報 文, 要旨 CATPCA C C CATPCA C C キーワード 対象と方法 1. 対象 E-mail: tanakakkyoto-wu.ac.jp
2. 調査内容 3. 臨床検査 4. 統計処理 SPSS.J Mann-Whitney t χ Spearman ns categorical principal component analysis nonlinear principal component analysis principal component analysispca PCA 表 1..
PCA CATPCA 結果 1. 対象者の特性 C C C BMI BMI. kg/m 2. 両群間における食品と料理の選択 C C C C n 表 2 C n C n / / / / ns a.... b kg... ns c... BMI kg/m... ns b HbAc JDS...... ns b LDL-C mg/dl... ns b HDL-C mg/dl... ns b TG mg/dl. ns c..... c... ns c... ns a ns a SMBG ns a SD p a χ b t c Mann-Whitney ns p 図 1 χ p p p 図 2 χ p p p
3. 食品の認識と栄養素の群との関係 CATPCA C C CATPCA C C 4. 料理の認識と栄養素の群との関係 C C CATPCA C C CAT- PCA CATPCA 表 3CAT- PCA.... CATPCA CATPCA 表 4CAT- PCA.... CATPCA CATPCA
図 3CATPCA 図 4CATPCA
CATPCA C r pc 5. 高炭水化物食品および料理の正しい認識の要因の検討 BMIHbAc SMBG SMBG 考察 C C C C C C C C 表 5 β BMI HbAc SMBG C C R. p p 表 6 BMI HbAc SMBG C C R β.. p p
BMI. kg/m C C CATPCA PCA CATPCA CATPCA C C C C CATPCA C C C C SMBG SMBG SMBG C C C C HbAc C C VASVisual Analog Scale.. CATPCA
PCA CATPCA 文献 DECODE Study Group, the European Diabetes Epidemiology Group Glucose tolerance and cardiovascular mortality. Comparison of fasting and -hour diagnostic criteria. Arch Intern Med 161:. Tominaga M, Eguchi H, Manaka H, Igarashi K, Kato T, Sekikawa A Impaired lucose tolerance is a risk factor for cardiovascular disease, but not impaired fasting glucose. The Funagata Diabetes Study. Diabetes Care 22:. Rodriguez BL, Abbott RD, Fujimoto W, Waitzfelder B, Chen R, Masaki K, Schatz I, Petrovitch H, Ross W, Yano K, Blanchette P, Curb JD The American Diabetes Association and World Health Organization classifications for diabetes: their impact on diabetes prevalence and total and cardiovascular disease mortality in elderly Japanese-American men. Diabetes Care 25:. Ello-Martin JA, Roe LS, Ledikwe JH, Beach AM, Rolls BJ Dietary energy density in the treatment of obesity: a year-long trial comparing weight-loss diets. Am J Clin Nutr 85:. Ledikwe JH, Blanck HM, Kettel Khan L, Serdula MK, Seymour JD, Tohill BC, Rolls BJ Dietary energy density is associated with energy intake and weight status in US adults. Am J Clin Nutr 83:. 54: Duke SA, Colagiuri S, Colagiuri R Individual patient education for people with type diabetes mellitus. Cochrane Database Syst Rev 21: CD. Koontz MB, Cuttler L, Palmert MR, ORiordan M, Borawski EA, McConnell J, Kern EO Development and validation of a questionnaire to assess carbohydrate and insulin-dosing knowledge in youth with type diabetes. Diabetes Care 33:
J Jpn Soc Nutr Food Sci66: Original Paper Perception of the Relative Potency of Various Foods and Meals for Increasing the Blood Glucose Level in Patients with Diabetes Mellitus: A Study Based on Categorical Principal Component Analysis Ayano Fujii, Kenichiro Shide, Miharu Eguchi, Keiko Wada, Kyoko Kitaura, Kana Mizumoto, Akiko Kuwabara, Nobuya Inagaki, and Kiyoshi Tanaka, Received September, ; Accepted November, Summary: For diabetic patients, it is essential to have an accurate awareness of food intake in order to maintain an adequate body weight, and the relative potency of various foods and meals for increasing the level of blood glucose BG. The latter, however, has been little studied. In the present investigation using a questionnaire, we examined whether diabetic patients had some perception of the BG-raising potency of various nutrients, foods and meals, and analyzed the results by categorical principal component analysis CATPCA. Among the subjects, correctly selected carbohydrate as the main BG-raising nutrient C-group. C-group subjects selected carbohydrate-rich foods and meals, whereas non-c subjects selected lipid-rich foods and meals. CATPCA revealed a significant correlation between the carbohydrate-rich foods component, and carbohydrate-rich meals component in the C-group, but not in the non-c-group. Thus, non-c subjects, who had a misconception about BG-raising nutrients, were also inconsistent in their recognition of BG-raising foods and meals. In summary, knowledge of BG-raising nutrients, foods, and meals was unsatisfactory in a substantial percentage of the diabetic patients, a fact which must be borne in mind by dietitians. Key words: diabetes mellitus, medical nutritional therapy, blood glucose, carbohydrate, categorical principal component analysis Corresponding author E-mail: tanakakkyoto-wu.ac.jp Department of Food and Nutrition, Kyoto Womens University, Imakumano-kitahiyoshicho, Higashiyama, Japan Department of Metabolism and Clinical Nutrition, Shogoin-kawaharacho, Sakyo, Japan Department of Health and Nutrition, Osaka Shoin Womens University, Hishiya-nishi, Higashiosaka, Japan Department of Diabetes and Clinical Nutrition, Shogoin-kawaharacho, Sakyo, Japan