Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet

The aim of this study was to assess the dietary pattern (i.e., Mediterranean Diet (MedDiet) and healthy eating) in people with type 2 diabetes (T2D) compared with those without diabetes. In addition, we explored clinical factors associated with the dietary pattern. This cross-sectional study was per...

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Autores: Alcubierre Calvo, Núria, Granado Casas, Minerva, Real, Jordi, Perpiñán, Hèctor, Rubinat, Esther, Falguera, Mireia, Castelblanco Echavarría, Esmeralda, Franch-Nadal, Josep, Mauricio Puente, Dídac
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/70718
Acceso en línea:https://doi.org/10.3390/nu12020560
http://hdl.handle.net/10459.1/70718
Access Level:acceso abierto
Palabra clave:Type 2 diabetes
Dietary quality index
Medical nutrition therapy
Dietary pattern
Mediterranean diet
Healthy eating
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spelling Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean DietAlcubierre Calvo, NúriaGranado Casas, MinervaReal, JordiPerpiñán, HèctorRubinat, EstherFalguera, MireiaCastelblanco Echavarría, EsmeraldaFranch-Nadal, JosepMauricio Puente, DídacType 2 diabetesDietary quality indexMedical nutrition therapyDietary patternMediterranean dietHealthy eatingThe aim of this study was to assess the dietary pattern (i.e., Mediterranean Diet (MedDiet) and healthy eating) in people with type 2 diabetes (T2D) compared with those without diabetes. In addition, we explored clinical factors associated with the dietary pattern. This cross-sectional study was performed with a sample of 476 participants (238 with T2D and 238 participants without diabetes, matched for age and sex). The alternate Mediterranean Diet (aMED) score and the alternate Healthy Eating Index (aHEI) were calculated. Statistical analysis included comparison between groups and multivariable models. Participants with T2D showed higher aMED and aHEI scores (mean (SD): 4.3 (1.5) and 43.9 (6.5), respectively) in comparison with the control group (3.5 (1.8) and 39.4 (7.4), respectively; p < 0.001). In addition, a higher proportion of participants with T2D in higher tertiles of aMED (21.8%) and aHEI (39.9%) was observed compared with participants without diabetes (11.3% for the aMED, and 19.3% for the aHEI; p < 0.001). The adjusted multivariable analysis revealed that T2D (p < 0.001), increasing age (p = 0.006 and p = 0.030, respectively), and physical activity (p = 0.009) were positively associated with higher aMED and aHEI scores. Dyslipidemia and female gender were positively associated with aMED and aHEI (p = 0.031 and p < 0.001, respectively). The specific multivariable analysis for the group with T2D yielded a positive association of age (p < 0.001) and dyslipidemia (p = 0.021) with aMED. Regarding the aHEI, only female gender was positively related with this score in diabetes participants (p = 0.025). Participants with T2D showed a higher adherence to the MedDiet and a healthier eating pattern.This study was supported by the Spanish Ministry of Health, Instituto de Salud Carlos III (ISCIII) (PS09/01035) and the Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol). N.A. and M.G-C. held a predoctoral fellowship from ISCIII (FI11/0008) and Ministerio de Educación, Cultura y Deporte (FPU15/03005), respectively. CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM) is an initiative from the Instituto de Salud Carlos III (Plan Nacional de I + D + I and Fondo Europeo de Desarrollo Regional).MDPI2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.3390/nu12020560http://hdl.handle.net/10459.1/70718reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a https://doi.org/10.3390/nu12020560Nutrients, 2020, vol. 12, núm. 2, p. 560cc-by (c) Alcubierre et al., 2020info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:repositori.udl.cat:10459.1/707182026-06-24T12:42:17Z
dc.title.none.fl_str_mv Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
title Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
spellingShingle Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
Alcubierre Calvo, Núria
Type 2 diabetes
Dietary quality index
Medical nutrition therapy
Dietary pattern
Mediterranean diet
Healthy eating
title_short Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
title_full Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
title_fullStr Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
title_full_unstemmed Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
title_sort Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
dc.creator.none.fl_str_mv Alcubierre Calvo, Núria
Granado Casas, Minerva
Real, Jordi
Perpiñán, Hèctor
Rubinat, Esther
Falguera, Mireia
Castelblanco Echavarría, Esmeralda
Franch-Nadal, Josep
Mauricio Puente, Dídac
author Alcubierre Calvo, Núria
author_facet Alcubierre Calvo, Núria
Granado Casas, Minerva
Real, Jordi
Perpiñán, Hèctor
Rubinat, Esther
Falguera, Mireia
Castelblanco Echavarría, Esmeralda
Franch-Nadal, Josep
Mauricio Puente, Dídac
author_role author
author2 Granado Casas, Minerva
Real, Jordi
Perpiñán, Hèctor
Rubinat, Esther
Falguera, Mireia
Castelblanco Echavarría, Esmeralda
Franch-Nadal, Josep
Mauricio Puente, Dídac
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Type 2 diabetes
Dietary quality index
Medical nutrition therapy
Dietary pattern
Mediterranean diet
Healthy eating
topic Type 2 diabetes
Dietary quality index
Medical nutrition therapy
Dietary pattern
Mediterranean diet
Healthy eating
description The aim of this study was to assess the dietary pattern (i.e., Mediterranean Diet (MedDiet) and healthy eating) in people with type 2 diabetes (T2D) compared with those without diabetes. In addition, we explored clinical factors associated with the dietary pattern. This cross-sectional study was performed with a sample of 476 participants (238 with T2D and 238 participants without diabetes, matched for age and sex). The alternate Mediterranean Diet (aMED) score and the alternate Healthy Eating Index (aHEI) were calculated. Statistical analysis included comparison between groups and multivariable models. Participants with T2D showed higher aMED and aHEI scores (mean (SD): 4.3 (1.5) and 43.9 (6.5), respectively) in comparison with the control group (3.5 (1.8) and 39.4 (7.4), respectively; p < 0.001). In addition, a higher proportion of participants with T2D in higher tertiles of aMED (21.8%) and aHEI (39.9%) was observed compared with participants without diabetes (11.3% for the aMED, and 19.3% for the aHEI; p < 0.001). The adjusted multivariable analysis revealed that T2D (p < 0.001), increasing age (p = 0.006 and p = 0.030, respectively), and physical activity (p = 0.009) were positively associated with higher aMED and aHEI scores. Dyslipidemia and female gender were positively associated with aMED and aHEI (p = 0.031 and p < 0.001, respectively). The specific multivariable analysis for the group with T2D yielded a positive association of age (p < 0.001) and dyslipidemia (p = 0.021) with aMED. Regarding the aHEI, only female gender was positively related with this score in diabetes participants (p = 0.025). Participants with T2D showed a higher adherence to the MedDiet and a healthier eating pattern.
publishDate 2020
dc.date.none.fl_str_mv 2020
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/10.3390/nu12020560
http://hdl.handle.net/10459.1/70718
url https://doi.org/10.3390/nu12020560
http://hdl.handle.net/10459.1/70718
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/10.3390/nu12020560
Nutrients, 2020, vol. 12, núm. 2, p. 560
dc.rights.none.fl_str_mv cc-by (c) Alcubierre et al., 2020
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c) Alcubierre et al., 2020
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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