Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Zinc status and dietary quality of type 2 diabetic patients: implication of physical activity level

  • Published : 2008.03.31
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Abstract

The purpose of this study was to analyze the relationships among zinc status, diet quality, glycemic control and self-rated physical activity level of type 2 diabetic patients. Dietary intakes for two non-consecutive days were measured by 24-hour recall method for seventy-six diabetic patients. Fasting blood glucose and HbA1c were measured for the assessment of glycemic control. We evaluated the extent of dietary adequacy by the percentage of subjects with a dietary intake of a nutrient less than the estimated average requirement(EAR), the dietary diversity score(DDS) and the dietary variety score(DVS). Zinc status was assessed from serum levels and urinary excretion. Dietary inadequacy was serious for five nutrients: riboflavin, calcium, thiamin, zinc and vitamin C. Dietary intakes from the meat, fish, and egg food groups and the milk food group were below the recommended level. We found that subjects with high levels of physical activities had significantly higher DVS and serum zinc levels compared to others (p

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References

  1. American Diabetes Association (2002). Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. J Am Diet Assoc 102:109-118 https://doi.org/10.1016/S0002-8223(02)90031-3
  2. Chausmer AB (1998). Zinc, Insulin and Diabetes. J Am Coll Nutr 17:109-115 https://doi.org/10.1080/07315724.1998.10718735
  3. Choi YJ, Kim SY, Jung KA & Chang YK (2000). An assessment of diet quality in the postmenopausal women. The Korean Journal of Nutrition 33:304-313
  4. Cunningham JJ, Fu A,Mearkle PL & Brown RG (1994). Hyperzincuria in individuals with insulin-dependent diabetes mellitus: concurrent zinc status and the effect of high-dose zinc supplementation. Metabolism 43:1558-1562 https://doi.org/10.1016/0026-0495(94)90016-7
  5. De Mello VD, Zelmanovitz T, Perassolo MS, Azevedo MJ & Gross JL (2006). Withdrawal of red meat from the usual diet reduces albuminuria and improves serum fatty acid profile in type 2 diabetes patients with no albuminuria. Am J Clin Nutr 83:1032- 1038 https://doi.org/10.1093/ajcn/83.5.1032
  6. Drewnoski A, Henderson SA, Shore AB, Fishler C, Preziosi P & Hercberg S (1996). Dietary quality and dietary diversity in France implications for the French paradox. J Am Diet Assoc 96:663-669 https://doi.org/10.1016/S0002-8223(96)00185-X
  7. Eckel RH (2006). A new look at dietary protein in diabetes. Am J Clin Nutr 78:671-672
  8. Hawk PB, Oser BL & Summerson WH (1954). Practical Physiolog Chemistry. 13th ed. 899 Blakston Co.,Toronto, Canada
  9. Kant AK (1996). Indexes of overall dietary quality: a review. J Am Diet Assoc 96:785-791 https://doi.org/10.1016/S0002-8223(96)00217-9
  10. Kazi TG, Afridi HI, Kazi N, Jamali MK, Arain MB, Jalbani N & Kandhro GA(2008). Copper, chromium, manganese, iron, nickel, and zinc levels in biological samples of diabetes mellitus patients. Biol Trace Elem Res 122:1-18 https://doi.org/10.1007/s12011-007-8062-y
  11. Kim YI, Choi CS, Kim SW, Lee JS, Kim HH, Lee MS, Lee SI, Park JY, Hong SK & Lee KU (1998). Prevalence of Diabetes Mellitus and impaired glucose tolerance in Korean adults living in Jungup District, South Korea. Journal of Korean Diabetes Association 22:363-371
  12. Kinlaw WB, Levine AS, Morley JE, Silivis SE & McClain CJ (1983). Abnormal zinc metabolism in type II diabetes mellitus. Am J Med 75:273-277 https://doi.org/10.1016/0002-9343(83)91205-6
  13. Korean Food Research Institute (1998). Handbook of portion size for food intake research. Gyeonggi. Republic of Korea
  14. Korean Nutrition Society (2005). Dietary Reference intakes for Koreans, Hanareum Printing, Seoul. Republic of Korea
  15. Kwun IS & Kwon CS (2000). Dietary molar ratios of phytate: zinc and millimolar ratios of phytate x calcium: zinc in South Koreans. Biol Trace Elem Res 75:29-41 https://doi.org/10.1385/BTER:75:1-3:29
  16. Lee JH, Lee HJ, Lee IK & Yoon JS (2005). Zinc and copper status of middle- and old-aged woman in type 2 diabetes. The Korean Journal of Nutrition 38:56-66
  17. Levine AS, McClain CJ, Handwerger BS, Brown DM, Morley JE.(1983). Tissue zinc status of genetically diabetic and streptozotocin- induced diabetic mice. Am J Clin Nutr 37:382-386 https://doi.org/10.1093/ajcn/37.3.382
  18. LOnnerdal B (2000). Dietary factors influencing zinc absorption J Nutr 130:1378-1383
  19. Ministry of Health & Welfare (2006). Report on 2005 National health and nutritional survey. Seoul. Republic of Korea
  20. Ministry of Health & Welfare (2007). Symposium on In-Depth Analysis on 2005 National health and nutritional survey. Seoul. Republic of Korea
  21. Mooradian AD & Morley JE (1987). Micronutrient status in diabetes mellitus. Am J Clin Nutr 45:877-895 https://doi.org/10.1093/ajcn/45.5.877
  22. Pidduck HG, Wren PJJ & Price Evans DA (1970). The hyperzincuria of diabetes mellitus and possible genetic implications of this observation. Diabetes 19:240-247 https://doi.org/10.2337/diab.19.4.240
  23. Roth H & Kirchgessner M (1981). Zinc and insulin metabolism. Biol Trace Elem Res 3:13-32 https://doi.org/10.1007/BF02789121
  24. Salgueiro MJ, Krebs N, Zubillaga MB, Weill R, Postaire E, Lysionek AE, Caro RA, Paoli TD, Hager A & Boccio J (2001). Zinc and Diabetes Mellitus. Is there a need of zinc supplementation in diabetes mellitus patients? Biol Trace Elem Res 81:215-228 https://doi.org/10.1385/BTER:81:3:215
  25. Vuori IM (2001). Health benefits of physical activity with special reference to interaction with diet. Public Health Nutr 4:517-528
  26. Wallenberg-Henriksson H, Rincon J & Zierath J (1998). Exercise in the management of non-insulin-dependent diabetes mellitus. Sports Med 25:25-35 https://doi.org/10.2165/00007256-199825010-00003
  27. Yoon JS & Lee JH (2007). A suggestion to improve zinc status of type 2 diabetic women: relation among zinc, protein and phytate intake. Journal of Korean Dietetic Association 13:301-310