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Article

Associations between Dietary Glycemic Index and Glycemic Load Values and Cardiometabolic Risk Factors in Adults: Findings from the China Health and Nutrition Survey

1
School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518106, China
2
Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou 510080, China
3
Guangdong Engineering Technology Center of Nutrition Transformation, Guangzhou 510080, China
*
Author to whom correspondence should be addressed.
Nutrients 2021, 13(1), 116; https://doi.org/10.3390/nu13010116
Submission received: 19 November 2020 / Revised: 28 December 2020 / Accepted: 29 December 2020 / Published: 30 December 2020

Abstract

Studies investigating the associations between dietary glycemic index (GI) and glycemic load (GL) values and cardiometabolic risk factors (CMRF) among Chinese populations are strikingly limited. To assess the associations between dietary GI and GL values and CMRF, including dyslipidemia, hyperglycemia, and hyperuricemia in Chinese adults, we extracted data of 7886 apparently healthy adults from the 2009 wave of the China Health and Nutrition Survey. Dietary GI and GL values were calculated using data collected from three consecutive 24 h dietary recalls. Fasting lipid, glucose, and uric acid concentrations were measured and CMRF were defined on the basis of established criteria. There were no significant associations between dietary GI values and CMRF, and analyzing the data by age, sex, body mass index (BMI), and region did not alter these results. Dietary GL values were positively associated with prevalence of hyperuricemia in all participants (Q4 compared with Q1: odds ratio (OR) = 1.46; 95% CI: 1.14, 1.87; p-trend = 0.0030) and prevalence of hypercholesterolemia in participants ≥ 60 years old (Q5 compared with Q1: OR = 1.72; 95% CI: 1.11, 2.68; p-trend < 0.0010). Higher dietary GL but not GI values were associated with increased prevalence of hyperuricemia in apparently healthy Chinese adults and hypercholesterolemia in older Chinese adults. Further studies are required to confirm the public health implication of these findings.
Keywords: glycemic index and glycemic load; cardiometabolic risk factor; dyslipidemia; hyperglycemia; hyperuricemia glycemic index and glycemic load; cardiometabolic risk factor; dyslipidemia; hyperglycemia; hyperuricemia

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MDPI and ACS Style

Li, M.; Cui, Z.; Meng, S.; Li, T.; Kang, T.; Ye, Q.; Cao, M.; Bi, Y.; Meng, H. Associations between Dietary Glycemic Index and Glycemic Load Values and Cardiometabolic Risk Factors in Adults: Findings from the China Health and Nutrition Survey. Nutrients 2021, 13, 116. https://doi.org/10.3390/nu13010116

AMA Style

Li M, Cui Z, Meng S, Li T, Kang T, Ye Q, Cao M, Bi Y, Meng H. Associations between Dietary Glycemic Index and Glycemic Load Values and Cardiometabolic Risk Factors in Adults: Findings from the China Health and Nutrition Survey. Nutrients. 2021; 13(1):116. https://doi.org/10.3390/nu13010116

Chicago/Turabian Style

Li, Minjuan, Zhixin Cui, Shuangli Meng, Ting Li, Tong Kang, Qi Ye, Mengting Cao, Yuxin Bi, and Huicui Meng. 2021. "Associations between Dietary Glycemic Index and Glycemic Load Values and Cardiometabolic Risk Factors in Adults: Findings from the China Health and Nutrition Survey" Nutrients 13, no. 1: 116. https://doi.org/10.3390/nu13010116

APA Style

Li, M., Cui, Z., Meng, S., Li, T., Kang, T., Ye, Q., Cao, M., Bi, Y., & Meng, H. (2021). Associations between Dietary Glycemic Index and Glycemic Load Values and Cardiometabolic Risk Factors in Adults: Findings from the China Health and Nutrition Survey. Nutrients, 13(1), 116. https://doi.org/10.3390/nu13010116

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