Browse > Article

Impact of Diabetes Duration on the Cardiovascular Disease Risk Factors in Korea Type 2 DM Patients  

Hong, Hye-Sook (Department of Food and Nutrition, Ewha Womans University)
Ryu, Han-Kyoung (Department of Food and Nutrition, Ewha Womans University)
Park, Jong-Suk (Department of Internal Medicine, Yonsei University College of Medicine)
Kim, Wha-Young (Department of Food and Nutrition, Ewha Womans University)
Publication Information
Journal of Nutrition and Health / v.40, no.6, 2007 , pp. 509-516 More about this Journal
Abstract
The purpose of this study was to investigate the impact DM duration on cardiovascular disease risk factors in Korean Type 2 diabetes mellitus patients. The subject were 250 (male: 134, female: 118) Korean Type 2 DM patients recruited from a general hospital's DM clinic. Anthropometric and hematological variables and dietary intake were assessed. The subject's mean age was 60.2 years and duration of diabetes was 9.5 years. As far as DM duration was concerned, male subjects with long duration (${\geq}$ 5 years and longer) showed significantly lower weight, fat free mass, skeletal muscle mass, BMI (p < 0.05) and higher 2hrs-postprandial plasma glucose (p < 0.05) and concentration of Hemoglobin A1c (p < 0.01) compared to those with less 5years of duration. In female subjects, same trend was found. Female subjects with long duration (${\geq}$ 5 years and longer) showed significantly higher fat free mass (p < 0.05) and skeletal muscle mass (p < 0.05), Hemoglobin A1c (p < 0.01), HDL-cholesterol (p < 0.01) and triglyceride (p < 0.05), dietary intakes of protein (p < 0.05) and fat (p < 0.05) compared to those with less 5years of duration. In conclusion, Type II DM patients of long duration had higher blood lipid concentrations and higher carbohydrates intakes. Subjects followed diet prescription strictly showed lower blood lipid concentration, suggesting the effectiveness of diet to manage Type 2 DM patients.
Keywords
type 2 diabetes; cardiovascular disease risk factor; DM duration; diet prescription;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Yajnik CS, Early life origins of insulin resistance and type 2 diabetes in India and other Asian countries. J Nutr 2004; 134 (1): 205-210   DOI
2 Spijkerman AM, Dekker JM, Nijpels G, Jager A, Kostense PJ, van Hinsbergh VW, Bouter LM, Heine RJ, Stehouwer CD. Impact of diabetes duration and cardiovascular risk factors on mortality in type 2 diabetes: the Hoorn Study. Eur J Clin Invest 2002; 32(12): 924-930   DOI   ScienceOn
3 Friedwald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clim Chem 1972; 18(6): 499-502
4 Kim WY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. Korean Nutrition Soc 2003; 36(1): 83-92
5 Borch-Johnsen K, Lauritzen T, Glumer C, Sandbaek A. Screening for Type 2 diabetes--should it be now? Diabet Med 2003; 20(3): 175-181   DOI   ScienceOn
6 Kuusisto J, Mykkanen L, Pyorala K, Laakso M. NIDDM and its metabolic control predict coronary heart disease in elderly subjects. Diabetes 1994; 43(8): 960-967   DOI   ScienceOn
7 Howard BV, Cowan LD, GO O, Welty TK, Robbins DC, Lee ET. Adverse effects of diabetes on multiple cardiovascular disease risk factors in women. The Strong Heart Study. Diabetes Care 1998; 21(8): 1258-1265   DOI   ScienceOn
8 Choi YJ, Cho YM, Park CK, Jang HC, Park KS, Kim SY, Lee HK. Rapidly increasing diabetes-related mortality with socioenvironmental changes in South Korea during the last two decades. Diabetes Res Clin Pract 2006; 74(3): 295-300   DOI   ScienceOn
9 Khan HA, Sobki SH, Khan SA. Association between glycaemic control and serum lipids profile in type 2 diabetic patients: Hb- A1c predicts dyslipidaemia. Clin Exp Med 2007; 7(1): 24-29   DOI
