» Articles » PMID: 28032067

Association of Major Dietary Patterns with Cardio-metabolic Risk Factors in Type 2 Diabetic Patients

Overview
Date 2016 Dec 30
PMID 28032067
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Role of dietary modifications on the treatment and management of diabetes and complications was shown by many researchers. This study was designed to examine the association of major dietary patterns with diabetes-related cardio-metabolic risk factors in Iranian diabetes.

Methods: Totally, 525 type 2 diabetic subjects with mean age 55 ± 10 yr were included in this cross-sectional study in 2014 that followed for at least two years by the Diabetes and Metabolic disease Clinic of Tehran University of Medical Sciences, Tehran, Iran. Blood samples were collected after 12 h fasting for glycemic and lipid profiles. Information on the general characteristics, anthropometric, blood pressure measurements and physical activity level was collected. Dietary data were obtained by a validated food frequency questionnaire. Dietary patterns were obtained factor analysis (principal component analysis).

Results: Three major dietary patterns retained through principal component analysis: Western like (high in sweets, fast foods, carbonated drinks, red meat, mayonnaise, nuts, refined grains, potato and visceral meat), Asian like (high in vegetables, low-fat dairy, fish, poultry and egg), and Traditional like (high in high fat dairy, oils, whole grains, vegetables and fruits). Western like dietary pattern was positively associated with fasting serum glucose (=0.05), total cholesterol (=0.005) and low-density lipoprotein cholesterol (=0.008). After extensive adjustment for potential confounders, the association of serum total cholesterol and Western like dietary pattern remained significant (=0.03).

Conclusion: Modifications in dietary pattern, especially in those who have a Western dietary pattern, may be effective in preventing or delaying diabetes-associated cardio metabolic complications.

Citing Articles

The dietary patterns derived by reduced-rank regression in association with Framingham risk score and lower DASH score in Hoveyzeh cohort study.

Shoja M, Borazjani F, Angali K, Hosseini S, Hashemi S Sci Rep. 2023; 13(1):11093.

PMID: 37422506 PMC: 10329634. DOI: 10.1038/s41598-023-37809-3.


Association of dietary patterns with continuous metabolic syndrome in children and adolescents; a nationwide propensity score-matched analysis: the CASPIAN-V study.

Kelishadi R, Heshmat R, Mansourian M, Motlagh M, Ziaodini H, Taheri M Diabetol Metab Syndr. 2018; 10:52.

PMID: 29988703 PMC: 6029340. DOI: 10.1186/s13098-018-0352-3.

References
1.
Williams R, Van Gaal L, Lucioni C . Assessing the impact of complications on the costs of Type II diabetes. Diabetologia. 2002; 45(7):S13-7. DOI: 10.1007/s00125-002-0859-9. View

2.
Harati H, Hadaegh F, Saadat N, Azizi F . Population-based incidence of Type 2 diabetes and its associated risk factors: results from a six-year cohort study in Iran. BMC Public Health. 2009; 9:186. PMC: 2708154. DOI: 10.1186/1471-2458-9-186. View

3.
Sofi F, Cesari F, Abbate R, Gensini G, Casini A . Adherence to Mediterranean diet and health status: meta-analysis. BMJ. 2008; 337:a1344. PMC: 2533524. DOI: 10.1136/bmj.a1344. View

4.
Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F . Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults. Am J Clin Nutr. 2005; 82(3):523-30. DOI: 10.1093/ajcn.82.3.523. View

5.
Alhazmi A, Stojanovski E, McEvoy M, Garg M . The association between dietary patterns and type 2 diabetes: a systematic review and meta-analysis of cohort studies. J Hum Nutr Diet. 2013; 27(3):251-60. DOI: 10.1111/jhn.12139. View