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Association between Dietary Glycemic Index and Knee Osteoarthritis: The Korean National Health and Nutrition Examination Survey 2010-2012.
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- Author(s): So, Min Wook; Lee, Sunggun ; Kim, Seong-Ho
- Source:
Journal of the Academy of Nutrition & Dietetics. Sep2018, Vol. 118 Issue 9, p1673-1686.e2. 1p.- Subject Terms:
*KNEE osteoarthritis; *CROSS-sectional method; *NATIONAL health services; *KNEE pain; *CHRONIC pain; *FOOD consumption; *MULTIPLE regression analysis; *HYPERTENSION; *QUESTIONNAIRES; *CARBOHYDRATE content of food; *AGE distribution; *SURVEYS; *LOW density lipoproteins; *GLYCEMIC index; *HEALTH outcome assessment; *CONFIDENCE intervals; *DIET; *TIME; *PHYSICAL activity; *OBESITY; *DIABETES; *DISEASE risk factors - Source:
- Additional Information
- Subject Terms:
- Abstract: Background Obesity and metabolic abnormalities are important risk factors for knee osteoarthritis (KOA). Recent epidemiologic studies have found that a high glycemic index (GI) and glycemic load (GL) diet are associated with a higher risk for metabolic complications and cardiovascular mortality. Objective We aimed to examine the association between dietary GI, dietary GL, and KOA among Korean adults. Design This was a cross-sectional study that analyzed data obtained from the Korean National Health and Nutrition Examination Survey 2010-2012. Participants/setting A total of 9,203 participants (5,275 women) aged ≥50 years were included. Main outcome measures KOA was defined as the presence of radiographic features of Kellgren-Lawrence grade ≥2. Chronic knee pain was defined as the presence of knee pain for more than 30 days during the past 3 months. Dietary information was collected using a single 24-hour recall method. Statistical analyses performed The association between the quintiles of dietary GI and dietary GL and knee conditions was analyzed using a multinomial logistic regression analysis adjusting for age, physical activity, obesity, hypertension and diabetes, serum low-density lipoprotein, and total energy intake. Results Among the women, the association between dietary GI and symptomatic KOA was: quintile 1: 1.00 (reference); quintile 2: 1.29 (95% CI 0.87 to 1.92); quintile 3: 1.59 (95% CI 1.11 to 2.28); quintile 4: 1.74 (95% CI 1.21 to 2.51); and quintile 5: 1.77 (95% CI 1.20 to 2.60) ( P =0.001). Chronic knee pain without KOA was associated with dietary GI; however, this association was not linear across quintiles. There was no significant association between dietary GI and asymptomatic KOA. Among the men, no significant association was found between dietary GI and any knee conditions. There was no significant association between dietary GL and KOA in both men and women. Conclusions There was a significant positive association between dietary GI and symptomatic KOA in women. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of the Academy of Nutrition & Dietetics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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