Intakes of Zinc, Potassium, Calcium, and Magnesium of Individuals with Type 2 Diabetes Mellitus and the Relationship with Glycemic Control
The role of the concomitant intake of zinc, potassium, calcium, and magnesium in the glycemic control of individuals with type 2 diabetes mellitus (T2DM) has not been extensively discussed. We evaluated the relationship between the dietary intake of these micronutrients and glycemic markers in 95 in...
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Published in | Nutrients Vol. 10; no. 12; p. 1948 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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08.12.2018
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Abstract | The role of the concomitant intake of zinc, potassium, calcium, and magnesium in the glycemic control of individuals with type 2 diabetes mellitus (T2DM) has not been extensively discussed. We evaluated the relationship between the dietary intake of these micronutrients and glycemic markers in 95 individuals with T2DM (mean age 48.6 ± 8.4 years). Hierarchical grouping analysis was used to divide the individuals into two clusters according to their micronutrient intake, and differences between clusters were statistically assessed. Effects of individual and combination intake of micronutrients on glycated hemoglobin percentage (%HbA1c) were assessed using multiple linear regression and binary logistic regression analysis. We observed a high likelihood of inadequate intake of the four micronutrients. The group with lower micronutrient intake (cluster 1) displayed higher %HbA1c (
= 0.006) and triglyceride (
= 0.010) levels. High %HbA1c showed an association with cluster 1 (odds ratio (OR) = 3.041, 95% confidence interval (CI) = 1.131; 8.175) and time of T2DM diagnosis (OR = 1.155, 95% CI = 1.043; 1.278). Potassium (β = -0.001,
= 0.017) and magnesium (β = -0.007,
= 0.015) intakes were inversely associated with %HbA1c. Reduced concomitant intake of the four micronutrients studied proved to be associated with risk of increased %HbA1c in individuals with T2DM, which was particularly predicted by magnesium and potassium intakes. |
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AbstractList | The role of the concomitant intake of zinc, potassium, calcium, and magnesium in the glycemic control of individuals with type 2 diabetes mellitus (T2DM) has not been extensively discussed. We evaluated the relationship between the dietary intake of these micronutrients and glycemic markers in 95 individuals with T2DM (mean age 48.6 ± 8.4 years). Hierarchical grouping analysis was used to divide the individuals into two clusters according to their micronutrient intake, and differences between clusters were statistically assessed. Effects of individual and combination intake of micronutrients on glycated hemoglobin percentage (%HbA1c) were assessed using multiple linear regression and binary logistic regression analysis. We observed a high likelihood of inadequate intake of the four micronutrients. The group with lower micronutrient intake (cluster 1) displayed higher %HbA1c (
= 0.006) and triglyceride (
= 0.010) levels. High %HbA1c showed an association with cluster 1 (odds ratio (OR) = 3.041, 95% confidence interval (CI) = 1.131; 8.175) and time of T2DM diagnosis (OR = 1.155, 95% CI = 1.043; 1.278). Potassium (β = -0.001,
= 0.017) and magnesium (β = -0.007,
= 0.015) intakes were inversely associated with %HbA1c. Reduced concomitant intake of the four micronutrients studied proved to be associated with risk of increased %HbA1c in individuals with T2DM, which was particularly predicted by magnesium and potassium intakes. The role of the concomitant intake of zinc, potassium, calcium, and magnesium in the glycemic control of individuals with type 2 diabetes mellitus (T2DM) has not been extensively discussed. We evaluated the relationship between the dietary intake of these micronutrients and glycemic markers in 95 individuals with T2DM (mean age 48.6 ± 8.4 years). Hierarchical grouping analysis was used to divide the individuals into two clusters according to their micronutrient intake, and differences between clusters were statistically assessed. Effects of individual and combination intake of micronutrients on glycated hemoglobin percentage (%HbA1c) were assessed using multiple linear regression and binary logistic regression analysis. We observed a high likelihood of inadequate intake of the four micronutrients. The group with lower micronutrient intake (cluster 1) displayed higher %HbA1c (p = 0.006) and triglyceride (p = 0.010) levels. High %HbA1c showed an association with cluster 1 (odds ratio (OR) = 3.041, 95% confidence interval (CI) = 1.131; 8.175) and time of T2DM diagnosis (OR = 1.155, 95% CI = 1.043; 1.278). Potassium (β = −0.001, p = 0.017) and magnesium (β = −0.007, p = 0.015) intakes were inversely associated with %HbA1c. Reduced concomitant intake of the four micronutrients studied proved to be associated with risk of increased %HbA1c in individuals with T2DM, which was particularly predicted by magnesium and potassium intakes. The role of the concomitant intake of zinc, potassium, calcium, and magnesium in the glycemic control of individuals with type 2 diabetes mellitus (T2DM) has not been extensively discussed. We evaluated the relationship between the dietary intake of these micronutrients and glycemic markers in 95 individuals with T2DM (mean age 48.6 ± 8.4 years). Hierarchical grouping analysis was used to divide the individuals into two clusters according to their micronutrient intake, and differences between clusters were statistically assessed. Effects of individual and combination intake of micronutrients on glycated hemoglobin percentage (%HbA1c) were assessed using multiple linear regression and binary logistic regression analysis. We observed a high likelihood of inadequate intake of the four micronutrients. The group with lower micronutrient intake (cluster 1) displayed higher %HbA1c (p = 0.006) and triglyceride (p = 0.010) levels. High %HbA1c showed an association with cluster 1 (odds ratio (OR) = 3.041, 95% confidence interval (CI) = 1.131; 8.175) and time of T2DM diagnosis (OR = 1.155, 95% CI = 1.043; 1.278). Potassium (β = -0.001, p = 0.017) and magnesium (β = -0.007, p = 0.015) intakes were inversely associated with %HbA1c. Reduced concomitant intake of the four micronutrients studied proved to be associated with risk of increased %HbA1c in individuals with T2DM, which was particularly predicted by magnesium and potassium intakes. The role of the concomitant intake of zinc, potassium, calcium, and magnesium in the glycemic control of individuals with type 2 diabetes mellitus (T2DM) has not been extensively discussed. We evaluated the relationship between the dietary intake of these micronutrients and glycemic markers in 95 individuals with T2DM (mean age 48.6 ± 8.4 years). Hierarchical grouping analysis was used to divide the individuals into two clusters according to their micronutrient intake, and differences between clusters were statistically assessed. Effects of individual and combination intake of micronutrients on glycated hemoglobin percentage (%HbA1c) were assessed using multiple linear regression and binary logistic regression analysis. We observed a high likelihood of inadequate intake of the four micronutrients. The group with lower micronutrient intake (cluster 1) displayed higher %HbA1c ( p = 0.006) and triglyceride ( p = 0.010) levels. High %HbA1c showed an association with cluster 1 (odds ratio (OR) = 3.041, 95% confidence interval (CI) = 1.131; 8.175) and time of T2DM diagnosis (OR = 1.155, 95% CI = 1.043; 1.278). Potassium (β = −0.001, p = 0.017) and magnesium (β = −0.007, p = 0.015) intakes were inversely associated with %HbA1c. Reduced concomitant intake of the four micronutrients studied proved to be associated with risk of increased %HbA1c in individuals with T2DM, which was particularly predicted by magnesium and potassium intakes. |
Author | Brandão-Lima, Paula Nascimento Pires, Liliane Viana Santos, Beatriz da Cruz Carvalho, Gabrielli Barbosa de Barbosa, Kiriaque Barra Ferreira Dias-Vasconcelos, Natalia Lohayne Rocha, Vivianne de Sousa Santos, Ramara Kadija Fonseca |
AuthorAffiliation | 1 Health Sciences Postgraduate Program, Department of Medicine, Federal University of Sergipe, Rua Cláudio Batista, S/N, Cidade Nova, Aracaju, 49060-108 Sergipe, Brazil; paulanblima@gmail.com (P.N.B.-L.); kiribarra@yahoo.com.br (K.B.F.B.) 4 Department of Nutrition, Federal University of Sergipe, Avenida Governador Marcelo Déda, 13, Centro, Lagarto, 49400-000 Sergipe, Brazil; viviannesrocha@gmail.com 3 Undergraduate Nutrition Program, Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil; cruz14_bia@outlook.com (B.d.C.S.); diaslohayne@gmail.com (N.L.D.-V.) 2 Nutrition Sciences Postgraduate Program, Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil; gabicarvalho_31@hotmail.com (G.B.d.C.); rkadijanutri@gmail.com (R.K.F.S.) |
