Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78)
Abstract Objective: To evaluate the association between dietary fibre intake and obesity in Japanese outpatients with type 2 diabetes, as well as the demographic and dietary factors influencing this association. Design: Cross-sectional study with nationwide registry data on Japanese type 2 diabe...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S136898002500014X/type/journal_article |
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| author | Efrem d’Avila Ferreira Mariko Hatta Khin Laymon Izumi Ikeda Mizuki Takeuchi Yasunaga Takeda Sakiko Yoshizawa Morikawa Chika Horikawa Noriko Kato Hiroshi Maegawa Kazuya Fujihara Hirohito Sone Japan Diabetes Clinical Data Management Study Group (JDDM study group) |
| author_facet | Efrem d’Avila Ferreira Mariko Hatta Khin Laymon Izumi Ikeda Mizuki Takeuchi Yasunaga Takeda Sakiko Yoshizawa Morikawa Chika Horikawa Noriko Kato Hiroshi Maegawa Kazuya Fujihara Hirohito Sone Japan Diabetes Clinical Data Management Study Group (JDDM study group) |
| author_sort | Efrem d’Avila Ferreira |
| collection | DOAJ |
| description |
Abstract
Objective:
To evaluate the association between dietary fibre intake and obesity in Japanese outpatients with type 2 diabetes, as well as the demographic and dietary factors influencing this association.
Design:
Cross-sectional study with nationwide registry data on Japanese type 2 diabetes outpatients (2014–2019). Diet was self-reported via a FFQ. Obesity was defined as BMI ≥ 25 kg/m2.
Setting:
Clinics throughout Japan.
Participants:
1565 Japanese outpatients with type 2 diabetes (63·1 % men; age range 30–89 years).
Results:
Multivariate analysis revealed that a higher dietary fibre intake was associated with a lower risk of obesity in all participants (95 % CI = 0·439, 0·795, P trend = 0·002). Stratified analysis showed a significant inverse association between fibre intake and obesity in men and the older age groups (59–89 years), but not in women or the younger age group (30–58 years). In men, higher fibre intake was associated with healthier lifestyle behaviours, including increased physical activity (P < 0·001) and non-smoking (P < 0·001), with stronger associations compared with women. Vegetables, fruits and soyabeans/soya products were strongly correlated with fibre, while grains had a weak correlation. Folate was the micronutrient most strongly correlated with fibre.
Conclusion:
Higher fibre intake was associated with lower obesity risk, particularly in men and older age groups. These findings emphasise the need for targeted public health initiatives promoting the intake of diverse fibre-rich foods to effectively manage obesity. Further research is needed to understand sex- and age-specific factors in the fibre–obesity relationship in diverse populations.
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| format | Article |
| id | doaj-art-1f1943dc30b341faaad45e76c1f08b6c |
| institution | DOAJ |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-1f1943dc30b341faaad45e76c1f08b6c2025-08-20T03:01:11ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S136898002500014XDemographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78)Efrem d’Avila Ferreira0https://orcid.org/0000-0003-0901-3804Mariko Hatta1https://orcid.org/0009-0006-3804-916XKhin Laymon2https://orcid.org/0009-0005-9185-7812Izumi Ikeda3https://orcid.org/0000-0003-4724-9607Mizuki Takeuchi4https://orcid.org/0009-0008-3452-6218Yasunaga Takeda5https://orcid.org/0000-0002-1071-8417Sakiko Yoshizawa Morikawa6https://orcid.org/0000-0002-1657-3140Chika Horikawa7https://orcid.org/0000-0003-4213-0252Noriko Kato8https://orcid.org/0000-0003-2540-8048Hiroshi Maegawa9https://orcid.org/0000-0002-4611-8149Kazuya Fujihara10https://orcid.org/0000-0001-6725-4169Hirohito Sone11https://orcid.org/0000-0003-1263-2817Japan Diabetes Clinical Data Management Study Group (JDDM study group)Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, Japan Department of Health and Nutrition, Niigata University of Health and Welfare, 1398 Shimami-cho, Kita-ku, Niigata 950-3198, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, JapanDepartment of Food and Nutrition, Tokushima Bunri University Faculty of Human Life Science, Nishihama, Yamashiro-cho, Tokushima 770-8514, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, Japan Department of Health and Nutrition, University of Niigata Prefecture Faculty of Human Life Studies, 471 Ebigase, Higashi-ku, Niigata 950-8680, JapanKato Clinic of Internal Medicine, 201, 3-11-14 Talasago, Katsushika-ku, Tokyo 125-0054, JapanDepartment of Medicine, Division of Diabetology, Endocrinology and nephrology, Shiga University of Medical Science, Seta Tsukonowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, JapanDepartment of Hematology, Endocrinology and Metabolism, Niigata University Faculty Medicine, 1-757 Asahimachi-dori, Chuoh-ku, Niigata 951-8510, Japan Abstract Objective: To evaluate the association between dietary fibre intake and obesity in Japanese outpatients with type 2 diabetes, as well as the demographic and dietary factors influencing this association. Design: Cross-sectional study with nationwide registry data on Japanese type 2 diabetes outpatients (2014–2019). Diet was self-reported via a FFQ. Obesity was defined as BMI ≥ 25 kg/m2. Setting: Clinics throughout Japan. Participants: 1565 Japanese outpatients with type 2 diabetes (63·1 % men; age range 30–89 years). Results: Multivariate analysis revealed that a higher dietary fibre intake was associated with a lower risk of obesity in all participants (95 % CI = 0·439, 0·795, P trend = 0·002). Stratified analysis showed a significant inverse association between fibre intake and obesity in men and the older age groups (59–89 years), but not in women or the younger age group (30–58 years). In men, higher fibre intake was associated with healthier lifestyle behaviours, including increased physical activity (P < 0·001) and non-smoking (P < 0·001), with stronger associations compared with women. Vegetables, fruits and soyabeans/soya products were strongly correlated with fibre, while grains had a weak correlation. Folate was the micronutrient most strongly correlated with fibre. Conclusion: Higher fibre intake was associated with lower obesity risk, particularly in men and older age groups. These findings emphasise the need for targeted public health initiatives promoting the intake of diverse fibre-rich foods to effectively manage obesity. Further research is needed to understand sex- and age-specific factors in the fibre–obesity relationship in diverse populations. https://www.cambridge.org/core/product/identifier/S136898002500014X/type/journal_articleObesityDietary fibreVegetablesJapanese |
| spellingShingle | Efrem d’Avila Ferreira Mariko Hatta Khin Laymon Izumi Ikeda Mizuki Takeuchi Yasunaga Takeda Sakiko Yoshizawa Morikawa Chika Horikawa Noriko Kato Hiroshi Maegawa Kazuya Fujihara Hirohito Sone Japan Diabetes Clinical Data Management Study Group (JDDM study group) Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78) Public Health Nutrition Obesity Dietary fibre Vegetables Japanese |
| title | Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78) |
| title_full | Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78) |
| title_fullStr | Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78) |
| title_full_unstemmed | Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78) |
| title_short | Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes: a cross-sectional study (JDDM 78) |
| title_sort | demographic and dietary determinants of the association between dietary fibre intake and obesity in japanese adults with type 2 diabetes a cross sectional study jddm 78 |
| topic | Obesity Dietary fibre Vegetables Japanese |
| url | https://www.cambridge.org/core/product/identifier/S136898002500014X/type/journal_article |
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