The diet of diabetic patients in Spain in 2008-2010: Accordance with the main dietary recommendations-a cross-sectional study

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dc.contributor.author Muñoz-Pareja, Maritza
dc.contributor.author León-Muñoz, Luz María
dc.contributor.author Guallar-Castillón, Pilar
dc.contributor.author Graciani, Auxiliadora
dc.contributor.author López-García, