Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus
Aims Mediterranean‐type diets reduce the risk of Type 2 diabetes. Whether a Mediterranean‐type diet improves glycaemic control in diabetes remains unknown. Methods We conducted a cross‐sectional analysis in 901 outpatients with Type 2 diabetes attending diabetes clinics located in Campania County,...
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| Veröffentlicht in: | Diabetic medicine 2009-09, Vol.26 (9), p.900-907 |
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| creator | Esposito, K. Maiorino, M. I. Di Palo, C. Giugliano, D. |
| description | Aims Mediterranean‐type diets reduce the risk of Type 2 diabetes. Whether a Mediterranean‐type diet improves glycaemic control in diabetes remains unknown.
Methods We conducted a cross‐sectional analysis in 901 outpatients with Type 2 diabetes attending diabetes clinics located in Campania County, South Italy. We explored the relation between glycated haemoglobin (HbA1c), measured centrally, self‐measured pre‐ and postprandial glucose levels and consumption of a Mediterranean‐type diet. Adherence to a Mediterranean‐type diet was assessed by a 9‐point scale that incorporated the salient characteristics of this diet (range of scores, 0–9, with higher scores indicating greater adherence). The study was conducted from 2001 to 2007.
Results Diabetic patients with the highest scores (6–9) had lower body mass index and waist circumferences, a lower prevalence of the metabolic syndrome and lower HbA1c and post‐meal glucose levels than diabetic patients with the lowest scores (0–3). In multivariate analysis, mean HbA1c and 2‐h post‐meal glucose concentrations were significantly lower in diabetic patients with high adherence to a Mediterranean‐type diet than those with low adherence [difference: HbA1c 0.9%, 95% confidence intervals (CI) 0.5–1.2%, P |
| doi_str_mv | 10.1111/j.1464-5491.2009.02798.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764395039</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>764395039</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5348-2be13be06364538be0d18c7eec2638350d619b75856a2304296153c1846268ea3</originalsourceid><addsrcrecordid>eNqNkFuLEzEYhoMobl39C5Ib8Wpmcz5ceLGse4KtglYEb0Im81VTpzPdZIrtvzdjS73UEMgHed7k5UEIU1LTsi5WNRVKVFJYWjNCbE2YtqbePUGz08VTNCNasIoTTc_Qi5xXhFBmuX2OzqjV06Yz9Pmy_QEJ-gB4HLDHc2jjCCn5HnyP2wgj9n2Lv3f74GEdAw5DP6ahw7HHi_0GMCuQb2CEjNfQdXHc5pfo2dJ3GV4dz3P05eZ6cXVXPXy8vb-6fKiC5MJUrAHKGyCKKyG5KVNLTdAAgSluuCStorbR0kjlGSeCWUUlD9QIxZQBz8_R28O7mzQ8biGPbh1zKCVK-WGbnVaCW0m4_TfJBWFUGlVIcyBDGnJOsHSbFNc-7R0lbnLvVm5S7CbFbnLv_rh3uxJ9ffxk26yh_Rs8yi7AmyPgc_DdskgOMZ84Ro0RlEzcuwP3K3aw_-8C7v38eppKvjrkYx5hd8r79NMpzbV0Xz_cOn1zNyffPmm34L8B-fqsEg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734021586</pqid></control><display><type>article</type><title>Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Esposito, K. ; Maiorino, M. I. ; Di Palo, C. ; Giugliano, D.</creator><creatorcontrib>Esposito, K. ; Maiorino, M. I. ; Di Palo, C. ; Giugliano, D. ; Campanian Postprandial Hyperglycemia Study Group ; for the Campanian Postprandial Hyperglycemia Study Group</creatorcontrib><description>Aims Mediterranean‐type diets reduce the risk of Type 2 diabetes. Whether a Mediterranean‐type diet improves glycaemic control in diabetes remains unknown.
Methods We conducted a cross‐sectional analysis in 901 outpatients with Type 2 diabetes attending diabetes clinics located in Campania County, South Italy. We explored the relation between glycated haemoglobin (HbA1c), measured centrally, self‐measured pre‐ and postprandial glucose levels and consumption of a Mediterranean‐type diet. Adherence to a Mediterranean‐type diet was assessed by a 9‐point scale that incorporated the salient characteristics of this diet (range of scores, 0–9, with higher scores indicating greater adherence). The study was conducted from 2001 to 2007.