AuthorAffiliation_xml | – name: 1 Health Sciences Postgraduate Program, Department of Medicine, Federal University of Sergipe, Rua Cláudio Batista, S/N, Cidade Nova, Aracaju, 49060-108 Sergipe, Brazil; paulanblima@gmail.com (P.N.B.-L.); kiribarra@yahoo.com.br (K.B.F.B.) – name: 2 Nutrition Sciences Postgraduate Program, Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil; gabicarvalho_31@hotmail.com (G.B.d.C.); rkadijanutri@gmail.com (R.K.F.S.) – name: 3 Undergraduate Nutrition Program, Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil; cruz14_bia@outlook.com (B.d.C.S.); diaslohayne@gmail.com (N.L.D.-V.) – name: 4 Department of Nutrition, Federal University of Sergipe, Avenida Governador Marcelo Déda, 13, Centro, Lagarto, 49400-000 Sergipe, Brazil; viviannesrocha@gmail.com |
Author_xml | – sequence: 1 givenname: Paula Nascimento orcidid: 0000-0002-0949-361X surname: Brandão-Lima fullname: Brandão-Lima, Paula Nascimento email: paulanblima@gmail.com organization: Health Sciences Postgraduate Program, Department of Medicine, Federal University of Sergipe, Rua Cláudio Batista, S/N, Cidade Nova, Aracaju, 49060-108 Sergipe, Brazil. paulanblima@gmail.com – sequence: 2 givenname: Gabrielli Barbosa de surname: Carvalho fullname: Carvalho, Gabrielli Barbosa de email: gabicarvalho_31@hotmail.com organization: Nutrition Sciences Postgraduate Program, Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil. gabicarvalho_31@hotmail.com – sequence: 3 givenname: Ramara Kadija Fonseca surname: Santos fullname: Santos, Ramara Kadija Fonseca email: rkadijanutri@gmail.com organization: Nutrition Sciences Postgraduate Program, Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil. rkadijanutri@gmail.com – sequence: 4 givenname: Beatriz da Cruz surname: Santos fullname: Santos, Beatriz da Cruz email: cruz14_bia@outlook.com organization: Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil. cruz14_bia@outlook.com – sequence: 5 givenname: Natalia Lohayne surname: Dias-Vasconcelos fullname: Dias-Vasconcelos, Natalia Lohayne email: diaslohayne@gmail.com organization: Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil. diaslohayne@gmail.com – sequence: 6 givenname: Vivianne de Sousa surname: Rocha fullname: Rocha, Vivianne de Sousa email: viviannesrocha@gmail.com organization: Department of Nutrition, Federal University of Sergipe, Avenida Governador Marcelo Déda, 13, Centro, Lagarto, 49400-000 Sergipe, Brazil. viviannesrocha@gmail.com – sequence: 7 givenname: Kiriaque Barra Ferreira surname: Barbosa fullname: Barbosa, Kiriaque Barra Ferreira email: kiribarra@yahoo.com.br, kiribarra@yahoo.com.br, kiribarra@yahoo.com.br organization: Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil. kiribarra@yahoo.com.br – sequence: 8 givenname: Liliane Viana orcidid: 0000-0003-1710-0836 surname: Pires fullname: Pires, Liliane Viana email: lvianapires@gmail.com, lvianapires@gmail.com organization: Department of Nutrition, Federal University of Sergipe, Avenida Marechal Rondon, S/N, Jardim Rosa Elze, São Cristovão, 49100-000 Sergipe, Brazil. lvianapires@gmail.com |
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ContentType | Journal Article |
Copyright | 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2018 by the authors. 2018 |
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SubjectTerms | Adult Biosynthesis Blood Glucose - physiology Blood pressure Body fat Body mass index Calcium Cluster analysis Confidence intervals Cross-Sectional Studies Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - epidemiology Diet - statistics & numerical data Dietary intake Dietary minerals Enzymes Female Food Glucose Glycated Hemoglobin - analysis glycated hemoglobin A Hemoglobin Homeostasis Humans Hyperglycemia Insulin Magnesium Male Metabolism Metals - analysis Micronutrients Micronutrients - analysis Middle Aged Overweight Peptides Potassium Regression analysis Statistical analysis trace elements Triglycerides Zinc |
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Title | Intakes of Zinc, Potassium, Calcium, and Magnesium of Individuals with Type 2 Diabetes Mellitus and the Relationship with Glycemic Control |
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