Dietary patterns and glycemic indexes in type 2 diabetes patients

Studart, Elainy Peixoto Mariano; Arruda, Soraia Pinheiro Machado; Sampaio, Helena Alves de Carvalho; Passos, Tatiana Uchôa; Carioca, Antônio Augusto Ferreira

doi:10.1590/1678-98652018000100001

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…[2] The primary nutritional strategy in conventional epidemiology is to investigate nutrients and their association with chronic diseases, including diabetes. [3] Diet is one of the primary risk variables influencing other risk factors. [4][5][6] Food selection and eating habits have a critical role in regulating the course of the disease once diabetes develops.…”

Section: Introductionmentioning

confidence: 99%

Dietary patterns and their associations with glycemic control among type 2 diabetic patients in Jazan, Saudi Arabia: A cross-sectional study

Elfaki,

Chandika,

Kahlani

et al. 2023

Medicine

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Diabetes is an important global health concern. According to the World Health Organization, the Kingdom of Saudi Arabia (KSA) has 2.8 to 4.3 million diabetic patients between the ages of 27 to 60 in the year 2022. Medical nutrition therapy an essential component of diabetes management, helps improve diabetes outcomes by assisting patients in achieving a target glycated hemoglobin (HbA1c) level of <7. This study aimed to describe the pattern of food consumption in the study population and determine its association with glycemic control. This was a cross-sectional study among health facility attendees at the Endocrinology and Diabetes Center (EDC) in Jazan, KSA. A total of 315 patients with type 2 diabetes (T2D) were enrolled using a systematic random sampling technique. Sociodemographic and dietary habit information gathered through face-to-face interviews, anthropometric measurements, and HbA1c were collected from medical records. Participants were mostly females (55.6%), and more than half of them were above 50 years of age. More than 90% of the patients had poor HbA1c levels, and 2-thirds of the patients were overweight and obese (43.8% and 37.1%, respectively). The most consumed foods were bread (8 times/week) and coffee/tea and vegetables (7 times per week), and the least consumed was soda beverages (once/week). Multivariate logistic regression revealed that the consumption of fruits (consumed 5 times/week) significantly decreased HbA1c, while the consumption of pastries/pizza (consumed twice/week) significantly increased it. The pattern of consumption of fruits and vegetables in the study population conformed to the recommended levels, and that of fruits showed a statistically significant association with the control of HbA1c. Another food item that has a significant negative effect on HbA1c is pastries/pizza. Further studies that include more potentially confounding variables, such as treatment type, are needed.

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Section: Introductionmentioning

confidence: 99%

Dietary patterns and their associations with glycemic control among type 2 diabetic patients in Jazan, Saudi Arabia: A cross-sectional study

Elfaki,

Chandika,

Kahlani

et al. 2023

Medicine

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“…3 Em uma instituição de referência no tratamento do diabetes que recebe usuários do Sistema Único de Saúde (SUS), observou-se que, entre os padrões alimentares identificados, o "tradicional brasileiro", caracterizado pelo consumo de arroz, feijão, frango e alimentos regionais, apresentou correlação negativa com os níveis glicêmicos. 8 Considerando que a alimentação saudável é um fator de proteção contra doenças crônicas não transmissíveis, entre elas o diabetes tipo 2, que desempenha importante papel no tratamento do diabetes e suas comorbidades (p. ex. hipertensão, obesidade e dislipidemia), este estudo teve como objetivo caracterizar o hábito alimentar de idosos diabéticos e não diabéticos com 65 anos ou mais, residentes nas capitais brasileiras e no Distrito Federal.…”

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Hábito Alimentar de Idosos Diabéticos e não Diabéticos: Vigitel, Brasil, 2016

