767-P: Family Support for Medical Nutritional Therapy and Dietary Intake among Japanese Patients with Type 2 Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 767-P
Author(s):  
CHIKA HORIKAWA ◽  
YASUNAGA TAKEDA ◽  
MARIKO HATTA ◽  
DAI ISHII ◽  
SAKIKO Y. MORIKAWA ◽  
...  
Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2649
Author(s):  
Chika Horikawa ◽  
Mariko Hatta ◽  
Sakiko Yoshizawa Morikawa ◽  
Yasunaga Takeda ◽  
Mizuki Takeuchi ◽  
...  

The aim of this study was to investigate the association between habitual dietary intake for patients with diabetes and the content of family support for medical nutritional therapy (MNT). Analyzed were 289 Japanese with type 2 diabetes (men, 58.5%; mean age, 62.0 years; mean HbA1c, 53.4 mmol/mol) who completed the Food Frequency Questionnaire and Diabetes Family Behavior Checklist (DFBC). Relationships of mean values for food group intake to DFBC responses regarding MNT were examined using multivariate analysis of covariance. Positive response to “Praise for following diet” was associated with lower sweets intake (none: 60.1 g/day; ≥once monthly: 50.9 g/day, p = 0.038) and higher seasoning intake (none: 21.6 g/day, ≥once monthly: 24.1 g/day, p = 0.046). Energy intake was higher with positive responses to “Eat at the same time that you do” (none: 1636 kcal/day, ≥once monthly: 1818 kcal/day, p = 0.038). “Nags about not following diet” was associated with higher fish (none: 68.7 g/day, ≥once monthly: 78.7 g/day, p = 0.042) and salt intake (none: 8.3 g/day, ≥once monthly: 9.0 g/day, p = 0.014). Eating foods not part of the diabetic diet (none: 218.4 g/day, ≥once monthly: 246.9 g/day, p = 0.014) resulted in a higher vegetable intake. In females, significant differences in relationships in the overall analysis were reversed. Our results clarified relationships between types of family support of patients with type 2 diabetes and their dietary intake and the importance of sex differences for more effective MNT.


2013 ◽  
Vol 5 (2) ◽  
pp. 176-187 ◽  
Author(s):  
Chika Horikawa ◽  
Yukio Yoshimura ◽  
Chiemi Kamada ◽  
Shiro Tanaka ◽  
Sachiko Tanaka ◽  
...  

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1561-P ◽  
Author(s):  
CHIKA HORIKAWA ◽  
REI AIDA ◽  
SHIRO TANAKA ◽  
SACHIKO TANAKA ◽  
CHIEMI KAMADA ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3428
Author(s):  
Mizuki Takeuchi ◽  
Chika Horikawa ◽  
Mariko Hatta ◽  
Yasunaga Takeda ◽  
Rina Nedachi ◽  
...  

Background: In order to provide effective dietary guidance, it is necessary to consider dietary intake, which can change over time. This study analyzed changes in the diet of Japanese patients with type 2 diabetes over a 20-year period. Methods: We compared the results of two dietary surveys that used the food frequency questionnaire format. The first was conducted in 1996 by the Japan Diabetes Complications Study (JDCS) (n = 1509; males 53.3%), and the second in 2014–2018 by the Japan Diabetes Clinical Data Management Study (JDDM) (n = 1145; males 65.6%). Both are nationwide representative registries of outpatients with type 2 diabetes in Japan. Results: Over a 20-year period, both men and women with type 2 diabetes had a significant increase in body mass index (BMI). Nonetheless, there was only a small change in energy intake. Conversely, there was a significant increase in fat intake and thus in the fat-to-energy ratio. With regard to food groups, there was a significant increase in meat intake and a decrease in the intake of fish, soybeans/soy products, vegetables, and fruits, with a particularly significant decrease in vegetables. Conclusions: Even in Japan, an industrialized country with a stable socioeconomic environment, there were many significant changes in the dietary intake of patients with type 2 diabetes over the 20-year period.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2107
Author(s):  
Fumie Takewaki ◽  
Hanako Nakajima ◽  
Daiki Takewaki ◽  
Yoshitaka Hashimoto ◽  
Saori Majima ◽  
...  

The aim of this research was to reveal the characteristics of gut microbiome altered by acarbose intervention in Japanese patients with type 2 diabetes (T2D) and its possible association with habitual dietary intake. Eighteen patients with T2D were administered acarbose for four weeks. The abundances of two major phyla, namely Actinobacteria and Bacteroidetes, were reciprocally changed accompanied by the acarbose intervention. There were also significant changes in the abundances of ten genera, including the greater abundance of Bifidobacterium, Eubacterium, and Lactobacillus and the lower abundance of Bacteroides in the group after the intervention than that before the intervention. Hierarchical clustering of habitual dietary intake was performed based on the pattern of changes in the gut microbiota and were classified into distinct three clusters. Cluster I consisted of sucrose, cluster II mainly included fat intake, and cluster III mainly included carbohydrate intake. Moreover, the amount of change in Faecalibacterium was positively correlated with the intake of rice, but negatively correlated with the intake of bread. The intake of potato was negatively correlated with the amount of change in Akkermansia and Subdoligranulum. Acarbose altered the composition of gut microbiome in Japanese patients with T2D, which might be linked to the habitual dietary intake.


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2078-P
Author(s):  
MARIKO HATTA ◽  
KAZUYA FUJIHARA ◽  
YASUHIRO MATSUBAYASHI ◽  
YASUNAGA TAKEDA ◽  
RINA NEDACHI ◽  
...  

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2275-PUB
Author(s):  
HIDEYUKI KABASAWA ◽  
MICHIHIRO HOSOJIMA ◽  
TOSHIKO MURAYAMA ◽  
TAKAHIRO TANAKA ◽  
SHOJI KUWAHARA ◽  
...  

2017 ◽  
Vol 9 (2) ◽  
pp. 279-285 ◽  
Author(s):  
Shinya Furukawa ◽  
Takenori Sakai ◽  
Tetsuji Niiya ◽  
Hiroaki Miyaoka ◽  
Teruki Miyake ◽  
...  

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