Mediterranean diet adherence in individuals with prediabetes and unknown diabetes: the Di@bet.es Study.
Ann Nutr Metab
; 62(4): 339-46, 2013.
Article
em En
| MEDLINE
| ID: mdl-23838479
ABSTRACT
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.
Texto completo:
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Bases de dados:
MEDLINE
Assunto principal:
Estado Pré-Diabético
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Glicemia
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Cooperação do Paciente
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Dieta Mediterrânea
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Diabetes Mellitus
Tipo de estudo:
Observational_studies
/
Prevalence_studies
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Qualitative_research
Limite:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Ann Nutr Metab
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Espanha