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Association between dietary patterns and stroke in patients with type 2 diabetes mellitus in China

A propensity score-matched analysis

Bibliographic Data

ID15091091
AuthorsChenlu He (0000-0001-7202-697X, Xuzhou Medical College, corresponding author), Wei Wang (0000-0001-5806-2368, Xuzhou Medical College), Qian Chen (0000-0002-5249-7421, Xuzhou Medical College), Ziyuan Shen (0000-0001-6989-9147, Xuzhou Medical College), Enchun Pan (0000-0002-7513-3188, Second People’s Hospital of Huai’an), Zhongming Sun (0009-0000-6612-2770, Xuzhou Medical College), Peian Lou (0000-0001-7551-0206), Xunbao Zhang (Xuzhou Medical College)
Year2022
Volume25
Issue8
Pages2188-2196
Publication date2022-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980022000763
PMID35356874
OpenAlexW4221012445
LanguageEN
References cited60

Objective: This study aimed to examine the impact of different dietary patterns on stroke outcomes among type 2 diabetes mellitus (T2DM) patients in China. Design: Participants were enrolled by a stratified random cluster sampling method in the study. After collecting dietary data using a quantified FFQ, latent class analysis was used to identify dietary patterns, and propensity score matching was used to reduce confounding effects between different dietary patterns. Binary logistic regression and conditional logistic regression were used to analyse the relationship between dietary patterns and stroke in patients with T2DM. Setting: A cross-sectional survey available from December 2013 to January 2014. Participants: A total of 13 731 Chinese residents aged 18 years or over. Results: Two dietary patterns were identified: 61·2 % of T2DM patients were categorised in the high-fat dietary pattern while 38·8 % of patients were characterised by the balanced dietary pattern. Compared with the high-fat dietary pattern, the balanced dietary pattern was associated with reduced stroke risk (OR = 0·63, 95 %CI 0·52, 0·76, P P > 0·05). Conclusions: This study provides sufficient evidence to support the dietary intervention strategies to prevent stroke effectively. Maintaining a balanced dietary pattern, especially with moderate consumption of foods rich in quality protein and fresh vegetables in T2DM patients, might decrease the risk of stroke in China

Diabetes mellitus · Intervention (counseling · Propensity score matching · Stroke (engine · Type 2 diabetes · Type 2 Diabetes Mellitus · Consumer Attitudes and Food Labeling · Dietary Effects on Health · Nutritional Studies and Diet

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Highly citedNo
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