Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus

Purpose We aimed to assess food intake and adherence to the Mediterranean Diet in patients with T1D compared with nondiabetic individuals. Methods This was an observational, multicenter study in 262 T1D subjects and 254 age- and sex-matched nondiabetic subjects. A validated food-frequency questionna...

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Autores: Granado Casas, Minerva, Alcubierre Calvo, Núria, Martín, Mariona, Real, Jordi, Ramírez-Morros, Anna, Cuadrado, Maribel, Alonso, Núria, Falguera, Mireia, Hernández García, Marta, Aguilera, Eva, Lecube Torelló, Albert, Castelblanco Echavarría, Esmeralda, Puig-Domingo, Manuel, Mauricio Puente, Dídac
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10459.1/64756
Acceso en línea:https://doi.org/10.1007/s00394-018-1777-z
http://hdl.handle.net/10459.1/64756
Access Level:acceso abierto
Palabra clave:Diabetis
Hàbits alimentaris
Nutrició
Diabetes
Food habits
Nutrition
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spelling Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitusGranado Casas, MinervaAlcubierre Calvo, NúriaMartín, MarionaReal, JordiRamírez-Morros, AnnaCuadrado, MaribelAlonso, NúriaFalguera, MireiaHernández García, MartaAguilera, EvaLecube Torelló, AlbertCastelblanco Echavarría, EsmeraldaPuig-Domingo, ManuelMauricio Puente, DídacDiabetisHàbits alimentarisNutricióDiabetesFood habitsNutritionPurpose We aimed to assess food intake and adherence to the Mediterranean Diet in patients with T1D compared with nondiabetic individuals. Methods This was an observational, multicenter study in 262 T1D subjects and 254 age- and sex-matched nondiabetic subjects. A validated food-frequency questionnaire was administered. The alternate Mediterranean Diet Score (aMED) and alternate Healthy Eating Index (aHEI) were assessed. The clinical variables were also collected. The analysis of data included comparisons between groups and multivariate models. Results Compared to the controls, the patients with T1D had a higher intake of dairy products (p < 0.001), processed meat (p = 0.001), fatty fish (p = 0.009), fruits and vegetables (p < 0.001), nuts (p = 0.011), legumes (p < 0.001), potatoes (p = 0.045), and bread (p = 0.045), and a lower intake of seafood (p = 0.011), sweets (p < 0.001), and alcohol drinks (p = 0.025). This intake pattern resulted in a higher consumption of complex carbohydrates (p = 0.049), fiber (p < 0.001), protein (p < 0.001), polyunsaturated fatty acids (PUFA) (p = 0.007), antioxidants (p < 0.001), vitamins (p < 0.001), and minerals (p < 0.001). The frequency of patients with T1D and low aMED score (23.2%) was lower than that of the controls (35.4%; p = 0.019). The overall multivariate analysis showed that, among other factors, being a T1D subject was associated with improved aMED and aHEI scores (p = 0.006 and p < 0.001). In patients with T1D, residing in a nonurban area was associated with improved aMED and aHEI scores (p = 0.001 and p < 0.001). Conclusions Adult patients with T1D showed healthier dietary habits and a higher adherence to the Mediterranean Diet than nondiabetic subjects. Residing in a nonurban area is associated with an improved dietary pattern.This study was supported by the Catalan Diabetes Association (Beca d’Educació Terapèutica 2015), Spain. Additional support from Grants PI12/00183 and PI15/00625 from the Instituto de Salud Carlos III (Ministry of Economy and Competitiveness, Spain) to DM is acknowledged. CIBERDEM is an initiative from the Instituto de Salud Carlos III (Plan Nacional de I + D + I and Fondo Europeo de Desarrollo Regional). MG-C holds a predoctoral fellowship from the Ministerio de Educación, Cultura y Deporte, FPU15/03005.Springer2018201820182018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.1007/s00394-018-1777-zhttp://hdl.handle.net/10459.1/64756http://hdl.handle.net/10459.1/64756reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1007/s00394-018-1777-zEuropean Journal of Nutrition, 2018cc-by (c) Granado Casas, Minerva et al., 2018info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/esoai:recercat.cat:10459.1/647562026-05-29T05:05:01Z
