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Relationship between dietary niacin intake and diabetes mellitus in the National Health and Nutrition Examination Survey (NHANES) 2003-2018

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Social Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China [2]La Trobe Univ, Ctr Alcohol Policy Res, Sch Psychol & Publ Hlth, Melbourne, Vic, Australia [3]Univ Melbourne, Ctr Hlth Equ, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia [4]Hubei Univ Med, Sch Publ Hlth, Shiyan, Hubei, Peoples R China [5]Hubei Univ Med, Nursing Sch, Shiyan, Hubei, Peoples R China [6]Zhengzhou Univ, Sch Publ Hlth, Zhengzhou, Henan, Peoples R China [7]Huazhong Univ Sci & Technol, Tongji Hosp, Wuhan, Hubei, Peoples R China
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关键词: Niacin National Health and Nutrition Examination Survey Diabetes mellitus Epidemiology American

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Purposes Previous studies show inconsistent associations between niacin supplementation and diabetes mellitus (DM) in high-risk population, but little is known about the relationship between dietary intake of niacin and DM in the generation population. Our study aimed to explore the associations of dietary niacin intake with the risk of DM in the United States (US) adult population. Methods These data were derived from the National Health and Nutrition Examination Survey (NHANES) 2003-2018 of 35,606 individuals aged 20 years or older. Niacin intake and food sources were measured by two 24-h dietary recall interviews. The diagnosis of DM was established according to the American Diabetes Association (ADA) criteria. Binary logistic regression and restricted cubic spline models were applied to evaluate the association of dietary niacin intake and DM. Results Among the 35,606 individuals, the prevalence of DM was 11.47%. The full-adjusted odds ratio(aOR) of DM was 1.27(95%CI 1.06-1.52) for quartile (Q) 4 v. Q1 of dietary niacin intake. In the dose-response analysis, the shape of the association of niacin intake with the risk of DM was approximately J-shaped (non-linear, p < 0.05). Energy-adjusted niacin of 26.08 mg/day was the optimal cut-off value for predicting DM. Conclusions High dietary niacin intake was positively associated with DM among US adults.

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大类 | 3 区 医学
小类 | 3 区 精神病学
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大类 | 3 区 医学
小类 | 3 区 精神病学
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Q2 PSYCHIATRY
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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Social Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
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