Results Diabetic patients with the highest scores (6–9) had lower body mass index and waist circumferences, a lower prevalence of the metabolic syndrome and lower HbA1c and post‐meal glucose levels than diabetic patients with the lowest scores (0–3). In multivariate analysis, mean HbA1c and 2‐h post‐meal glucose concentrations were significantly lower in diabetic patients with high adherence to a Mediterranean‐type diet than those with low adherence [difference: HbA1c 0.9%, 95% confidence intervals (CI) 0.5–1.2%, P < 0.001; 2‐h glucose 2.2 mmol/l, 95% CI 0.8–2.9 mmol/l, P < 0.001].
Conclusions In Type 2 diabetes, greater adherence to a Mediterranean‐type diet is associated with lower HbA1c and postprandial glucose levels.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2009.02798.x</identifier><identifier>PMID: 19719711</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Blood Glucose - metabolism ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2 - diet therapy ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes. Impaired glucose tolerance ; diet ; Diet, Mediterranean ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; glycaemic control ; Glycated Hemoglobin A - metabolism ; HbA1c ; Humans ; Male ; Medical sciences ; Middle Aged ; Patient Compliance - statistics & numerical data ; postprandial glucose ; Type 2 diabetes ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2009-09, Vol.26 (9), p.900-907</ispartof><rights>2009 The Authors. Journal compilation © 2009 Diabetes UK</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5348-2be13be06364538be0d18c7eec2638350d619b75856a2304296153c1846268ea3</citedby><cites>FETCH-LOGICAL-c5348-2be13be06364538be0d18c7eec2638350d619b75856a2304296153c1846268ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2009.02798.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2009.02798.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21884101$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19719711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Esposito, K.</creatorcontrib><creatorcontrib>Maiorino, M. I.</creatorcontrib><creatorcontrib>Di Palo, C.</creatorcontrib><creatorcontrib>Giugliano, D.</creatorcontrib><creatorcontrib>Campanian Postprandial Hyperglycemia Study Group</creatorcontrib><creatorcontrib>for the Campanian Postprandial Hyperglycemia Study Group</creatorcontrib><title>Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims Mediterranean‐type diets reduce the risk of Type 2 diabetes. Whether a Mediterranean‐type diet improves glycaemic control in diabetes remains unknown.
Methods We conducted a cross‐sectional analysis in 901 outpatients with Type 2 diabetes attending diabetes clinics located in Campania County, South Italy. We explored the relation between glycated haemoglobin (HbA1c), measured centrally, self‐measured pre‐ and postprandial glucose levels and consumption of a Mediterranean‐type diet. Adherence to a Mediterranean‐type diet was assessed by a 9‐point scale that incorporated the salient characteristics of this diet (range of scores, 0–9, with higher scores indicating greater adherence). The study was conducted from 2001 to 2007.
Results Diabetic patients with the highest scores (6–9) had lower body mass index and waist circumferences, a lower prevalence of the metabolic syndrome and lower HbA1c and post‐meal glucose levels than diabetic patients with the lowest scores (0–3). In multivariate analysis, mean HbA1c and 2‐h post‐meal glucose concentrations were significantly lower in diabetic patients with high adherence to a Mediterranean‐type diet than those with low adherence [difference: HbA1c 0.9%, 95% confidence intervals (CI) 0.5–1.2%, P < 0.001; 2‐h glucose 2.2 mmol/l, 95% CI 0.8–2.9 mmol/l, P < 0.001].
