Effects of Mediterranean diet on sexual function in people with newly-diagnosed type 2 diabetes: The MÈDITA trial

Abstract Aims To assess the long-term effect of Mediterranean diet, as compared with low-fat diet, on sexual function in patients with newly-diagnosed type 2 diabetes. Methods In a randomized clinical trial, with a total follow-up of 8.1 years, 215 men and women with newly diagnosed type 2 diabetes...

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Veröffentlicht in:Journal of diabetes and its complications 2016-11, Vol.30 (8), p.1519-1524
Hauptverfasser: Maiorino, Maria Ida, Bellastella, Giuseppe, Caputo, Mariangela, Castaldo, Filomena, Improta, Maria Rosaria, Giugliano, Dario, Esposito, Katherine
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container_end_page 1524
container_issue 8
container_start_page 1519
container_title Journal of diabetes and its complications
container_volume 30
creator Maiorino, Maria Ida
Bellastella, Giuseppe
Caputo, Mariangela
Castaldo, Filomena
Improta, Maria Rosaria
Giugliano, Dario
Esposito, Katherine
description Abstract Aims To assess the long-term effect of Mediterranean diet, as compared with low-fat diet, on sexual function in patients with newly-diagnosed type 2 diabetes. Methods In a randomized clinical trial, with a total follow-up of 8.1 years, 215 men and women with newly diagnosed type 2 diabetes were assigned to Mediterranean diet (n = 108) or a low-fat diet (n = 107).The primary outcome measures were changes of erectile function (IIEF) in diabetic men and of female sexual function (FSFI) in diabetic women. Results There was no difference in baseline sexual function in men (n = 54 vs 52) or women (n = 54 vs 55) randomized to Mediterranean diet or low-fat diet, respectively (P = 0.287, P = 0.815). Over the entire follow-up, the changes of the primary outcomes were significantly lower in the Mediterranean diet group compared with the low-fat group: IIEF and FSFI showed a significantly lesser decrease (1.22 and 1.18, respectively, P = 0.024 and 0.019) with the Mediterranean diet. Baseline C-reactive protein levels predicted ED in men, but not FSD in women. Conclusions Among persons with newly diagnosed type 2 diabetes, a Mediterranean diet reduced the deterioration of sexual function over time in both sexes.
doi_str_mv 10.1016/j.jdiacomp.2016.08.007
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Methods In a randomized clinical trial, with a total follow-up of 8.1 years, 215 men and women with newly diagnosed type 2 diabetes were assigned to Mediterranean diet (n = 108) or a low-fat diet (n = 107).The primary outcome measures were changes of erectile function (IIEF) in diabetic men and of female sexual function (FSFI) in diabetic women. Results There was no difference in baseline sexual function in men (n = 54 vs 52) or women (n = 54 vs 55) randomized to Mediterranean diet or low-fat diet, respectively (P = 0.287, P = 0.815). Over the entire follow-up, the changes of the primary outcomes were significantly lower in the Mediterranean diet group compared with the low-fat group: IIEF and FSFI showed a significantly lesser decrease (1.22 and 1.18, respectively, P = 0.024 and 0.019) with the Mediterranean diet. Baseline C-reactive protein levels predicted ED in men, but not FSD in women. Conclusions Among persons with newly diagnosed type 2 diabetes, a Mediterranean diet reduced the deterioration of sexual function over time in both sexes.</description><identifier>ISSN: 1056-8727</identifier><identifier>EISSN: 1873-460X</identifier><identifier>DOI: 10.1016/j.jdiacomp.2016.08.007</identifier><identifier>PMID: 27614727</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Alcohol ; C-Reactive Protein - analysis ; Carbohydrates ; Cardiovascular disease ; Diabetes ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - physiopathology ; Diet ; Diet, Fat-Restricted ; Diet, Mediterranean ; Endocrinology &amp; Metabolism ; Erectile Dysfunction - complications ; Fatty acids ; Female ; Female sexual dysfunction ; Health risk assessment ; Humans ; Legumes ; Lipids ; Male ; Mediterranean diet ; Middle Aged ; Proteins ; Randomized controlled trial ; Sexual Dysfunction, Physiological - complications ; Type 2 diabetes ; Women</subject><ispartof>Journal of diabetes and its complications, 2016-11, Vol.30 (8), p.1519-1524</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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Methods In a randomized clinical trial, with a total follow-up of 8.1 years, 215 men and women with newly diagnosed type 2 diabetes were assigned to Mediterranean diet (n = 108) or a low-fat diet (n = 107).The primary outcome measures were changes of erectile function (IIEF) in diabetic men and of female sexual function (FSFI) in diabetic women. Results There was no difference in baseline sexual function in men (n = 54 vs 52) or women (n = 54 vs 55) randomized to Mediterranean diet or low-fat diet, respectively (P = 0.287, P = 0.815). Over the entire follow-up, the changes of the primary outcomes were significantly lower in the Mediterranean diet group compared with the low-fat group: IIEF and FSFI showed a significantly lesser decrease (1.22 and 1.18, respectively, P = 0.024 and 0.019) with the Mediterranean diet. Baseline C-reactive protein levels predicted ED in men, but not FSD in women. 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Methods In a randomized clinical trial, with a total follow-up of 8.1 years, 215 men and women with newly diagnosed type 2 diabetes were assigned to Mediterranean diet (n = 108) or a low-fat diet (n = 107).The primary outcome measures were changes of erectile function (IIEF) in diabetic men and of female sexual function (FSFI) in diabetic women. Results There was no difference in baseline sexual function in men (n = 54 vs 52) or women (n = 54 vs 55) randomized to Mediterranean diet or low-fat diet, respectively (P = 0.287, P = 0.815). Over the entire follow-up, the changes of the primary outcomes were significantly lower in the Mediterranean diet group compared with the low-fat group: IIEF and FSFI showed a significantly lesser decrease (1.22 and 1.18, respectively, P = 0.024 and 0.019) with the Mediterranean diet. Baseline C-reactive protein levels predicted ED in men, but not FSD in women. Conclusions Among persons with newly diagnosed type 2 diabetes, a Mediterranean diet reduced the deterioration of sexual function over time in both sexes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27614727</pmid><doi>10.1016/j.jdiacomp.2016.08.007</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4659-7546</orcidid></addata></record>
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subjects Adult
Alcohol
C-Reactive Protein - analysis
Carbohydrates
Cardiovascular disease
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - physiopathology
Diet
Diet, Fat-Restricted
Diet, Mediterranean
Endocrinology & Metabolism
Erectile Dysfunction - complications
Fatty acids
Female
Female sexual dysfunction
Health risk assessment
Humans
Legumes
Lipids
Male
Mediterranean diet
Middle Aged
Proteins
Randomized controlled trial
Sexual Dysfunction, Physiological - complications
Type 2 diabetes
Women
title Effects of Mediterranean diet on sexual function in people with newly-diagnosed type 2 diabetes: The MÈDITA trial
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