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Abstract：
We aimed to examine the association between weight loss, dietary patterns, diabetes, and glycemic control among Qatari adults with a history of bariatric surgery (BS). Data from 1893 adults from the Qatar Biobank study were analyzed. Diabetes was defined by blood glucose, HbA1c, and medical history, with poor glycemic control defined as HbA1c ≥ 7.0%. The dietary patterns were derived from a Food Frequency Questionnaire using factor analysis. The participants\' mean age was 38.8 years, with a mean weight loss of 23.4% and a 6.1% prevalence of poor glycemic control. Weight loss was inversely associated with diabetes and poor glycemic control. The traditional dietary pattern (high intake of Biryani, chicken, meat, fish dishes, zaatar fatayer, croissant, lasagna, and Arabic bread) was inversely associated with diabetes prevalence, with an OR of 0.61 (95%CI, 0.41-0.99) when comparing extreme quartiles. No significant associations were found between prudent or sweet dietary patterns and diabetes. Among the individuals with known diabetes, the prevalence of remission was 33.4%, with an OR for remission of 5.94 (95%CI, 1.89-18.69) for the extreme quartiles of weight loss. In conclusion, weight loss and traditional dietary patterns are inversely associated with diabetes and glycemic control among adults with a history of BS, with weight loss being the main determinant.
摘要：
我们的目的是研究减肥之间的关系，饮食模式，糖尿病,有减肥手术史（BS）的卡塔尔成年人的血糖控制。分析了来自卡塔尔生物库研究的1893名成年人的数据。糖尿病是由血糖定义的，HbA1c,和病史,血糖控制不良定义为HbA1c≥7.0%。饮食模式来自使用因子分析的食物频率问卷。参与者的平均年龄是38.8岁,平均体重减轻23.4％，血糖控制不佳的患病率为6.1％。体重减轻与糖尿病和血糖控制不良呈负相关。传统的膳食模式(高摄入Biryani，鸡肉,肉，鱼菜,zaatarfatayer,羊角面包,千层面,和阿拉伯面包）与糖尿病患病率呈负相关，比较极端四分位数时，OR为0.61(95CI，0.41-0.99)。谨慎或甜蜜的饮食模式与糖尿病之间没有显着关联。在已知的糖尿病患者中，缓解率为33.4%,对于体重减轻的极端四分位数，OR为5.94（95CI，1.89-18.69）。总之,在有BS病史的成年人中，体重减轻和传统饮食模式与糖尿病和血糖控制呈负相关。体重减轻是主要的决定因素。
