Comparison of Nutrient Intake in Obese and Non-obese Non-insulin-dependent Diabetes Mellitus Patients

비만 및 비비만 인슐린 비의존형 당뇨병환자의 영양소 섭취량 비교 분석

  • Received : 2013.09.24
  • Accepted : 2013.10.21
  • Published : 2013.10.30


This study compared the nutrient intake of obese versus non-obese non-insulin dependent diabetes mellitus (NIDDM) patients for Diabetes Medical Nutrition Therapy. The study was conducted at medical hospitals in Gyeonggi and Seoul from April 2009 to November 2009. Fifty-six adult male NIDDM patients were enrolled and divided into two groups: 36 into an obese group (BMI ${\geq}25$) and 20 into a non-obese group (BMI<25). To conduct this study, anthropometric measurements, and daily nutrient intake of obese and non-obese NIDDM patients were measured. Daily nutrient intake was estimated by 24hr-recall and analyzed by the CAN program. In the results, anthropometric measurements of the two groups showed significant differences in weight and BMI (p<0.001). Daily nutrient intake of the two groups showed no significant differences, except for vitamin E intake (p<0.05). The total energy intake of the non-obese and obese groups were $2,669.9{\pm}964$ kcal and $2,555.4{\pm}803$ kcal, respectively, which were both above 113% of the recommended Dietary Reference Intakes for Korean (KDRIs). Cholesterol and sodium intake were $378.1{\pm}215.6$ mg and $6,478.9{\pm}2755.1$ mg, respectively for the non-obese group. Cholesterol and sodium intake were $308.1{\pm}155.6$ mg and $6,306.8{\pm}2788.9$ mg, respectively, for the obese group. Both groups were above 150% of the recommended levels set by the Korean Diabetes Association (KDA). However, their antioxidant nutrient intake was appropriate. Meanwhile, their fiber intake was $10.7{\pm}5.1$ g and $9.8{\pm}5.2$ g, respectively, which was lower than 40% of the recommended intake set by the KDA. The results show that the nutritional education for obese and non-obese NIDDM male patients must aim to reduce total energy, cholesterol, and sodium intake, while increasing fiber intake. In addition, the factors related to a patient's glycosylated hemoglobin, serum lipids, blood pressure, and weight change must be calibrated for the appropriate energy, fat, cholesterol, sodium, and dietary fiber intake.


Diabetes Mellitus;obese;non-obese;nutrients intake


  1. American Diabetes Association [internet]. 2013. Nutrition Therapy Recommendations for the management of adults with diabetes. Alexandria: American Diabetes Association, (Accessed on 9 Oct, 2013)
  2. Aydin A, Orhan H, Sayal A, Ozata M, Sahin G, Isimer A. 2001. Oxidative stress and nitric oxide related parameters in Type II diabetes mellitus: effects of glycemic control. Clin Biochem, 34(1):65-70
  3. Azadbakht L, Fard NR, Karimi M. 2011. Effects of the Dietary Approaches to Stop Hypertension eating plan on cardiovascular risks among type 2 diabetic patients. Diabetes Care, 34:55-57
  4. Chandalia M, Garg A, Luthohann D, Bergmann K, Grundy SM, Brinkley LJ. 2000. Beneficial effects of a high dietary fiber intake in patients with type 2 diabetes. New Eng J Med, 342:1392-1398
  5. Korean Diabetes Association. 2011. Clinical Practice Guideline. J Korean Diabetes Assoc, 12:51-57
  6. Metz JA, Stern JS, Kris EP, Reusser ME, Morris CD, Hatton CD, Oparil S, Haynes RB, Resnick LM, Clark S, Chester L. 2000. A randomized trial of improved weight loss with a prepared meal plan in overweiht and obese patients: impact on cardiovascular risk reduction. Arch Intern Med, 160:2150-2158
  7. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. 2008. Comparison of dietary Behaviors Related to Sodium Intake by Gender and Age. Korea J Community Nutrition, 13(1):1-12
  8. Post RE, Mainous AG, King DE, Simpson KN. 2012. Dietary fiber for the treatment of type 2 diabetes mellitus: a meta analysis. J Am Board Fam Med, 25:16-23
  9. Slavin JL. 2008. Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc, 108:1716-1731
  10. Song MS, Song KH, Ko SH, Ahn YB, Kim JS, Shin JH, Cho YK, Yoon KH, Cha BY, Son HY, Lee DH. 2005. The long term effect of a structured diabetes education program for uncontrolled type 2 diabetes mellitus patients. Korean Diabetes J, 29(2):140-150
  11. Suckling RJ, He FJ, Macgregor GA. 2010. Altered dietary salt intake for preventing and treating diabetic kidney disease. Cochrane Database Syst Rev, 12:CD006763
  12. Tanasescu M, Cho E, Manson JE, Hu FB. 2004. Dietary fat and cholesterol and the risk of cardiovascular disease among women with type 2 diabetes. Am J Clin Nutr 79:999-1005
  13. The Korean Nutrition Society. 2010. Dietary reference intakes for Koreans. Seoul. The Korean Nutrition Society
  14. Torgerson JS, Hauptman J, Boldrin MN, Sjostrom L. 2004. Xenical in the prevention of Diabetes in Obese Subjects study. Diabetes Care, 27:155-161
  15. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2010. Dietary Guidelines for Americans