We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus.
- Authors
Granado-Casas, Minerva; Alcubierre, Nuria; Martín, Mariona; Real, Jordi; Ramírez-Morros, Anna M.; Cuadrado, Maribel; Alonso, Núria; Falguera, Mireia; Hernández, Marta; Aguilera, Eva; Lecube, Albert; Castelblanco, Esmeralda; Puig-Domingo, Manel; Mauricio, Dídac
- Abstract
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.
- Subjects
AGE distribution; ANTIOXIDANTS; BREAD; DAIRY products; PEOPLE with diabetes; ALCOHOL drinking; DIETARY fiber; FISHES; CARBOHYDRATE content of food; FAT content of food; FOOD habits; FRUIT; INGESTION; TYPE 1 diabetes; LEGUMES; MEAT; MEDICAL cooperation; MINERALS; MULTIVARIATE analysis; NUTS; SCIENTIFIC observation; OMEGA-3 fatty acids; PATIENT compliance; POTATOES; DIETARY proteins; QUESTIONNAIRES; RESEARCH; SEAFOOD; SEX distribution; VEGETABLES; VITAMINS; PSYCHOSOCIAL factors; MEDITERRANEAN diet; DIETARY sucrose
- Publication
European Journal of Nutrition, 2019, Vol 58, Issue 6, p2271
- ISSN
1436-6207
- Publication type
Article
- DOI
10.1007/s00394-018-1777-z