Association of eating out of home and type 2 diabetes mellitus in Chinese urban workers: A nationwide study  

作　　者：Fangyan Chen Sitong Wan Jinjuan Hao Ke Sun Annan Liu Ling Zhu Shuyan Wang Jingjing He Ping Zeng 

机构地区：[1]The Key Laboratory of Geriatrics,Beijing Institute of Geriatrics,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing Hospital/National Center of Gerontology of National Health Commission,Beijing,China [2]Department of Nutrition and Health,China Agricultural University,Beijing,China [3]Hospital Administration Office,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics Medicine,Chinese Academy of Medical Sciences,Beijing,China [4]Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing,China

出　　处：《Chronic Diseases and Translational Medicine》2025年第1期69-77,共9页慢性疾病与转化医学(英文版)

基　　金：National Nutrition Science Research Grant(Grant/Award Number:CNS-NNSRG2019-234);Chinese National Key Research and Development Program during the 13th Five-year Plan Period(Grant/Award Number:2022YFC2010106);Disciplines Construction Project of Peking Union Medical College(Grant/Award Number:PUMC,201920202102);National Natural Science Foundation of China(Grant/Award Number:81971316);National High Level Hospital Clinical Research Funding(Grant/Award Number:bj-2023-72)。

摘　　要：Background:The prevalence of type 2 diabetes mellitus(T2DM)has been rapidly growing in Chinese populations in recent decades,and the shift in eating habits is a key contributing factor to this increase.Eating out of home(EOH)is one of the major shifts in eating habits during this period.However,the influence of EOH on the incidence of T2DM among Chinese urban workers is unknown.Methods:The cross-sectional study involved an analysis of 13,904 urban workers recruited from 11 health examination centers in the major cities of China to explore the relationship between EOH and T2DM between 2013 September and 2016 March.Results:Average weekly EOH frequency≥10 times was positively associated with increased incidence of T2DM in the sampled population(OR:1.31[1.11-1.54],p<0.01),most notably in participants≤45 years old(OR:1.41[1.11-1.80],p<0.01])and in males(OR:1.26[1.06-1.51],p<0.01).An EOH frequency of 5 times/week appears as a threshold for a significant increase in the odds of T2DM.Weekly EOH frequency≥5 times was associated with increased odds of T2DM in a dose-response manner in the total population and almost all subgroups(poverall association<0.05 andpnonlinearity≤0.05).Conclusion:This study showed that a frequency of EOH(≥5 times/week)was associated with a frequency-dependent increase in the odds of T2DM urban workers in China.More nutrition promotion is needed to improve the eating behavior of Chinese urban workers to reduce T2DM risk.

关 键 词：dose-response relationship eating out type 2 diabetes urban workers 

分 类 号：R587.1[医药卫生—内分泌]