The diet of diabetic patients in Spain in 2008-2010: Accordance with the main dietary recommendations-a cross-sectional study
Entidad
UAM. Departamento de Medicina Preventiva y Salud Pública y MicrobiologíaEditor
Public Library of ScienceFecha de edición
2012-06-22Cita
10.1371/journal.pone.0039454
Plos One 7.6 (2012): e39454
ISSN
1932-6203 (online)DOI
10.1371/journal.pone.0039454Financiado por
The ENRICA study is funded by Sanofi-Aventis. Additional funding is obtained from FIS grant PI09/1626 and from the ‘Cátedra UAM de Epidemiología y Control del Riesgo Cardiovascular’Materias
Cross-Sectional Studies; Diabetic Diet; Spain; Dietary Fats; MedicinaDerechos
© 2012 Muñoz-Pareja et al.Resumen
Background: No previous study has assessed the diet of the diabetic patients in the general population of an entire country in Europe. This study evaluates accordance of the diet of diabetic adults in Spain with nutritional recommendations of the European Association for the Study of Diabetes (EASD), American Diabetes Association (ADA), and the Mediterranean diet (MD). Methods and Findings: Cross-sectional study conducted in 2008-2010 among 12,948 persons representative of the population aged ≥18 years in Spain. Usual food consumption was assessed with a dietary history. EASD accordance was defined as ≥6 points on a score of 12 nutritional goals, ADA accordance as ≥3 points on a score of 6 goals, and MD accordance as ≥7 points on the Mediterranean Diet Adherence Screener. In the 609 diagnosed diabetic individuals, the diet was rich in saturated fat (11.2% of total energy), but trans fat intake was relatively low (1.1% energy) and monounsaturated fat intake was high (16.1% energy). Carbohydrate intake was relatively low (41.1% energy), but sugar intake was high (16.9% energy). Intake of cholesterol (322 mg/day) and sodium (3.1 g/day) was also high, while fiber intake was insufficient (23.8 g/day). EASD accordance was observed in 48.7% diabetic patients, ADA accordance in 46.3%, and MD accordance in 57.4%. The frequency of EASD, ADA and MD accordance was not statistically different between diagnosed and undiagnosed diabetic individuals. Conclusions: Only about half of diabetic patients in Spain have a diet that is consistent with the major dietary recommendations. The lack of dietary differences between diagnosed and undiagnosed diabetic individuals reflects deficiencies in diabetes management
Lista de ficheros
Google Scholar:Muñoz-Pareja, Maritza
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León-Muñoz, Luz María
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Guallar Castillón, María Pilar
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Graciani Pérez-Regadera, Auxiliadora
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López García, Esther
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Banegas Banegas, José Ramón
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Rodríguez Artalejo, Fernando
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