Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus: The Fukuoka Diabetes Registry

Hiroki Fujii, Masanori Iwase, Toshiaki Ohkuma, Shinako Ogata-Kaizu, Hitoshi Ide, Yohei Kikuchi, Yasuhiro Idewaki, Tamaki Joudai, Yoichiro Hirakawa, Kazuhiro Uchida, Satoshi Sasaki, Udai Nakamura, Takanari Kitazono

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Background: Dietary fiber is beneficial for the treatment of type 2 diabetes mellitus, although it is consumed differently in ethnic foods around the world. We investigated the association between dietary fiber intake and obesity, glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese type 2 diabetic patients. Methods. A total of 4,399 patients were assessed for dietary fiber intake using a brief self-administered diet history questionnaire. The associations between dietary fiber intake and various cardiovascular risk factors were investigated cross-sectionally. Results: Body mass index, fasting plasma glucose, HbA1c, triglyceride and high-sensitivity C-reactive protein negatively associated with dietary fiber intake after adjusting for age, sex, duration of diabetes, current smoking, current drinking, total energy intake, fat intake, saturated fatty acid intake, leisure-time physical activity and use of oral hypoglycemic agents or insulin. The homeostasis model assessment insulin sensitivity and HDL cholesterol positively associated with dietary fiber intake. Dietary fiber intake was associated with reduced prevalence of abdominal obesity, hypertension and metabolic syndrome after multivariate adjustments including obesity. Furthermore, dietary fiber intake was associated with lower prevalence of albuminuria, low estimated glomerular filtration rate and chronic kidney disease after multivariate adjustments including protein intake. Additional adjustments for obesity, hypertension or metabolic syndrome did not change these associations. Conclusion: We demonstrated that increased dietary fiber intake was associated with better glycemic control and more favorable cardiovascular disease risk factors including chronic kidney disease in Japanese type 2 diabetic patients. Diabetic patients should be encouraged to consume more dietary fiber in daily life.

Original languageEnglish
Article number159
JournalNutrition Journal
Volume12
Issue number1
DOIs
Publication statusPublished - Dec 11 2013

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Dietary Fiber
Chronic Renal Insufficiency
Type 2 Diabetes Mellitus
Registries
Social Adjustment
Obesity
Hypertension
Albuminuria
Leisure Activities
Energy Intake
Glomerular Filtration Rate
Hypoglycemic Agents
C-Reactive Protein
HDL Cholesterol
Drinking
Insulin Resistance
Fasting
Triglycerides
Body Mass Index
Homeostasis

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus : The Fukuoka Diabetes Registry. / Fujii, Hiroki; Iwase, Masanori; Ohkuma, Toshiaki; Ogata-Kaizu, Shinako; Ide, Hitoshi; Kikuchi, Yohei; Idewaki, Yasuhiro; Joudai, Tamaki; Hirakawa, Yoichiro; Uchida, Kazuhiro; Sasaki, Satoshi; Nakamura, Udai; Kitazono, Takanari.

In: Nutrition Journal, Vol. 12, No. 1, 159, 11.12.2013.

Research output: Contribution to journalArticle

Fujii, Hiroki ; Iwase, Masanori ; Ohkuma, Toshiaki ; Ogata-Kaizu, Shinako ; Ide, Hitoshi ; Kikuchi, Yohei ; Idewaki, Yasuhiro ; Joudai, Tamaki ; Hirakawa, Yoichiro ; Uchida, Kazuhiro ; Sasaki, Satoshi ; Nakamura, Udai ; Kitazono, Takanari. / Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus : The Fukuoka Diabetes Registry. In: Nutrition Journal. 2013 ; Vol. 12, No. 1.
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AU - Iwase, Masanori

AU - Ohkuma, Toshiaki

AU - Ogata-Kaizu, Shinako

AU - Ide, Hitoshi

AU - Kikuchi, Yohei

AU - Idewaki, Yasuhiro

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AU - Hirakawa, Yoichiro

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