dc.title.none.fl_str_mv Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
title Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
spellingShingle Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
Granado Casas, Minerva
Diabetis
Hàbits alimentaris
Nutrició
Diabetes
Food habits
Nutrition
title_short Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
title_full Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
title_fullStr Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
title_full_unstemmed Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
title_sort Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus
dc.creator.none.fl_str_mv Granado Casas, Minerva
Alcubierre Calvo, Núria
Martín, Mariona
Real, Jordi
Ramírez-Morros, Anna
Cuadrado, Maribel
Alonso, Núria
Falguera, Mireia
Hernández García, Marta
Aguilera, Eva
Lecube Torelló, Albert
Castelblanco Echavarría, Esmeralda
Puig-Domingo, Manuel
Mauricio Puente, Dídac
author Granado Casas, Minerva
author_facet Granado Casas, Minerva
Alcubierre Calvo, Núria
Martín, Mariona
Real, Jordi
Ramírez-Morros, Anna
Cuadrado, Maribel
Alonso, Núria
Falguera, Mireia
Hernández García, Marta
Aguilera, Eva
Lecube Torelló, Albert
Castelblanco Echavarría, Esmeralda
Puig-Domingo, Manuel
Mauricio Puente, Dídac
author_role author
author2 Alcubierre Calvo, Núria
Martín, Mariona
Real, Jordi
Ramírez-Morros, Anna
Cuadrado, Maribel
Alonso, Núria
Falguera, Mireia
Hernández García, Marta
Aguilera, Eva
Lecube Torelló, Albert
Castelblanco Echavarría, Esmeralda
Puig-Domingo, Manuel
Mauricio Puente, Dídac
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Diabetis
Hàbits alimentaris
Nutrició
Diabetes
Food habits
Nutrition
topic Diabetis
Hàbits alimentaris
Nutrició
Diabetes
Food habits
Nutrition
description Purpose We aimed to assess food intake and adherence to the Mediterranean Diet in patients with T1D compared with nondiabetic individuals. Methods This was an observational, multicenter study in 262 T1D subjects and 254 age- and sex-matched nondiabetic subjects. A validated food-frequency questionnaire was administered. The alternate Mediterranean Diet Score (aMED) and alternate Healthy Eating Index (aHEI) were assessed. The clinical variables were also collected. The analysis of data included comparisons between groups and multivariate models. Results Compared to the controls, the patients with T1D had a higher intake of dairy products (p < 0.001), processed meat (p = 0.001), fatty fish (p = 0.009), fruits and vegetables (p < 0.001), nuts (p = 0.011), legumes (p < 0.001), potatoes (p = 0.045), and bread (p = 0.045), and a lower intake of seafood (p = 0.011), sweets (p < 0.001), and alcohol drinks (p = 0.025). This intake pattern resulted in a higher consumption of complex carbohydrates (p = 0.049), fiber (p < 0.001), protein (p < 0.001), polyunsaturated fatty acids (PUFA) (p = 0.007), antioxidants (p < 0.001), vitamins (p < 0.001), and minerals (p < 0.001). The frequency of patients with T1D and low aMED score (23.2%) was lower than that of the controls (35.4%; p = 0.019). The overall multivariate analysis showed that, among other factors, being a T1D subject was associated with improved aMED and aHEI scores (p = 0.006 and p < 0.001). In patients with T1D, residing in a nonurban area was associated with improved aMED and aHEI scores (p = 0.001 and p < 0.001). Conclusions Adult patients with T1D showed healthier dietary habits and a higher adherence to the Mediterranean Diet than nondiabetic subjects. Residing in a nonurban area is associated with an improved dietary pattern.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1007/s00394-018-1777-z
http://hdl.handle.net/10459.1/64756
http://hdl.handle.net/10459.1/64756
url https://doi.org/10.1007/s00394-018-1777-z
http://hdl.handle.net/10459.1/64756
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1007/s00394-018-1777-z
European Journal of Nutrition, 2018
dc.rights.none.fl_str_mv cc-by (c) Granado Casas, Minerva et al., 2018
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
rights_invalid_str_mv cc-by (c) Granado Casas, Minerva et al., 2018
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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