Conclusions In Type 2 diabetes, greater adherence to a Mediterranean‐type diet is associated with lower HbA1c and postprandial glucose levels.</description><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus, Type 2 - diet therapy</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>diet</subject><subject>Diet, Mediterranean</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>glycaemic control</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>HbA1c</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>postprandial glucose</subject><subject>Type 2 diabetes</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFuLEzEYhoMobl39C5Ib8Wpmcz5ceLGse4KtglYEb0Im81VTpzPdZIrtvzdjS73UEMgHed7k5UEIU1LTsi5WNRVKVFJYWjNCbE2YtqbePUGz08VTNCNasIoTTc_Qi5xXhFBmuX2OzqjV06Yz9Pmy_QEJ-gB4HLDHc2jjCCn5HnyP2wgj9n2Lv3f74GEdAw5DP6ahw7HHi_0GMCuQb2CEjNfQdXHc5pfo2dJ3GV4dz3P05eZ6cXVXPXy8vb-6fKiC5MJUrAHKGyCKKyG5KVNLTdAAgSluuCStorbR0kjlGSeCWUUlD9QIxZQBz8_R28O7mzQ8biGPbh1zKCVK-WGbnVaCW0m4_TfJBWFUGlVIcyBDGnJOsHSbFNc-7R0lbnLvVm5S7CbFbnLv_rh3uxJ9ffxk26yh_Rs8yi7AmyPgc_DdskgOMZ84Ro0RlEzcuwP3K3aw_-8C7v38eppKvjrkYx5hd8r79NMpzbV0Xz_cOn1zNyffPmm34L8B-fqsEg</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Esposito, K.</creator><creator>Maiorino, M. I.</creator><creator>Di Palo, C.</creator><creator>Giugliano, D.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200909</creationdate><title>Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus</title><author>Esposito, K. ; Maiorino, M. I. ; Di Palo, C. ; Giugliano, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5348-2be13be06364538be0d18c7eec2638350d619b75856a2304296153c1846268ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus, Type 2 - diet therapy</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - metabolism</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>diet</topic><topic>Diet, Mediterranean</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>glycaemic control</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>HbA1c</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>postprandial glucose</topic><topic>Type 2 diabetes</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Esposito, K.</creatorcontrib><creatorcontrib>Maiorino, M. I.</creatorcontrib><creatorcontrib>Di Palo, C.</creatorcontrib><creatorcontrib>Giugliano, D.</creatorcontrib><creatorcontrib>Campanian Postprandial Hyperglycemia Study Group</creatorcontrib><creatorcontrib>for the Campanian Postprandial Hyperglycemia Study Group</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Esposito, K.</au><au>Maiorino, M. I.</au><au>Di Palo, C.</au><au>Giugliano, D.</au><aucorp>Campanian Postprandial Hyperglycemia Study Group</aucorp><aucorp>for the Campanian Postprandial Hyperglycemia Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2009-09</date><risdate>2009</risdate><volume>26</volume><issue>9</issue><spage>900</spage><epage>907</epage><pages>900-907</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims Mediterranean‐type diets reduce the risk of Type 2 diabetes. Whether a Mediterranean‐type diet improves glycaemic control in diabetes remains unknown.
Methods We conducted a cross‐sectional analysis in 901 outpatients with Type 2 diabetes attending diabetes clinics located in Campania County, South Italy. We explored the relation between glycated haemoglobin (HbA1c), measured centrally, self‐measured pre‐ and postprandial glucose levels and consumption of a Mediterranean‐type diet. Adherence to a Mediterranean‐type diet was assessed by a 9‐point scale that incorporated the salient characteristics of this diet (range of scores, 0–9, with higher scores indicating greater adherence). The study was conducted from 2001 to 2007.
Results Diabetic patients with the highest scores (6–9) had lower body mass index and waist circumferences, a lower prevalence of the metabolic syndrome and lower HbA1c and post‐meal glucose levels than diabetic patients with the lowest scores (0–3). In multivariate analysis, mean HbA1c and 2‐h post‐meal glucose concentrations were significantly lower in diabetic patients with high adherence to a Mediterranean‐type diet than those with low adherence [difference: HbA1c 0.9%, 95% confidence intervals (CI) 0.5–1.2%, P < 0.001; 2‐h glucose 2.2 mmol/l, 95% CI 0.8–2.9 mmol/l, P < 0.001].
Conclusions In Type 2 diabetes, greater adherence to a Mediterranean‐type diet is associated with lower HbA1c and postprandial glucose levels.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19719711</pmid><doi>10.1111/j.1464-5491.2009.02798.x</doi><tpages>8</tpages></addata></record> |
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| subjects | Biological and medical sciences Blood Glucose - metabolism Cross-Sectional Studies Diabetes Mellitus, Type 2 - diet therapy Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - metabolism Diabetes. Impaired glucose tolerance diet Diet, Mediterranean Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology glycaemic control Glycated Hemoglobin A - metabolism HbA1c Humans Male Medical sciences Middle Aged Patient Compliance - statistics & numerical data postprandial glucose Type 2 diabetes Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus |
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