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Do European people with type 1 diabetes consume a high atherogenic diet? 7-year follow-up of the EURODIAB Prospective Complications Study.
Eur J Nutr. 2013 Oct; 52(7):1701-10.EJ

Abstract

BACKGROUND/OBJECTIVES

Individuals with type 1 diabetes have a high risk of developing cardiovascular diseases, and it has been reported that they consume a high atherogenic diet. We examined how nutrient intake and adherence to current European nutritional recommendations evolved in a large cohort of European individuals with type 1 diabetes over a period of 7 years.

SUBJECTS/METHODS

We analysed data from the EURODIAB Prospective Complications Study, a European multicentre prospective cohort study. Standardized 3-day dietary records were employed in individuals with type 1 diabetes. One thousand one hundred and two patients (553 men, 549 women, baseline age 33 ± 10 years, duration 15 ± 9 years) had complete nutritional data available at baseline and after 7 years. We calculated mean differences in reported nutrients over time and adjusted these for age, gender, HbA1c and BMI with ANOVA models.

RESULTS

Compared to baseline, there were minor changes in nutrients. Reported protein (-0.35% energy (en), fat (-1.07% en), saturated fat (-0.25% en) and cholesterol (-7.42 mg/1000 kcal) intakes were lower, whereas carbohydrate (+1.23% en) and fibre (+0.46 g/1000 kcal) intakes were higher at the 7-year follow-up. European recommendations for adequate nutrient intakes were followed in individuals with type 1 diabetes for protein (76% at baseline and 78% at follow-up), moderately for fat (34, 40%), carbohydrate (34, 41%) and cholesterol (39, 47%), but poorly for fibre (1.4, 2.4%) and saturated fat (11, 13%).

CONCLUSION

European individuals with type 1 diabetes consume a high atherogenic diet as few patients met recommendations for dietary fibre and saturated fat. This study showed minor changes in dietary nutrients and energy intakes over a period of 7 years. Nutrition education needs particular focus on strategies to increase dietary fibre and reduce saturated fat to exploit their potential benefit.

Authors+Show Affiliations

Division of Human Nutrition, Wageningen University, 6700 EV, PO Box 8129, Wageningen, The Netherlands, sabita.soedamah-muthu@wur.nl.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23224030

Citation

Soedamah-Muthu, Sabita S., et al. "Do European People With Type 1 Diabetes Consume a High Atherogenic Diet? 7-year Follow-up of the EURODIAB Prospective Complications Study." European Journal of Nutrition, vol. 52, no. 7, 2013, pp. 1701-10.
Soedamah-Muthu SS, Chaturvedi N, Fuller JH, et al. Do European people with type 1 diabetes consume a high atherogenic diet? 7-year follow-up of the EURODIAB Prospective Complications Study. Eur J Nutr. 2013;52(7):1701-10.
Soedamah-Muthu, S. S., Chaturvedi, N., Fuller, J. H., & Toeller, M. (2013). Do European people with type 1 diabetes consume a high atherogenic diet? 7-year follow-up of the EURODIAB Prospective Complications Study. European Journal of Nutrition, 52(7), 1701-10. https://doi.org/10.1007/s00394-012-0473-7
Soedamah-Muthu SS, et al. Do European People With Type 1 Diabetes Consume a High Atherogenic Diet? 7-year Follow-up of the EURODIAB Prospective Complications Study. Eur J Nutr. 2013;52(7):1701-10. PubMed PMID: 23224030.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do European people with type 1 diabetes consume a high atherogenic diet? 7-year follow-up of the EURODIAB Prospective Complications Study. AU - Soedamah-Muthu,Sabita S, AU - Chaturvedi,Nish, AU - Fuller,John H, AU - Toeller,Monika, AU - ,, Y1 - 2012/12/07/ PY - 2012/06/21/received PY - 2012/11/22/accepted PY - 2012/12/11/entrez PY - 2012/12/12/pubmed PY - 2014/4/25/medline SP - 1701 EP - 10 JF - European journal of nutrition JO - Eur J Nutr VL - 52 IS - 7 N2 - BACKGROUND/OBJECTIVES: Individuals with type 1 diabetes have a high risk of developing cardiovascular diseases, and it has been reported that they consume a high atherogenic diet. We examined how nutrient intake and adherence to current European nutritional recommendations evolved in a large cohort of European individuals with type 1 diabetes over a period of 7 years. SUBJECTS/METHODS: We analysed data from the EURODIAB Prospective Complications Study, a European multicentre prospective cohort study. Standardized 3-day dietary records were employed in individuals with type 1 diabetes. One thousand one hundred and two patients (553 men, 549 women, baseline age 33 ± 10 years, duration 15 ± 9 years) had complete nutritional data available at baseline and after 7 years. We calculated mean differences in reported nutrients over time and adjusted these for age, gender, HbA1c and BMI with ANOVA models. RESULTS: Compared to baseline, there were minor changes in nutrients. Reported protein (-0.35% energy (en), fat (-1.07% en), saturated fat (-0.25% en) and cholesterol (-7.42 mg/1000 kcal) intakes were lower, whereas carbohydrate (+1.23% en) and fibre (+0.46 g/1000 kcal) intakes were higher at the 7-year follow-up. European recommendations for adequate nutrient intakes were followed in individuals with type 1 diabetes for protein (76% at baseline and 78% at follow-up), moderately for fat (34, 40%), carbohydrate (34, 41%) and cholesterol (39, 47%), but poorly for fibre (1.4, 2.4%) and saturated fat (11, 13%). CONCLUSION: European individuals with type 1 diabetes consume a high atherogenic diet as few patients met recommendations for dietary fibre and saturated fat. This study showed minor changes in dietary nutrients and energy intakes over a period of 7 years. Nutrition education needs particular focus on strategies to increase dietary fibre and reduce saturated fat to exploit their potential benefit. SN - 1436-6215 UR - https://www.unboundmedicine.com/medline/citation/23224030/Do_European_people_with_type_1_diabetes_consume_a_high_atherogenic_diet_7_year_follow_up_of_the_EURODIAB_Prospective_Complications_Study_ L2 - https://dx.doi.org/10.1007/s00394-012-0473-7 DB - PRIME DP - Unbound Medicine ER -