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Dietary habits in type II diabetes mellitus: how is adherence to dietary recommendations?

Abstract

Objective:

To clarify adherence of type II diabetic patients to dietary recommendations.

Subjects and methods:

The dietary habits of a group of 540 patients, with type II diabetes (male 322/female 218, mean age 61±5 years, body mass index (BMI) 29.7±5.2 kg/m2; mean±s.d.) referring to six Italian diabetes centres were evaluated by means of a 3-day diet record (2 workdays, 1 holiday). Diet records were analysed according to Italian food composition tables and compared with the dietary recommendations of the Diabetes and Nutrition Study Group of the European Association for the study of Diabetes.

Results:

Calorie intake was 1725±497 kcal (1800 for men, 1610 for women). Mean intake for each nutrient was close to the recommended amount, except for fibre (12/1000 vs 20 g/1000 kcal). Calculating the percentage of patients who complied with each recommendation, the intakes of saturated fat and fibre least reflected the dietary target: in 43% of patients saturated fat was >10% of total calories, in only 6% was fibre intake 20 g/1000 kcal (considered ideal), and in 25% it was 15 g/1000 kcal (acceptable).

Conclusions:

These results indicate that compliance to dietary recommendations is not completely satisfactory, even in Italy. Calorie intake is a bit elevated, given the high BMI of our diabetic population. As to dietary composition, there are two crucial issues: the high intake of saturated fat and – most importantly – the low intake of fibre. All strategies aiming to a proper implementation of guidelines should take these results into due account.

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References

  • American Diabetes Association (2004). Nutrition principles and recommendations in diabetes. Diabetes Care 27 (Suppl.1), S36–S46.

    Google Scholar 

  • Bates CJ, Nelson M, Ulijoszeck SJ (2005). Nutritional assessment methods in Human Nutrition. Geinsler C and Powers H (eds) Chapter 31, Elsevier: Oxford, pp 574–595.

    Google Scholar 

  • Buyken A, Toeller M, Heitkamp G, Vitelli F, Stehle P, Scherbaum WA et al., the EURODIAB IDDM Complications Study Group (1998). Relation of fiber intake to HbA1c and the prevalence of severe ketoacidosis and severe hypoglycaemia. Diabetologia 41, 882–890.

    CAS  Article  Google Scholar 

  • Buyken A, Toeller M, Heitkamp G, Karamanos B, Rottiers R, Muggeo M et al., the EURODIAB IDDM Complications Study Group (2001). Glycemic index n the diet of European outpatients with type 1 diabetes: relations to glycated haemoglobin and serum lipids. Am J Clin Nutr 73, 574–581.

    CAS  Article  Google Scholar 

  • Carnovale E, Marletta L (2000). Tabelle di Composizione degli Alimenti. Istituto Nazionale di Ricerca per gli Alimenti e la Nutrizione. Milano: Edra..

    Google Scholar 

  • Fraser CG, Hyltoft Petersen P, Libeer JC, Ricos C (1997). Proposal for setting generally applicable quality goals solely based on biology. Ann Clin Biochem 34, 8–12.

    Article  Google Scholar 

  • Friedwald WT, Levy BI, Fredrickson DS (1972). Estimation of the concentration of low- density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem 18, 499–502.

    Google Scholar 

  • Ghils ME, Goodhart RS (1980). Modern nutrition in Health and Disease, 6th edn. Philadelphia: Lea and Fabigher.

    Google Scholar 

  • Mann JI, De Leew I, Hermansen K, Karamanos B, Karlstrom B, Katsilambros N et al (2004). Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus. Nutr Metab Cardiovasc Dis 14, 373–394.

    CAS  Article  Google Scholar 

  • Riccardi G, Rivellese AA (2000). Dietary treatment of the methodic syndrome: the optimal diet. B J Nutr 83 (Suppl 1), S143–S148.

    CAS  Google Scholar 

  • Thanopoulou A, Karamanos B, Angelico F, Assaad-Khalil S, Barbato A, Del Ben M et al. (2004). Nutritional habits of subjects with type 2 diabetes mellitus in the Mediterranean Basin: comparison With the non diabetic population and the dietary recommendations. Multi- Centre Study of the Mediterranean Group for the Study of diabetes(MGSD). Diabetologia 47, 367–376.

    CAS  Article  Google Scholar 

  • Toeller M, Klischan A, Heitkamp G, et al., the EURODIAB IDDM Complications Study Group (1996). Nutritional intake of 2868 IDDM patients from 30 centers in Europe. Diabetologia 39, 929–939.

    CAS  Article  Google Scholar 

  • Toeller M, Buyeken A, Heitcamp G, Milne R, Klischan A, Gries FA, the EURODIAB IDDM Complications Study Group (1997). Repeatability of three- day dietary records in the Gries FA and the EURODIAB IDDM Complications Study. Eur J Clin Nutr 51, 74–80.

    CAS  Article  Google Scholar 

  • Trichopoulou A, Katsouyanni K, Gnardellis CH (1993). The traditional Greek diet. Eur J Clin Nutr 47 (Suppl 1), S76–S81.

    PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by Fo.ri.SID (Foundation of the Italian Society of Diabetology for the research on diabetes and metabolic diseases) with an unconditional grant by Astrazeneca. We greatly acknolwdge Professor R Giorgino for his effort in promoting and supporting the study and Dr CA Ferrero (St Raffaele Hospital) for his skilful organization of all EQAS stages. We are very much indebted to Professor M Muggeo for his tutorship.

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Correspondence to A A Rivellese.

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Rivellese, A., Boemi, M., Cavalot, F. et al. Dietary habits in type II diabetes mellitus: how is adherence to dietary recommendations?. Eur J Clin Nutr 62, 660–664 (2008). https://doi.org/10.1038/sj.ejcn.1602755

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602755

Keywords

  • diet
  • type II diabetes mellitus
  • dietary recommendations
  • saturated fat
  • dietary fibre

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