Aims/hypothesis. The aim of this study was to compare the nutritional habits of Type 2 diabetic patients among Mediterranean countries and also with those of their background population and with the nutritional recommendations of the Diabetes and Nutrition Study Group. Methods. We did a cross-sectional study of 1833 non-diabetic subjects and 1895 patients with Type 2 diabetes, in nine centres in six Mediterranean countries. A dietary questionnaire validated against the 3-Day Diet Diary was used. Results. In diabetic patients the contribution of proteins, carbohydrates and fat to the energy intake varied greatly among centres, ranging from 17.6% to 21.0% for protein, from 37.7% to 53.0% for carbohydrates and from 27.2% to 40.8% for fat, following in every centre the trends of the non-diabetic population. Furthermore, diabetic patients compared to the corresponding background population had: (i) lower energy intake, (ii) lower carbohydrate and higher protein contribution to the energy intake, (iii) higher prevalence of obesity, ranging from 9 to 50%. The adherence to the nutritional recommendations for proteins, carbohydrate and fat was very low ranging from 1.4 to 23.6%, and still decreased when fibre was also considered. Conclusion/interpretation. In diabetic patients of the Mediterranean area: (i) dietary habits vary greatly among countries, according to the same trends of the background population; (ii) the prevalence of obesity is much lower than the 80% reported for patients with diabetes in Western countries; (iii) Carbohydrate intake is decreased with a complementary increase of protein and fat consumption, resulting to a poor compliance with the nutritional recommendations.

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) / A., Thanopoulou; B., Karamanos; Angelico, Francesco; S., Assaad Khalil; A., Barbato; DEL BEN, Maria; P., Djordjevic; V., Dimitrijevic Sreckovic; C., Gallotti; N., Katsilambros; I., Migdalis; M., Mrabet; M., Petkova; D., Roussi; M. T., Tenconi. - In: DIABETOLOGIA. - ISSN 0012-186X. - STAMPA. - 47:3(2004), pp. 367-376. [10.1007/s00125-003-1316-0]

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)

ANGELICO, Francesco;DEL BEN, Maria;
2004

Abstract

Aims/hypothesis. The aim of this study was to compare the nutritional habits of Type 2 diabetic patients among Mediterranean countries and also with those of their background population and with the nutritional recommendations of the Diabetes and Nutrition Study Group. Methods. We did a cross-sectional study of 1833 non-diabetic subjects and 1895 patients with Type 2 diabetes, in nine centres in six Mediterranean countries. A dietary questionnaire validated against the 3-Day Diet Diary was used. Results. In diabetic patients the contribution of proteins, carbohydrates and fat to the energy intake varied greatly among centres, ranging from 17.6% to 21.0% for protein, from 37.7% to 53.0% for carbohydrates and from 27.2% to 40.8% for fat, following in every centre the trends of the non-diabetic population. Furthermore, diabetic patients compared to the corresponding background population had: (i) lower energy intake, (ii) lower carbohydrate and higher protein contribution to the energy intake, (iii) higher prevalence of obesity, ranging from 9 to 50%. The adherence to the nutritional recommendations for proteins, carbohydrate and fat was very low ranging from 1.4 to 23.6%, and still decreased when fibre was also considered. Conclusion/interpretation. In diabetic patients of the Mediterranean area: (i) dietary habits vary greatly among countries, according to the same trends of the background population; (ii) the prevalence of obesity is much lower than the 80% reported for patients with diabetes in Western countries; (iii) Carbohydrate intake is decreased with a complementary increase of protein and fat consumption, resulting to a poor compliance with the nutritional recommendations.
2004
diabetes; dietary habits; mediterranean basin; recommendations
01 Pubblicazione su rivista::01a Articolo in rivista
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) / A., Thanopoulou; B., Karamanos; Angelico, Francesco; S., Assaad Khalil; A., Barbato; DEL BEN, Maria; P., Djordjevic; V., Dimitrijevic Sreckovic; C., Gallotti; N., Katsilambros; I., Migdalis; M., Mrabet; M., Petkova; D., Roussi; M. T., Tenconi. - In: DIABETOLOGIA. - ISSN 0012-186X. - STAMPA. - 47:3(2004), pp. 367-376. [10.1007/s00125-003-1316-0]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/239233
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