Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus

Maki Gouda,1 Miyuki Matsukawa,2 Hiroaki Iijima3 1Medical Intelligence Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan; 2Data Science Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Osaka,...

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Autores principales:	Gouda M, Matsukawa M, Iijima H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Eating late skipping breakfast eating snack fast eating medical claim Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/436df9dbd6864563afce59a5dd50db6f
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spelling	oai:doaj.org-article:436df9dbd6864563afce59a5dd50db6f2021-12-02T11:21:06ZAssociations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus1178-7007https://doaj.org/article/436df9dbd6864563afce59a5dd50db6f2018-10-01T00:00:00Zhttps://www.dovepress.com/associations-between-eating-habits-and-glycemic-control-and-obesity-in-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Maki Gouda,1 Miyuki Matsukawa,2 Hiroaki Iijima3 1Medical Intelligence Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan; 2Data Science Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Osaka, Japan; 3Medical Affairs Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan Purpose: To investigate the impact of poor eating habits on glycemic and metabolic control, we analyzed the associations between eating behaviors and HbA1c and body mass index (BMI) in Japanese workers with type 2 diabetes mellitus (T2DM). Subjects and methods: The Japan Medical Data Center database of workers’ medical health insurance claims was used to identify individuals with T2DM who were receiving antidiabetic medication between April 2012 and March 2015 (the primary analysis population). The database included routine medical check-up results and responses to questions on lifestyle and eating habits. Using these, we retrospectively analyzed the associations between the individuals’ eating habits and their HbA1c levels and BMIs. Results: In total, 31,722 individuals were included in the primary analysis. The mean values of HbA1c and BMI were 7.27% and 26.29 kg/m2, respectively; these tended to be higher among the younger population. Approximately 36% of the individuals regularly ate supper within 2 hours of bedtime, 14.5% regularly consumed late-night snacks, and 13.4% regularly skipped breakfast. Each of these eating habits correlated significantly with higher HbA1c and BMI. In addition, the population with two or all three of these poor dietary habits showed the highest association with HbA1c ≥7.0% and BMI ≥25 kg/m2. Approximately 38% of workers ate fast. Fast eating was significantly associated with BMI ≥25 kg/m2 but not with HbA1c ≥7.0%. Conclusion: Poor eating habits were significantly associated with poor glycemic and body weight control in Japanese workers with T2DM. Improved eating habits may help with glycemic and body weight management. Keywords: type 2 diabetes, workers, eating habits, glycemic control, obesityGouda MMatsukawa MIijima HDove Medical PressarticleEating lateskipping breakfasteating snackfast eatingmedical claimSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 11, Pp 647-658 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Eating late skipping breakfast eating snack fast eating medical claim Specialties of internal medicine RC581-951
spellingShingle	Eating late skipping breakfast eating snack fast eating medical claim Specialties of internal medicine RC581-951 Gouda M Matsukawa M Iijima H Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus
description	Maki Gouda,1 Miyuki Matsukawa,2 Hiroaki Iijima3 1Medical Intelligence Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan; 2Data Science Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Osaka, Japan; 3Medical Affairs Department, Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan Purpose: To investigate the impact of poor eating habits on glycemic and metabolic control, we analyzed the associations between eating behaviors and HbA1c and body mass index (BMI) in Japanese workers with type 2 diabetes mellitus (T2DM). Subjects and methods: The Japan Medical Data Center database of workers’ medical health insurance claims was used to identify individuals with T2DM who were receiving antidiabetic medication between April 2012 and March 2015 (the primary analysis population). The database included routine medical check-up results and responses to questions on lifestyle and eating habits. Using these, we retrospectively analyzed the associations between the individuals’ eating habits and their HbA1c levels and BMIs. Results: In total, 31,722 individuals were included in the primary analysis. The mean values of HbA1c and BMI were 7.27% and 26.29 kg/m2, respectively; these tended to be higher among the younger population. Approximately 36% of the individuals regularly ate supper within 2 hours of bedtime, 14.5% regularly consumed late-night snacks, and 13.4% regularly skipped breakfast. Each of these eating habits correlated significantly with higher HbA1c and BMI. In addition, the population with two or all three of these poor dietary habits showed the highest association with HbA1c ≥7.0% and BMI ≥25 kg/m2. Approximately 38% of workers ate fast. Fast eating was significantly associated with BMI ≥25 kg/m2 but not with HbA1c ≥7.0%. Conclusion: Poor eating habits were significantly associated with poor glycemic and body weight control in Japanese workers with T2DM. Improved eating habits may help with glycemic and body weight management. Keywords: type 2 diabetes, workers, eating habits, glycemic control, obesity
format	article
author	Gouda M Matsukawa M Iijima H
author_facet	Gouda M Matsukawa M Iijima H
author_sort	Gouda M
title	Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus
title_short	Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus
title_full	Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus
title_fullStr	Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus
title_full_unstemmed	Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus
title_sort	associations between eating habits and glycemic control and obesity in japanese workers with type 2 diabetes mellitus
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/436df9dbd6864563afce59a5dd50db6f
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Associations between eating habits and glycemic control and obesity in Japanese workers with type 2 diabetes mellitus

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