Field Epidemiology
Association between fresh fruit consumption and glycemic control in patients with type 2 diabetes
Jian Su, Yu Qin, Xiaoqun Pan, Chong Shen, Yan Gao, Enchun Pan, Yongqing Zhang, Jinyi Zhou, Ming Wu
Published 2019-06-10
Cite as Chin J Epidemiol, 2019, 40(6): 660-665. DOI: 10.3760/cma.j.issn.0254-6450.2019.06.011
Abstract
ObjectiveTo investigate the association between fresh fruit consumption and status of glycemic control, among patients with type 2 diabetes mellitus (T2DM).
MethodsUsing the stratified cluster sampling method, a cross-sectional study was conducted among 19 473 diabetic patients who were under the Disease Management Program related to the National Basic Public Health Service in Changshu county, Huai’an and Qinghe districts of Huai’an city from December 2013 to January 2014, under the combination of fasting plasma glucose (FPG) and haemoglobin A1c (HbA1c) methods, the glycemic control status in T2DM patients was assessed. Multiple logistic regression method was used to explore the relationship between fresh fruit consumption and status of glycemic control among T2DM patients.
Results62.4% of the T2DM patients reported their amount of fruits intake in the past year. Both the levels of FPG and HbA1c decreased in T2DM patients, when the frequency and amount of fresh fruit consumption were increasing. Compared with patients who did not take fresh fruits, the risk of poor glycemic control in patients with fresh fruit consumption of 1-4 times/week and ≥5 times/week decreased 20% (OR=0.80, 95%CI: 0.73-0.87) and 30% (OR=0.70, 95%CI: 0.62-0.80), respectively. Patients with fruit consumption of 50-99 g/day and ≥100 g/day had lower risk of poor glycemic control, with ORs (95%CI) as 0.71 (95%CI: 0.62-0.83) and 0.68 (95%CI: 0.59-0.78), respectively.
ConclusionsThe association of fresh fruit intake and glycemic control was statistically significant in patients with type 2 diabetes. With the increase of frequencies and amounts of fresh fruit consumption, the levels of FPG and HbA1c showed a decreasing trend. Our findings suggested that fresh fruit intake seemed helpful for glycemic control.
Key words:
Diabetes, type 2; Fresh fruit; Glycemic control
Contributor Information
Jian Su
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Yu Qin
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Xiaoqun Pan
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Chong Shen
School of Public Health, Nanjing Medical University, Nanjing 211166, China
Yan Gao
Suzhou City Center for Disease Control and Prevention, Suzhou 215004, China
Enchun Pan
Huai’an City Center for Disease Control and Prevention of Jiangsu Province, Huai’an 223001, China
Yongqing Zhang
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Jinyi Zhou
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Ming Wu
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
