비만한 제2형 당뇨병 환자의 식사섭취패턴과 합병증의 관계

Abstract

The purpose of this study is to investigate the risk of obesity and complications in type 2 diabetic patients depending on the frequency of the food intake and provide strategy to reduce the hyperglycemia and prevent the diabetic complication. In this study, the relationships between obesity and complications, general characteristics and food frequency were examined and major determinants of complication were investigated. The subjects were 445 patients (203 male, 242 female) aged 30-80 years old visiting university hospital diabetes center. Surveying the Food Frequency Questionnaire(FFQ), using a logistic regression model based on the frequency of intake were explored the risk of obesity and complications. And then, using factor analysis and cluster analysis based on the dietary pattern were explored the risk of obesity and complications. The results are as follows. First, the higher the intake frequency of mixed rice, legumes, vegetables decreased the risk of obesity, and the higher the intake frequency of noodles, snack(bread, rice cake, cookie), egg, fruit, sugar beverage increased the risk of obesity. Second, hypertension risk increased two times in overweight and two to four times in obesity in female. Especially obesity effects an important factor in complication of occurrence of hypertension. Third, Dietary pattern is classified as 'fiber pattern' with a high frequency of mixed rice, vegetables, fruit, seaweeds intake and 'starch pattern' with a high frequency of white rice, noodles, bread, rice cake, cookie, sugar beverage intake and 'protein pattern' with a high frequency of legumes, beef, pork, chicken, fish intake. 'Fiber pattern' showed high proportion in experience of nutrition education and practice of dietary therapy. Therefore, it showed that obesity and dietary pattern are important factors to prevent complications in the type 2 diabetic patients.