Padrão de consumo de café e monitoramento de riscos associados ao diabetes tipo 2, obesidade e dislipidemias na população adulta do Distrito Federal e entorno

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

Objective: coffee is a functional food that has been associated with risk reductions of various non-communicable diseases and injuries, including diabetes. Since differences in dietary habits are known modifying factors in the epidemiology of diabetes, this study aimed to describe the pattern of coffee consumption and its association with the occurrence of type 2 diabetes, controlled by the occurrence of obesity and dyslipidemia in adult population of the Federal District and surroundings, and also to verify the pattern of response to meal glucose tolerance test with 75 g carbohydrate, associated with the pattern of coffee consumption. Methods: Study 1 - cross-sectional study conducted by telephone interview (n = 1440). A random sample of residential and mobile phone number was used. Multivariate analysis was performed, controlling for socio-behavioral, family history of obesity and chronic diseases. A model of hierarchical regression and Poisson regression were used to verify protection against type-2 diabetes and coffee consumption. The independent variables that remained in the final model, after inclusion of hierarchical levels, were: first level - the age and marital status; second level antecedents of diabetes and dyslipidaemia; third level - smoking, supplement intake, body mass index; and fourth level - coffee intake (≤ 100 mL / d, 101 to 400 mL / d, and>400 mL / d). Study 2 - cross-sectional study with 67 volunteers with or without parental history of type 2 diabetes, who underwent a meal glucose tolerance test. A multivariate analysis with repeated measures using a mixed effects model was performed. Results: Study 1 - After adjusting for confounding variables in the hierarchical model, consumers of 101 to 400ml of coffee per day had a prevalence 2.7% (p = 0.04) of not having diabetes than those who drank ≤ 100 ml coffee / day. Compared with coffee intake of ≤ 100 mL / day, consumers of>400 mL coffee per day showed no statistically significant difference in the prevalence of diabetes. Study 2 - there was no difference between the average levels of insulin and glucose over time, between the two groups of coffee drinkers (≤ 400 mL and consumers of >400 mL of coffee per day), when controlled by family history, age and body mass index. Separately, peak insulin and glucose levels were higher in individuals with a history of diabetes, regardless of the amount of coffee consumed, age and weight excess. Conclusions: Thus, moderate consumption of coffee seems to protect against the occurrence Type 2 diabetes in this population. This is the first study to show a relationship between coffee consumption and diabetes in our population.

ASSUNTO(S)

diabetes tipo 2 type 2 diabetes coffee consumption dislipidemias consumo de café índice de massa corporal estilo de vida ciencias da saude dyslipidaemia body mass index lifestyle

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