ECE2023 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (159 abstracts)
1Dong-A University, Department of Food Science and Nutrition, Busan, South Korea; 2Samsung Changwon Hospital, Department of Internal Medicine, Changwon, South Korea
Background: Despite the well-recognized health benefits of fresh fruit consumption, substantial uncertainties remain about its potential effects on glycemic control in patients with type 2 diabetes mellitus (T2DM).
Methods: We examined the association of fresh fruit consumption and glycemic control in patients with T2DM using data from the 7th Korea National Health and Nutrition Examination Survey. Study samples were divided into 3 groups based on the weekly fruit consumption frequency for the analysis.
Results: Patient with highest fruit intake were older compared to the other two groups and women were more likely to consume fruits. Fruit consumption was positively correlated with better HbA1c levels in these patients. Currents smokers and weekly alcohol intake also showed negative correlation according to the fruit intake tertiles. Moreover, patients with highest tertile of fruit intake were 3.63 times more likely to be in good glycemic control, meaning HbA1c <7% as shown in Table 1.
Tertile 1 | Tertile 2 | Tertile 3 | |
Crude model | 1.00 (reference) | 0.77 (0.45 1.34) | 1.46 (0.84 2.55) |
Model 1 | 1.00 (reference) | 0.78 (0.45 1.35) | 1.42 (0.81 2.48) |
Model 2 | 1.00 (reference) | 1.49 (0.62 3.59) | 1.94 (0.79 4.77) |
Model 3 | 1.00 (reference) | 1.59 (0.67 3.81) | 2.28 (0.88 5.89) |
Model 4 | 1.00 (reference) | 1.83(0.69 4.88) | 3.63 (1.20 11.03) |
Model 1 is adjusted by sex and ageModel 2 is adjusted by sex, age, body mass index, systolic blood pressure, Triglycerides, LDL-C, current smoking and alcohol intakeModel 3 is adjusted by Model 2 plus total energy intakeModel 4 is adjusted by Model 3 plus walking per week and dietary fiber intake |
Conclusion: In this study, we observed a significant beneficial impact of fruit consumption on glycemic control in Korean patients with T2DM.