Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet
Alcubierre, Nuria (Avantmedic (Lleida))
Granado-Casas, Minerva (Institut de Recerca Biomèdica de Lleida)
Real, Jordi (Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas)
Perpiñán, Hèctor (Conselleria de Sanitat Universal i Salut Pública, Generalitat Valenciana)
Rubinat, Esther (Universitat de Lleida)
Falguera, Mireia (Institut Català de la Salut)
Castelblanco, Esmeralda (Institut d'Investigació Biomèdica Sant Pau)
Franch-Nadal, Josep (Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas)
Mauricio, Didac (Universitat Autònoma de Barcelona. Departament de Medicina)

Data:	2020
Resum:	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.
Ajuts:	Ministerio de Ciencia e Innovación PS09/01035 Instituto de Salud Carlos III FI11/0008 Ministerio de Educación, Cultura y Deporte FPU15/03005
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Type 2 diabetes ; Dietary quality index ; Medical nutrition therapy ; Dietary pattern ; Mediterranean diet ; Healthy eating
Publicat a:	Nutrients, Vol. 12 (february 2020) , ISSN 2072-6643

DOI: 10.3390/nu12020560
PMID: 32093385

13 p, 960.1 KB

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