intake is associated with HbA1c level among prevalent patients with type 2 diabetes in Pudong New Area of Shanghai, China. PLoS One 7, e46552.
16. Shu, XO, Yang, G, Jin, F et al. (2004) Validity and reproducibility of the food frequency questionnaire used in the Shanghai Women's Health Study. Eur J Clin Nutr 58, 1723.
17. Yang, YX, Wang, GY & Pan, XC (2002) China Food Composition Tables 2002. Beijing: Beijing University Medical Press.
18. Foster-Powell, K, Holt, SH & Brand-Miller, JC (2002) International table of glycemic index and glycemic load values: 2002. Am J Clin Nutr 76, 556.
19. Pi-Sunyer, FX (2002) Glycemic index and disease. Am J Clin Nutr 76, issue 1, 290S298S.
20. Fung, TT, Schulze, M, Manson, JE et al. (2004) Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med 164, 22352240.
21. Rolls, BJ, Bell, EA, Castellanos, VH et al. (1999) Energy density but not fat content of foods affected energy intake in lean and obese women. Am J Clin Nutr 69, 863871.
22. Jenkins, DJ, Kendall, CW, Augustin, LS et al. (2002) High-complex carbohydrate or lente carbohydrate foods? Am J Med 113, Suppl. 9B, 30S37S.
23. Jenkins, AL, Jenkins, DJ, Zdravkovic, U et al. (2002) Depression of the glycemic index by high levels of β-glucan fiber in two functional foods tested in type 2 diabetes. Eur J Clin Nutr 56, 622628.
24. Marangoni, F & Poli, A (2008) The glycemic index of bread and biscuits is markedly reduced by the addition of a proprietary fiber mixture to the ingredients. Nutr Metab Cardiovasc Dis 18, 602605.
25. Anderson, JW, Allgood, LD, Turner, J et al. (1999) Effects of psyllium on glucose and serum lipid responses in men with type 2 diabetes and hypercholesterolemia. Am J Clin Nutr 70, 466473.
26. Villegas, R, Yang, G, Gao, YT et al. (2010) Dietary patterns are associated with lower incidence of type 2 diabetes in middle-aged women: the Shanghai Women's Health Study. Int J Epidemiol 39, 889899.
27. Thomas, DE & Elliott, EJ (2010) The use of low-glycaemic index diets in diabetes control. Br J Nutr 104, 797802.
28. Esposito, K, Maiorino, MI, Di Palo, C et al. (2010) Dietary glycemic index and glycemic load are associated with metabolic control in type 2 diabetes: the CAPRI experience. Metab Syndr Relat Disord 8, 255261.
29. Su, C, Wang, H, Wang, Z et al. (2013) Status and trend of fat and cholesterol intake among Chinese middle and old aged residents in 9 provinces from 1991 to 2009. Wei Sheng Yan Jiu 42, 7277.

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed