Adopting a High-Polyphenolic Diet Is Associated with an Improved Glucose Profile

Previous studies suggested that dietary polyphenols could reduce the incidence and complications of type-2 diabetes (T2D); although the evidence is still limited and inconsistent. This work analyzes whether changing to a diet with a higher polyphenolic content is associated with an improved glucose...

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Autores: Tresserra-Rimbau, Anna|||0000-0002-7022-9041, Castro Barquero, Sara|||0000-0002-6876-5443, Becerra-Tomás, Nerea|||0000-0002-4429-6507, Babio, Nancy|||0000-0003-3527-5277, Martínez González, Miguel Ángel|||0000-0002-3917-9808, Corella, Dolores|||0000-0002-2366-4104, Fitó, Montserrat|||0000-0002-1817-483X, Romaguera, Dora|||0000-0002-5762-8558, Vioque, Jesús|||0000-0002-2284-148X, Alonso-Gómez, Ángel María|||0000-0003-2945-7509, Wärnberg, Julia|||0000-0002-8408-316X, Martínez, J. Alfredo|||0000-0001-5218-6941, Serra-Majem, Luís|||0000-0002-9658-9061, Estruch, Ramón|||0000-0003-1260-4445, Tinahones, Francisco J.|||0000-0001-6871-4403, Lapetra, José|||0000-0002-3873-5737, Pintó, Xavier|||0000-0002-2216-2444, Tur, Josep Antonio|||0000-0002-6940-0761, López-Miranda, José|||0000-0002-8844-0718, Cano-Ibáñez, Naomi|||0000-0002-3640-5486, Delgado-Rodríguez, Miguel, Matía-Martín, Pilar|||0000-0001-9844-3755, Daimiel, Lidia|||0000-0001-9898-6629, Martín, Vicente|||0000-0003-0552-2804, Vidal, Josep|||0000-0002-4564-4518, Vázquez, Clotilde, Ros, Emilio|||0000-0002-2573-1294, Basterra Gortari, Francisco Javier|||0000-0002-1506-2349, Fernández de la Puente, María, Asensio, Eva Maria|||0000-0003-4558-0988, Castañer, Olga|||0000-0003-3169-997X, Bullón-Vela, Vanessa|||0000-0003-3639-821X, Tojal-Sierra, Lucas|||0000-0001-5338-9601, Gómez-Gracia, Enrique, Cases-Pérez, Eugenio, Konieczna, Jadwiga|||0000-0002-2947-1338, García-Rios, Antonio|||0000-0001-7320-9006, Casañas-Quintana, Tamara, Bernal-Lopez, María Rosa|||0000-0002-0238-0890, Santos-Lozano, José Manuel, Esteve-Luque, Virginia|||0000-0002-7631-8301, Bouzas, Cristina|||0000-0002-1407-8461, Vázquez-Ruiz, Zenaida|||0000-0002-6828-9627, Palau Galindo, Antoni|||0000-0002-2512-0872, Barragán, Rocío|||0000-0001-8072-3791, López Grau, Mercè, Razquín, Cristina|||0000-0003-3480-2645, Goicolea-Güemez, Leire, Toledo, Estefania|||0000-0002-6263-4434, Vergaz, Manel Vila, Lamuela-Raventós, Rosa M.|||0000-0002-1287-4560, Salas-Salvadó, Jordi|||0000-0003-2700-7459
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:256096
Acceso en línea:https://ddd.uab.cat/record/256096
https://dx.doi.org/urn:doi:10.3390/antiox11020316
Access Level:acceso abierto
Palabra clave:Antioxidants
Mediterranean diet
Flavonoids
Phenolic acids
Obesity
Glucose
HbA1c
Glycosylated hemoglobin
Metabolic syndrome
Descripción
Sumario:Previous studies suggested that dietary polyphenols could reduce the incidence and complications of type-2 diabetes (T2D); although the evidence is still limited and inconsistent. This work analyzes whether changing to a diet with a higher polyphenolic content is associated with an improved glucose profile. At baseline, and at 1 year of follow-up visits, 5921 participants (mean age 65.0 ± 4.9, 48.2% women) who had overweight/obesity and metabolic syndrome filled out a validated 143-item semi-quantitative food frequency questionnaire (FFQ), from which polyphenol intakes were calculated. Energy-adjusted total polyphenols and subclasses were categorized in tertiles of changes. Linear mixed-effect models with random intercepts (the recruitment centers) were used to assess associations between changes in polyphenol subclasses intake and 1-year plasma glucose or glycosylated hemoglobin (HbA1c) levels. Increments in total polyphenol intake and some classes were inversely associated with better glucose levels and HbA1c after one year of follow-up. These associations were modified when the analyses were run considering diabetes status separately. To our knowledge, this is the first study to assess the relationship between changes in the intake of all polyphenolic groups and T2D-related parameters in a senior population with T2D or at high-risk of developing T2D.