Association of DASH Diet with Cardiovascular Risk Factors in Youth with Diabetes Mellitus: the SEARCH for Diabetes in Youth Study

Overview

Journal Circulation

Specialty Cardiology & Vascular Diseases

Date 2011 Mar 23

PMID 21422385

Citations 50

Authors

Angela D Liese

Andrey Bortsov

Anke L B Gunther

Dana Dabelea

Kristi Reynolds

Debra A Standiford

Lenna Liu

Desmond E Williams

Elizabeth J Mayer-Davis

Ralph B DAgostino Jr

Ronny Bell

Santica Marcovina

Affiliations

Soon will be listed here.

Abstract

Background: We have shown that adherence to the Dietary Approaches to Stop Hypertension (DASH) diet is related to blood pressure in youth with type 1 and type 2 diabetes mellitus. We explored the impact of the DASH diet on other cardiovascular disease risk factors.

Methods And Results: Between 2001 and 2005, data on total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, low-density lipoprotein particle density, apolipoprotein B, body mass index, waist circumference, and adipocytokines were ascertained in 2130 youth aged 10 to 22 years with physician-diagnosed diabetes mellitus. Dietary intake was assessed by food frequency questionnaire, categorized into the DASH food groups, and assigned an adherence score. Among youth with type 1 diabetes mellitus, higher adherence to the DASH diet was significantly and inversely associated with low-density lipoprotein/high-density lipoprotein ratio and A(1c) in multivariable-adjusted models. Youth in the highest adherence tertile had an estimated 0.07 lower low-density lipoprotein/high-density lipoprotein ratio and 0.2 lower A(1c) levels than those in the lowest tertile adjusted for confounders. No significant associations were observed with triglycerides, low-density lipoprotein particle density, adipocytokines, apolipoprotein B, body mass index Z score, or waist circumference. Among youth with type 2 diabetes mellitus, associations were observed with low-density lipoprotein particle density and body mass index Z score.

Conclusions: The DASH dietary pattern may be beneficial in the prevention and management of cardiovascular disease risk in youth with diabetes mellitus.

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