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JAMA Netw Open:有妊娠糖尿病史的女性,每天饮酒 5.0 至 14.9 克可将 2 型糖尿病风险降低一半?

2021-09-15 MedSci原创 MedSci原创

2型糖尿病(T2DM)是一种慢性代谢疾病,占糖尿病患者90%以上,预防2型糖尿病是全球公共卫生工作重点。先前研究显示,与没有妊娠糖尿病史的女性相比,有妊娠糖尿病史的女性患2型糖尿病的风险增加7倍以上。

2型糖尿病(T2DM)是一种慢性代谢疾病,占糖尿病患者90%以上,预防2型糖尿病是全球公共卫生工作重点。先前研究显示,与没有妊娠糖尿病史的女性相比,有妊娠糖尿病史的女性患2型糖尿病的风险增加7倍以上。

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目前认为有不少生活方式都是引起T2DM的重要因素,特别是可改变的饮食和生活方式因素,其中包括肥胖症和超重(BMI高于25)、身体活动量不足、不健康的饮食、压力过大以及城市化的生活等,特别是轻度至中度饮酒。

近日,发表在JAMA Netw Open杂志的一项研究显示,在有妊娠糖尿病史的女性中,与不饮酒女性相比,每天饮酒 5.0 14.9 克与 2 型糖尿病风险降低 55% 相关。

这项队列研究包括护士健康研究II队列中报告有妊娠糖尿病史的妇女,并从199111日至20171231日进行随访,作为糖尿病和妇女健康研究的一部分。数据分析是在2020年至2021年。研究人员评估了患有妊娠糖尿病史的女性饮酒与 2 型糖尿病风险之间的关联。

结果显示,共纳入4740名女性,平均年龄为38.2岁,随访中位时间为24年,共随访78328人年。在此期间,共有897例确诊2型糖尿病。在调整了饮食和生活方式因素后,与不饮酒的女性相比,饮酒5.014.9/天与2型糖尿病发病风险下降有关;饮酒0.14.9/天或15.0/天或以上(最多74.2/天)与2型糖尿病风险没有关联。

有妊娠糖尿病史的女性的习惯性饮酒和 2 型糖尿病风险

在调整了体重指数后,报告饮酒量为5.0-14.9 g/d的女性患2型糖尿病的风险降低了41%,饮酒量为0.1-4.9 g/d和饮酒量为15.0 g/d或以上仍与2型糖尿病风险无关,但结果有所削弱。

总之,在这项队列研究中,观察到有妊娠糖尿病史的女性每天饮酒 5.0 14.9 克与患 2 型糖尿病的风险呈负相关。在考虑对有妊娠糖尿病史的个体女性的临床建议时,应结合饮酒的其他已知风险和益处来解释研究结果。

原始出处

Stefanie N. Hinkle, PhDWei Bao, MD, PhDJing Wu, MD, MScet al.Association of Habitual Alcohol Consumption With Long-term Risk of Type 2 Diabetes Among Women With a History of Gestational Diabetes.JAMA Netw Open. 2021;4(9):e2124669. doi:10.1001/jamanetworkopen.2021.24669

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    2022-08-14 feather89
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    2022-08-12 canlab
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    2021-09-16 水流风

    有冲突了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1729116, encodeId=ed471e2911694, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Aug 14 00:32:57 CST 2022, time=2022-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1734418, encodeId=4f2a1e34418c3, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Fri Aug 12 07:32:57 CST 2022, time=2022-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1820733, encodeId=b0181820e33e7, content=<a href='/topic/show?id=0c6a1009105e' target=_blank style='color:#2F92EE;'>#风险降低#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100910, encryptionId=0c6a1009105e, topicName=风险降低)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd18451, createdName=xre2008, createdTime=Tue Apr 12 23:32:57 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051833, encodeId=35d11051833bd, content=有冲突了, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=452d5166245, createdName=水流风, createdTime=Thu Sep 16 10:32:49 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051589, encodeId=e12d10515890c, content=看来适度喝酒也并非坏事, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 19:51:29 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052620, encodeId=d05f105262061, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Wed Sep 15 14:32:57 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052699, encodeId=6d7410526992c, content=谢谢MedSci提供最新的资讯, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=misszhang, createdTime=Wed Sep 15 14:32:57 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051474, encodeId=fc8010514e4f6, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=735f1618587, createdName=dawins, createdTime=Wed Sep 15 12:57:52 CST 2021, time=2021-09-15, status=1, ipAttribution=)]
    2021-09-15 小小的丁香花

    看来适度喝酒也并非坏事

    0

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    2021-09-15 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1729116, encodeId=ed471e2911694, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Aug 14 00:32:57 CST 2022, time=2022-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1734418, encodeId=4f2a1e34418c3, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Fri Aug 12 07:32:57 CST 2022, time=2022-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1820733, encodeId=b0181820e33e7, content=<a href='/topic/show?id=0c6a1009105e' target=_blank style='color:#2F92EE;'>#风险降低#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100910, encryptionId=0c6a1009105e, topicName=风险降低)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd18451, createdName=xre2008, createdTime=Tue Apr 12 23:32:57 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051833, encodeId=35d11051833bd, content=有冲突了, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=452d5166245, createdName=水流风, createdTime=Thu Sep 16 10:32:49 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051589, encodeId=e12d10515890c, content=看来适度喝酒也并非坏事, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 19:51:29 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052620, encodeId=d05f105262061, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Wed Sep 15 14:32:57 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052699, encodeId=6d7410526992c, content=谢谢MedSci提供最新的资讯, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=misszhang, createdTime=Wed Sep 15 14:32:57 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051474, encodeId=fc8010514e4f6, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=735f1618587, createdName=dawins, createdTime=Wed Sep 15 12:57:52 CST 2021, time=2021-09-15, status=1, ipAttribution=)]
    2021-09-15 misszhang

    谢谢MedSci提供最新的资讯

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1729116, encodeId=ed471e2911694, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Aug 14 00:32:57 CST 2022, time=2022-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1734418, encodeId=4f2a1e34418c3, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Fri Aug 12 07:32:57 CST 2022, time=2022-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1820733, encodeId=b0181820e33e7, content=<a href='/topic/show?id=0c6a1009105e' target=_blank style='color:#2F92EE;'>#风险降低#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100910, encryptionId=0c6a1009105e, topicName=风险降低)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd18451, createdName=xre2008, createdTime=Tue Apr 12 23:32:57 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051833, encodeId=35d11051833bd, content=有冲突了, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=452d5166245, createdName=水流风, createdTime=Thu Sep 16 10:32:49 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051589, encodeId=e12d10515890c, content=看来适度喝酒也并非坏事, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210804/5785b262ac614e2787c8b09e8d8ae840/5cf1162cd10d42bc817ae4b32662d7f8.jpg, createdBy=c27d4938136, createdName=小小的丁香花, createdTime=Wed Sep 15 19:51:29 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052620, encodeId=d05f105262061, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Wed Sep 15 14:32:57 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052699, encodeId=6d7410526992c, content=谢谢MedSci提供最新的资讯, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=misszhang, createdTime=Wed Sep 15 14:32:57 CST 2021, time=2021-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051474, encodeId=fc8010514e4f6, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=735f1618587, createdName=dawins, createdTime=Wed Sep 15 12:57:52 CST 2021, time=2021-09-15, status=1, ipAttribution=)]
    2021-09-15 dawins

    有意思

    0

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