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Obesity, Biochemical Indices and Nutrient Intakes in Hypertensive Type Ⅱ Diabetes Mellitus

  • Jeong, Eun (Department of Food and Nutrition, Chosun University) ;
  • Ro, Hee-Kyung (Department of Food and Nutrition, Chosun University)
  • Published : 2007.09.30

Abstract

This study was conducted to find obesity, biochemical indices and nutrient intakes in type Ⅱ diabetes mellitus with hypertension in Gwangju area. Subjects were divided into two groups based on the status of hypertension. Duration of 139 normotensive type Ⅱ diabetes mellitus was $49.8{\pm}80.2$ months while that of hypertensive type Ⅱ diabetes was $79.7{\pm}95.5$ months. Anthropometric measurement revealed that subjects in both groups were in overweight determined by BMI, though there was no significant difference between two groups. Contrastingly, obesity rate and subscapular fat distribution were a good predictor to identify hypertensive group due to the significant differences between two groups, regardless of sex. Hypertensive type Ⅱ diabetes mellitus is significantly associated with more elevated cholesterol and fasting blood glucose level. Triglyceride level in the hypertensive female was prominent. Significant gender differences were shown in energy, carbohydrate, protein, Ca, Zn, vitamin $B_{6}$ and cholesterol intakes. Nutrient intakes of female normotensive group were higher than those of female hypertensive group except for riboflavin. However, different pattern on nutrient intakes in male was noted. Thus, sex is a great determinant to influence nutrient intakes in subject. Effective nutrition education program targeting type Ⅱ diabetes mellitus, especially hypertensive type Ⅱ diabetes mellitus should be developed and implemented to control blood glucose and lipidemia. It might be suggested to consider the importance different approaches of nutrition education program to both genders.

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References

  1. Bayless M, Martin C. 1998. The team approach to intensive diabetes management. Diabetes Spectrum 11: 33- 37
  2. Korea National Statistical Office. 2003. The cause of death statistic 2002 (death and death rates)
  3. Kim TH. 2006. Diabetes Newsletter. Korean Diabetes Association. Seoul, Korea. 40(1): 2
  4. Whitney E, Cataldo CB, Rolfes SR. 2002. Understanding normal and clinical nutrition. 6th ed. Wadsworth, Belmont, CA, USA
  5. Polonsky WH. 1996. Listening to our patients concerns: Understanding and addressing diabetes-specific emotional distress. Diabetes Spectrum 9: 8-11
  6. Rubin RR. 1995. Life's work they have not chosen. Diabetes Spectrum 8: 308-309
  7. Olefsky TM, Kolferman DG. 1981. Mechanism of insulin resistance in obesity and noninsulin dependent diabetes. Am J Med 70: 151-168 https://doi.org/10.1016/0002-9343(81)90422-8
  8. Battisti WP, Palmisano J, Keane WE. 2003. Dyslipidemia in patients with type 2 diabetes: relationships between lipids, kidney disease and cardiovascular disease. Clin Chem Lab Med 41: 1174-1181 https://doi.org/10.1515/CCLM.2003.181
  9. Tull ES, Thurland A, LaPorte RE, Chambers EC. 2003. Acculturation and psychosocial stress show differential relationships to insulin resistance and body fat distribution in two groups of black living in the US Virgin Islands. J Natl Med Assoc 95: 560-569
  10. WHO Expert Committe on diabetes mellitus, 2nd Report. Geneva World Health Organization. 1980. WHO Technical Report Series, No. 646. p 8-12
  11. WHO Study Group on diabetes mellitus. Geneva World Health Organization. 1985. WHO Technical Report Series, No. 727
  12. Ganda OP. 1980. Pathogenesis of microvascular disease in the human diabetic. Diabetes 29: 931-937 https://doi.org/10.2337/diab.29.11.931
  13. Korolewski AS, Warran TH, Cupples A, Gorman CK, Szabo AJ, Christlieb AR. 1985. Hypertension, orthostatic hypertension and microvasuclar complication of diabetes. J Chronic Dis 38: 319-326 https://doi.org/10.1016/0021-9681(85)90078-5
  14. Kim YK. 1990. Diabetes and hypertension. Diabetes 14: 1-3
  15. World Health Organization. 1978. Arterial Hypertension. Report of WHO Expert Committee. Geneva, World Health Organization Technical Report Series No. 628
  16. The Korean Nutrition Society. CAN-Pro 2.0 (computer Aided Nutritional Analysis program for professional 2.0)
  17. The Korean Nutrition Society. 2005. Dietary Reference Intakes For Koreans. Seoul, Korea
  18. Baik SH, Choi KM, Cho YJ, Kim KO. 2001. Prevalence of diabetes mellitus in elderly Korean in Southwest. Seoul. J Kor Diabetes Assoc 25: 125-132
  19. Harris MI, Hadden WC, Knoler WC, Bennett PH. 1987. Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in US population aged 20-70 yr. Diabetes 36: 523-526 https://doi.org/10.2337/diabetes.36.4.523
  20. Bonham GS, Brock DB. 1985. The relationship of diabetes with race, sex and obesity. Am J Clin Nutr 41: 776-783 https://doi.org/10.1093/ajcn/41.4.776
  21. Garrow JS, Webster J. 1985. Quartelet's index as a measure of fatness. Int J Obes 9: 147-153
  22. Roche AF, Siervogel RM, Chumlea WC, Webb P. 1981. Grading body fatness from limited anthropometric data. Am J Clin Nutr 34: 2831-2838 https://doi.org/10.1093/ajcn/34.12.2831
  23. Moon OR, Kim NS, Jang SM, Yoon TH, Kim SO. 1999. Relationship between BMI and prevalence of hypertension and diabetes mellitus based on national health interview survey. J Korean Acad Fam Med 20: 771-786
  24. Kim HY, Cho MS, Chang YE. 2003. Clinical Nutrition. Shinkwang Publishing Co., Seoul, Korea
  25. Ro HK, Georgiou C. 2005. Gender and age differences in dietary behaviors and food consumption pattern of Korean Americans living in Western Parts of USA. J Food Sci Nutr 10: 179-186 https://doi.org/10.3746/jfn.2005.10.2.179
  26. Ro HK, Oh KA. 2003. Gender and age differences in the nutritional status of the low income elderly living in Kwangju. Korean J Com Nutr 8: 302-310