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Influence of dietary fibre intake on diabetes and diabetic retinopathy: Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetic Study (SN-DREAM, report 26).
MedLine Citation:
PMID:  21575120     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: The present study aims to report the influence of dietary fibre intake on diabetes and diabetic microangiopathies among subjects >40 years in Urban India Design: Population-based cross sectional study. Participants: A total of 1383 patients were included in the study, 1261 diabetics and 122 controls. Methods: All subjects underwent comprehensive eye examination including assessment of diabetic retinopathy using fundus photography. Dietary fibre intake was assessed using a validated questionnaire. All questions were validated based on factor analysis (overall communalities value >0.5). The cut-off for low fibre diet was calculated by the average of study scores (≤ 32 for low fibre diet). Main Outcome Measures: Prevalence of diabetes in subjects with low fibre diet versus healthy diet and risk of microangiopathies Results: Subjects with low fibre diet intake, had 1.51 times more risk of microalbuminuria than those with a healthy fibre diet. Similarly, the odds of having diabetic retinopathy and sight-threatening diabetic retinopathy [OR 1.41(95%CI 1.02 - 1.94)and OR 2.24(95%CI 1.01 - 5.02) respectively] in low fibre diet subjects were more. Low fibre diet was consumed predominantly by lower socioeconomic status group (11.9 Vs 6.5, p = 0.002). Conclusions: Subjects with type II diabetes had a lower dietary fibre intake. The presence of diabetic retinopathy, sight-threatening diabetic retinopathy and microalbuminuria were also associated with lower dietary fibre intake.
Authors:
Suganeswari Ganesan; Rajiv Raman; Vaitheeswaran Kulothungan; Tarun Sharma
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-17
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  -     ISSN:  1442-9071     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Journal compilation © 2011 Royal Australian and New Zealand College of Ophthalmologists.
Affiliation:
Shri Bhagwan Mahavir Vitreoretinal services, 18, College Road, Sankara Nethralaya, Chennai-600 006, Tamil Nadu, India Department of Preventive Ophthalmology, 18, College Road, Sankara Nethralaya, Chennai-600 006, Tamil Nadu, India.
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