Study On The Prevalence Of Type 2 Diabetes And Its Relationship With Dietary Patterns In Adult Mongolians In A Certain Area Of Zhalut Banner

Objectives: Type 2 diabetes and impaired fasting glucose are closely related to diet.Improvements in the prevalence of type 2 diabetes and impaired fasting blood glucose can now be achieved through effective intervention diets.Therefore,analyzing the influence of diet on the occurrence and development of type 2 diabetes will help to provide theoretical basis for formulating dietary guidelines,nutrition improvement policies and proposing type 2 diabetes control measures.Methods: This survey is a cross-sectional survey,using cluster random sampling to sample Mongolian people over 18 years of age in the agricultural and pastoral areas of Zhalute Banner,and using a questionnaire to investigate the general situation and behavior habits of the research subjects,collecting food frequency with the food frequency questionnaire;Performing a physical examination,collecting blood samples to detect blood lipids,and calculating the prevalence of diabetes and fasting blood sugar damage were explored,and Factor analysis is used to extract dietary patterns.Partial correlation analysis was used to analyze the relationship between dietary patterns and various indicators,and multi-class Logistic regression was used to analyze the correlation between dietary patterns and type 2 diabetes.Results:(1)(1)A total of 790 subjects were included in this study.The total prevalence of T2 DM in the survey population was 10.76%,of which the prevalence of T2 DM in men was 11.9%,the prevalence of T2 DM in women was 10.0%;the prevalence of IFG was 9.11%,The prevalence of IFG in male and female were 10.9% and 7.9% respectively;the prevalence of T2 DM standardization was 10.97%,and the prevalence of IFG standardization was 9.43%.(2)In the analysis of dietary patterns,males extracted 4 dietary patterns,namely,poultry fast food high-energy dietary patterns,Inner Mongolian special dietary patterns,bacterial and algal nut dietary patterns and alcohol-rich high-vitamin dietary patterns;females extracted 3 Dietary patterns,including fish,shrimp,fungi and algae dietary patterns,instant nut high protein dietary patterns,and Inner Mongolian special dietary patterns.(3)The risk of T2 DM in the Q2 quantile of male poultry fast food high energy diet is 0.223 times that of the lowest quartile Q4,and there are still differences after adjustment of other factors(OR = 0.221,OR95% CI: 0.058 ～ 0.851);and Compared with the normal reference group,the highest quantile Q1 of male poultry fast-food high-energy dietary patterns was not adjusted(OR = 0.215,OR95% CI: 0.058 ～ 0.795)and adjusted for other factors(OR = 0.208,OR95% CI: 0.055).～ 0.784)all showed significant differences.There is a correlation among the fast-food diet pattern of poultry and minerals,energy,and protein,which is a protective factor for the risk of T2DM;it is negatively correlated with HDL-CH(r =-0.132,P = 0.020).In women’s fast-nut high-protein diet,the highest scores Q1 and Q3 showed significant differences before and after adjustment.Multivariate analysis showed that Q1 was 0.302 times more likely to have T2 DM than Q4(OR = 0.302,OR95% CI: 0.121 ～ 0.75).The risk of T2 DM in Q3 was 0.356 times that of Q4(OR = 0.356,OR95% CI: 0.143 ～ 0.889).Fast nut high protein diet patterns are related to nutrients such as minerals,proteins,and vitamins,and are protective factors for the risk of T2 DM.In single factor analysis,the highest quartile of female fish,shrimp,and algae diet patterns is at risk for impaired fasting blood glucose in Q1.It is 0.133 times the lowest quantile Q4.The multivariate model shows that the difference is still significant(OR = 0.131,OR95% CI: 0.029 ～ 0.595).There is a correlation between the diet pattern of fish,shrimp,algae and minerals and protein.Independent protective factors against the risk of disease.Conclusion: Type 2 diabetes and diabetes prevalence are severe in agricultural and pastoral areas of Zhalut Banner.The fast-food diet of male poultry is rich in nutrients,such as minerals,energy,and proteins,and the high-protein diet of fast-food nuts in women is rich in nutrients,such as protein and minerals,and it may reduce the risk of T2DM;fish,shrimp,algae diet pattern are independent protective factor for the risk of impaired fasting blood glucose in women in this area.