Assumpção¹,

Ruiz²,

Borim³

et al. 2022

Arquivos Brasileiros De Cardiologia

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Fundamentos: A alimentação saudável é um fator de proteção contra o diabetes tipo 2 e desempenha importante papel no tratamento do diabetes e das comorbidades associadas. Objetivo: Caracterizar o hábito alimentar de idosos diabéticos e não diabéticos com 65 anos ou mais, residentes nas capitais brasileiras e no Distrito Federal. Métodos: Estudo transversal com dados da pesquisa Vigilância de Fatores de Risco e Proteção para as Doenças Crônicas por Inquérito Telefônico (Vigitel, 2016). Foram estimadas as prevalências de diabetes melito segundo variáveis sociodemográficas, inatividade física, autoavaliação da saúde e índice de massa corporal (IMC). O hábito alimentar foi avaliado pela frequência (semanal e diária) de consumo de alimentos saudáveis e não saudáveis, e pela substituição da comida por lanches. As diferenças foram verificadas por meio do teste Qui-quadrado de Pearson (Rao-Scott) com nível de significância de 5%.Resultados: Foram entrevistados 13.649 idosos, e a prevalência de diabetes autorreferido foi de 27,2% (IC95%:25,5; 29,0). Nos pacientes diabéticos, observou-se maior consumo de hortaliças cruas (32,1% vs. 26,5%/3-4 dias/semana) e menor de frango (3,8% vs. 6,4%/quase nunca/nunca), suco (24,0% vs. 29,6%) e doces (6,8% vs. 16,2%) ≥5 dias/semana. Os percentuais de idosos com consumo de leite desnatado (51,5% vs. 44,6%) e refrigerante dietético (60,0% vs. 17,3%) ≥5 dias/semana, hortaliças cruas (9,1% vs. 2,5%/no jantar) e doces (37,7% vs. 20,5%/2 vezes/dia) 3-4 dias/semana foram maiores nos diabéticos, comparados aos não diabéticos.Conclusão: As diferenças observadas sinalizam a necessidade de promover intervenções para alimentação saudável entre todos os idosos, bem como orientações específicas para os diabéticos.

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“…Genetic variations play an important role in the development of the disease, while epidemic data indicate that lifestyle changes, as well as environmental exposures, contribute to an increased risk of type 2 diabetes mellitus (T2DM) (8) . It is well known that diet is one of the main affecting factors of a variety of diseases (9) .…”

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confidence: 99%

The association between dietary patterns with type 2 diabetes mellitus and pre-diabetes in the Henan rural cohort study

Xue

Liu

Wang

et al. 2021

Public Health Nutr.

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Objective: We aimed to investigate whether dietary patterns were associated with the risk of type 2 diabetes (T2DM) or pre-diabetes in adults of rural area in Henan. Design: Cross-sectional study. Principal component analysis was used to identify dietary patterns, while multivariate logistic regression analysis and restricted cubic spline regression models were used to analyze the association between dietary patterns and both pre-diabetes and T2DM. Setting: Rural area of Henan province, China. Participants: A total of 38779 adults aged 18-79 years were recruited from the Henan rural cohort study as the subjects. Results: The prevalence of pre-diabetes and T2DM in rural Henan was 6.8% and 9.4%, respectively. A total of three dietary patterns were assessed in the present study. Dietary patternⅠwith a high intake of red meat and white meat; dietary pattern Ⅱwith a high intake of grains, nuts, milk and eggs; and dietary pattern Ⅲ with a high intake of vegetables, staple food and fruits. The highest quintile (Q5) of pattern Ⅲ could reduce 32.7% risk of pre-diabetes. The Q5 of patternⅡshowed a 15.5% decreased risk of T2DM, in an U-shaped dose-response manner; meanwhile, the Q5 of pattern Ⅲ were significantly associated with reduced risks of T2DM (OR: 0.582, 95% CI: 0.497-0.682). Conclusions: Pattern Ⅲ is beneficial for reducing risk of pre-diabetes or T2DM. Though a higher consumption of “grains-nuts-egg” may associate with a reduced risk of T2DM, excessive intakes should be avoided. This study may provide a reference for the prevention of diabetes on dietary precautions.

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Dietary patterns and glycemic indexes in type 2 diabetes patients

Cited by 10 publications

References 22 publications

Dietary patterns and their associations with glycemic control among type 2 diabetic patients in Jazan, Saudi Arabia: A cross-sectional study

Dietary patterns and their associations with glycemic control among type 2 diabetic patients in Jazan, Saudi Arabia: A cross-sectional study

Hábito Alimentar de Idosos Diabéticos e não Diabéticos: Vigitel, Brasil, 2016

The association between dietary patterns with type 2 diabetes mellitus and pre-diabetes in the Henan rural cohort study

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