Association between dietary fibre:carbohydrate intake ratio and insulin resistance in Japanese adults without type 2 diabetes
Open accessAbstract
An easily understandable index that measures the quality of carbohydrate may aid people in adopting dietary habits that improve their glucose tolerance. We aimed to evaluate the relationship between a ratio of dietary fibre to carbohydrate intakes (fibre:carbohydrate ratio (F:C-R)) and glucose tolerance cross-sectionally and longitudinally. Subjects were 190 Japanese men and women without type 2 diabetes (mean age 55·4 years) who participated in a 5-month diet and exercise programme. We compared baseline anthropometric, dietary and metabolic profiles between those with higher F:C-R and those with lower ratios. Multivariable regression analyses were performed to examine the associations between the F:C-R and homoeostasis model of assessment for insulin resistance (HOMA-IR) and HbA1c at baseline and between changes in the F:C-R and changes in HOMA-IR and HbA1c over the 5-month period. At baseline, the higher F:C-R group had significantly lower body weight, lean body mass, fasting insulin level and HOMA-IR as compared with the lower F:C-R group. The two groups had similar intakes of carbohydrate and fat, whereas protein intake was greater in the high F:C-R group. Baseline F:C-R was not significantly associated with HOMA-IR or HbA1c at the beginning of the study in multivariable models. Increases in the ratio during the 5-month programme was associated with reductions in HbA1c (P<0·001). These findings highlight the potential utility of the F:C-R in strategies aimed at type 2 diabetes prevention.
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In a Japanese cohort without T2D, increases in the ratio of dietary fibre to carbohydrate intake over 5 months were significantly associated with a reduction in HbA1C.
“Increases in the ratio of dietary fibre to carbohydrate intake during the 5-month period of the study associated significantly with a reduction in HbA1C [37].”
From The Health Benefits of Dietary Fibre (2020) · cites this paper as [37]
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- Authors
- Morimoto, N., Kasuga, C., Tanaka, A., Kamachi, K., Ai, M., Urayama, K. Y., & Tanaka, A.
- Affiliations
- Tokyo Medical and Dental University (JP)
- Japan Nutrition University (JP)
- St. Luke's International University (JP)
- Corresponding author
- Tanaka, Akira
- Venue
- British Journal of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2018-03-19
- Volume
- 119
- Issue
- 6
- Pages
- 620-628
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- OpenAlex
- W2792001874
- Semantic Scholar
- cafe40eb112f0a026f8a023464fd117bbe105e0d
- Cited by
- 26
- References
- 50
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 1
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal Of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- dietary fiber, carbohydrate intake, insulin resistance, glucose tolerance, HbA1c, type 2 diabetes prevention, diet quality index, protein intake, diet and exercise intervention, Japanese adults
- MeSH terms
- Adult, Aged, Blood Glucose, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Diet, Dietary Carbohydrates, Dietary Fiber, Female, Glycated Hemoglobin, Humans, Insulin, Insulin Resistance, Life Style, Longitudinal Studies, Male, Middle Aged, Body Mass Index, Asian People, Young Adult
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