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Nutrient intakes as predictors of body weight in European people with type 1 diabetes

International Journal of Obesity volume 25, pages 1815–1822 (2001)Cite this article

Abstract

BACKGROUND: Overweight and obesity are also found among persons with type 1 diabetes.

OBJECTIVE: The present study examined which nutrients predict the body mass index (BMI), the waist-to-hip ratio (WHR) and the waist circumference (WC) of European persons with type 1 diabetes.

DESIGN: Cross-sectional, clinic-based study (EURODIAB Complications Study).

SUBJECTS AND METHODS: Nutrient intakes (assessed by a 3-day dietary record) predicting measures of body weight (BMI, WHR and WC) were determined by stepwise forward regression analysis in 1458 males and 1410 females with type 1 diabetes (P≤0.05 for inclusion).

RESULTS: In men, a higher carbohydrate intake was a significant independent predictor for lower levels of BMI, WHR and WC, an increased saturated fat intake and a lower intake of cereal fibre predicted a higher WHR, a higher monounsaturated fat intake and a lower glycaemic index of the diet determined lower levels of WHR and WC, and a moderate consumption of alcohol determined an increased WC. In women, a higher carbohydrate intake predicted a lower BMI and a thinner WC, no alcohol consumption determined a lower BMI, and an increased intake of saturated fat and a lower consumption of cereal fibre were significant independent predictors for a higher WHR.

CONCLUSIONS: A modified fat intake, an increase of carbohydrate and cereal fibre intake and a preferred consumption of low glycaemic index foods are independently related to lower measures of body weight in European persons with type 1 diabetes.

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Acknowledgements

The participation of the patients in the study is gratefully acknowledged. The study was part of the EURODIAB Concerted Action Programme financially supported by the Commission of the European Community. Additional financial support for the analysis of the nutritional data came from the research funds of the Nutrition Co-Ordinating Centre (MT) at the German Diabetes Research Institute. We thank all investigators, dieticians and nutritionists in the EURODIAB centres for their excellent co-operation. The EURODIAB Complications Study Group comprises the following members: Steering Committee members—JH Fuller (London), H Keen, Chairman (London), HMJ Krans (Leiden), R Navalesi (Pisa), A-K Sjolie (Aarhus), JM Stephenson (London), M Toeller (Düsseldorf), G-C Viberti (London), J Ward (Sheffield); Data Co-Ordinating Centre—JH Fuller, University College London, Department of Epidemiology and Public Health, London; Nutrition Co-ordinating Centre—M Toeller, German Diabetes Research Institute, Heinrich-Heine-University, Düsseldorf, Germany; centres and investigators—B Karamanos, C Tountas, A Kofinis, K Petrou, N Katsilambros, D Roussi-Penessi (Hippokration Hospital, Athens), M Cignarelli, R Giorgino, ML De Geco, I Ramunni (Cattedra di Endocrinologia-Policlinico, Bari), C Ionescu-Tirgoviste, R Strachinariu, A Nicolau (Clinic of Diabetes, Nutrition and Metabolic Diseases, Bucharest), G Tamas, Z Kerenyi, AM Ahmed, J Toth, P Kempler (Tetenyi Teaching Hospital and Semmelweis University, Budapest), SE Muntoni, M Songini, M Stabilini, M Fossarello, S Pintus, SA Muntoni (Centro Malattie Dismetaboliche and Ospedale San Michele, Cagliari), B Ferriss, CC Cronin, M Humphreys (Cork Regional Hospital), M Toeller, A Klischan, T Forst, FA Gries, W Schumacher (Diabetes-Forschungsinstitut, Universität Düsseldorf), R Rottiers, H Priem, MJ Deschoolmeester (University Hospital of Gent), P Ebeling, M Sinisalo, VA Koivisto (University Hospital of Helsinki), B Idzior-Walus, B Solnica, L Szopinska-Ciba, K Solnica (University School of Medicine, Krakow), HMJ Krans, HHPJ Lemkes, JJ Jansen, BM Elte-de Wever (University Hospital of Leiden), J Nunes-Correa, J Boavida, M Barradas, C Rogado, MJ Afonso, M Monteiro, R David (Portuguese Diabetic Association, Lisbon), E Jepson, S McHardy-Young (Central Middlesex Hospital, London), JH Fuller, DJ Betteridge, M Milne, T Thompson (University College Hospital, London), G Michel, R Wirion, S Paquet, H Hornick (Centre Hospitalier, Luxembourg), AJM Boulton, H Ashe, DJS Fernando, J Curwell (Manchester Royal Infirmary), G Pozza, G Slaviero, G Comi, B Fattor, F Bandello, M Marchi (Ospedale San Raffaele, Milan), H Mehnert, A Nuber, H Janka, M Nichting, E Standl (City Hospital Schwabing, Munich), G Crepaldi, R Nosadini (Istituto di Medicina Interna, University of Padua), G Cathelineau, B Villatte Cathelineau, M Jellal, N Grodner, P Gervais Feiss, N Baclet (Hospital Saint-Louis, Paris), F Santeusanio, G Rosi, MRM Ventura, C Cagini, C Marino (Instituto di Patologia Medica, Policlinico, Perugia), R Navalesi, G Penno, R Miccoli, M Nannipieri, S Bandinelli, A Bertolotto (Dipartimento di Endocrinologia e Metabolismo, Pisa), G Ghirlanda, P Cotroneo, A Manto, C Teodonio, A Minnella, G Careddu (Universita Cattolica del Sacro Cuore, Rome), JD Ward, S Tesfaye, C Mody, C Rudd (Royal Hallamshire Hospital, Sheffield), GM Molinatti, F Vitelli, M Porta, GF Pagano, P Estivi, R Sivieri, Q Carta, G Petraroli (Clinica Medica B, Patologia Medica, Ospedale Molinette, and Ospedale ‘Agnelli’, Turin), N Papazoglou, M Goutzourela, C Manes (General Hospital of Thessaloniki), D Ben Soussan, M-C Fallas, P Fallas, C Dhanaeus, MD Bourgeois (Centre Hospitalier de Valenciennes), M Muggeo, V Cacciatori, F Bellavere, P Galante, ML Gemma, P Branzi (Cattedra di Malatties del Metabolismo, Verona), K Irsigler, H Abrahamian, C Gurdet, B Hornlein, C Willinger, H Strohner, M Just (Hospital Vienna Lainz), S Walford, EV Wardle, S Henio, H Cooke (New Cross Hospital, Wolverhampton), G Roglic, Z Resman, Z Metelko, Z Skrabalo (Vuk Vrhovac Institute for Diabetes, Zagreb).

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Author notes

  1. M Toeller, AE Buyken, G Heitkamp, G Cathelineau and B Ferriss: Participating hospitals and clinics are listed in the acknowledgements.

Authors and Affiliations

  1. Clinical Department, German Diabetes Research Institute at the Heinrich-Heine-University, Düsseldorf, Germany

    M Toeller, AE Buyken & G Heitkamp

  2. Hospital Saint-Louis, Paris, France

    G Cathelineau

  3. Department of Medicine, Cork University Hospital, Wilton, Cork, Ireland

    B Ferriss

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  1. M Toeller
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G Michel and the EURODIAB IDDM Complications Study Group

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Correspondence to M Toeller.

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Toeller, M., Buyken, A., Heitkamp, G. et al. Nutrient intakes as predictors of body weight in European people with type 1 diabetes. Int J Obes 25, 1815–1822 (2001). https://doi.org/10.1038/sj.ijo.0801816

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