10 Bo S, Ciccone G, Gancia R, Rosato R, Grassi G, Merletti F, Pagano GF. Mortality within the first 10 years of the disease in type 2 diabetic patients. Nutr Metab Cardiovasc Dis 2006; 16 (1): 8-12   DOI   ScienceOn
11 Kim YS. A study on the evaluation of diet-education program of diabetes. J Korean Diabetes Assoc 1986; 10(2): 191-196
12 Kim DJ, Song KE, Park JW, Cho HK, Lee KW, Huh KB. Clinical characteristics of Korean type 2 diabetic patients in 2005. Diabetes Res Clin Pract 2007; 77(3): S252-S257   DOI   ScienceOn
13 Vinik AI, Vinik E. Prevention of the complications of diabetes. Am J Manag Care 2003; 9(3): S63-80
14 Brun E, Nelson RG, Bennett PH, Imperatore G, Zoppini G, Verlato G, Muggeo M; Verona Diabetes Study. Diabetes duration and cause-specific mortality in the Verona Diabetes Study. Diabetes Care 2000; 23(8): 1119-1123   DOI   ScienceOn
15 Derr R, Garrett E, Stacy GA, Saudek CD. Is HbA(1c) affected by glycemic instability? Diabetes Care 2003; 26(10): 2728-2733   DOI   ScienceOn
16 Girach A, Manner D, Porta M. Diabetic microvascular complications: can patients at risk be identified? A review. Int J Clin Pract 2006; 60(11): 1471-1483   DOI   ScienceOn
17 Choe MA, Padilla GV, Chae YR, Kim S. Quality of life for patients with diabetes in Korea--I: the meaning of health-related quality of life. Int J Nurs Stud 2001; 38(6): 673-682   DOI   ScienceOn
18 Yun KE, Park MJ, Park HS. Lack of management of cardiovascular risk factors in type 2 diabetic patients. Int J Clin Pract 2007; 61(1): 39-44   DOI   ScienceOn
19 Uusitupa M, Laitinen J, Siitonen O, Vanninen E, Pyorala K. The maintenance of improved metabolic control after intensified diet therapy in recent type 2 Diabetes. Diabetes Res Clin Pract 1993; 19(3): 227-238   DOI   ScienceOn
20 Jang Y, Lee JH, Cho EY, Chung NS, Topham D, Balderston B. Differences in body fat distribution and antioxidant status in Korean men with cardiovascular disease with or without diabetes. Am J Clin Nutr 2001; 73(1): 68-74   DOI
21 Oh SY, Kim EM, Shin MH, Lee SH, Kim JE, Lee HS, Jo JS, Kim WY. Development & validity of food frequency questionnaire for adults, The Korean society of health promotion, annual spring conference; 2007
22 Gu K, Cowie CC, Harris MI. Mortality in adults with and without diabetes in a national cohort of the U.S. Population 1971- 1993. Diabetes Care 1998; 21(7): 1138-1145   DOI   ScienceOn
23 Park CO, Baik HY, Lee HY, Min HK. The effect of knowledge and dietary compliance on diabetic control in non-insulin dependent diabetics. J Kor Diabetes Assoc 1988; 12(1): 79-88
24 Kim TY, Um SH, Kim WY, Chang NS. Group lunch visit at the public health center improve glycemic control in older adults with type 2 diabetes mellitus. Korean Nutrition Soc 2004; 37(4): 302- 309
25 Wild S, Roglic G, Green A, Sicree R, King H, Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 2004; 27(5): 1047-1053   DOI   ScienceOn
26 Park DY, Choe SJ, Park HR, Ahn HS. A study on the sociopsychological factors influencing the dietary compliance of diabetes using questionnaire. Kor J Community Nutr 2000; 5(1): 36-49
27 Woo YJ, Lee HS, Kim WY. Individual diabetes nutrition education can help management for type II diabetes. Korean Nutrition Soc 2006; 39(7): 641-648   과학기술학회마을
28 Park JS, Lee YJ, Lim CS, Kim HJ, Park JA, Ahn CW, Lee KY, Kim HJ, Won YJ, Ha HJ, Kwak HS, Cha BS, Lim SK, Kim KR, Lee HC. Effects of Pioglitazone on cerebral Hemodynamics in Patients of Type 2 Diabetes. J Kor Diabetes Assoc 2006; 30(2): 96-103   DOI
29 Lauer RM, Clarke WP, Lee J. Factors affecting the relationship between childhood and adult cholesterol levels. The Muscatine study. Pediatrics 1988; 82(3): 309-318