Mediterranean Diet Adherence in Individuals with Prediabetes and Unknown Diabetes: The Di@bet.es Study

被引：20

作者：

Ortega, E. ^{[1
,2
]}

Franch, J. ^{[3
]}

Castell, C. ^{[4
]}

Goday, A. ^{[5
]}

Ribas-Barba, L. ^{[6
]}

Soriguer, F. ^{[1
,7
]}

Vendrell, J. ^{[1
,8
]}

Casamitjana, R. ^{[1
,2
]}

Bosch-Comas, A. ^{[1
,2
]}

Bordiu, E. ^{[13
]}

Calle-Pascual, A. ^{[13
]}

Carmena, R. ^{[1
,10
]}

Castano, L. ^{[1
,11
]}

Catala, M. ^{[1
,10
]}

Delgado, E. ^{[12
]}

Gaztambide, S. ^{[1
,11
]}

Girbes, J. ^{[9
]}

Lopez-Alba, A. ^{[14
]}

Martinez-Larrad, M. T. ^{[1
]}

Menendez, E. ^{[12
]}

Mora-Peces, I. ^{[16
]}

Pascual-Manich, G. ^{[1
]}

Rojo-Martinez, G. ^{[1
,7
]}

Serrano-Rios, M. ^{[1
]}

Urrutia, I. ^{[1
,11
]}

Valdes, S. ^{[1
,7
]}

Vazquez, J. A. ^{[15
]}

Gomis, R. ^{[1
,2
]}

机构：

[1] Ctr Invest Biomed Red Diabet & Enfermedades Metab, Barcelona, Spain

[2] Hosp Clin Barcelona, IDIBAPS, ES-08036 Barcelona, Spain

[3] IDIAP, Red GEDAPS, Inst Catala Salut, EAP Raval Sud, Barcelona, Spain

[4] Autonomous Govt Catalonia, Publ Hlth Div, Barcelona, Spain

[5] Hosp del Mar, Dept Endocrinol & Nutr, Barcelona, Spain

[6] Univ Barcelona, Nutr Res Fdn, Barcelona, Spain

[7] Hosp Univ Carlos Haya, Dept Endocrinol & Nutr, Malaga, Spain

[8] Hosp Univ Joan XXIII, Dept Endocrinol & Nutr, Tarragona, Spain

[9] Hosp Arnau Vilanova, Diabet Unit, Valencia, Spain

[10] Hosp Clin Univ Valencia, Dept Med & Endocrinol, Valencia, Spain

[11] Univ Basque Country, Hosp Univ Cruces, Diabet Res Grp, Baracaldo, Spain

[12] Univ Oviedo, Hosp Cent Asturias, Dept Endocrinol & Nutr, E-33080 Oviedo, Spain

[13] Hosp Univ S Carlos Madrid, Madrid, Spain

[14] Spanish Diabet Soc, Madrid, Spain

[15] Minist Hlth, Madrid, Spain

[16] Canarian Hlth Serv, Tenerife, Spain

来源：

ANNALS OF NUTRITION AND METABOLISM | 2013年 / 62卷 / 04期

关键词：

Mediterranean diet; Prediabetes; Unknown diabetes; SEGUIMIENTO UNIVERSIDAD; FOOD PATTERN; STYLE DIET; RISK; GLUCOSE; METAANALYSIS; COMPONENTS; REDUCTION; DISEASE; OBESITY;

D O I：

10.1159/000346553

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and Aims: Mediterranean diet (MedDiet) is causally related to diabetes and is a dietary pattern recommended to individuals with diabetes. We investigated MedDiet adherence in individuals with prediabetes and unknown (PREDM/UKDM) or known diabetes (KDM) compared to those with normal glucose metabolism (NORMAL). Methods: This was a national, population-based, cross-sectional, cluster-sampling study. MedDiet adherence was scored (MedScore, mean +/- SD 24 +/- 5) using a qualitative food frequency questionnaire. Logistic regression was used to examine the association between MedScore and PREDM/UKDM or KDM versus control subjects. Results: We evaluated 5,076 individuals. Mean age was 50 years, 57% were female, 826 (582/244) were PREDM/UKDM, 478 were KDM and 3,772 were NORMAL. Mean age increased across MedScore tertiles (46, 51 and 56 years, p < 0.0001). Higher age-adjusted adherence to MedDiet (5-unit increment in the MedScore) was associated with lower and nondifferent odds (OR, 95% CI) of prevalent PREDM/UKDM (0.88, 0.81-0.96, p = 0.001) and KDM (0.97, 0.87-1.07, p = 0.279), respectively, compared to individuals in the NORMAL group. Conclusions: In a representative sample of the whole Spanish population, MedDiet adherence is independently associated with PREDM/UKDM. Therapeutic intervention may be, in part, responsible for the lack of differences in adherence observed between the KDM and NORMAL groups. However, reverse causation bias cannot be ruled out in cross-sectional studies. Copyright (c) 2013 S. Karger AG, Basel

引用

页码：339 / 346

页数：8

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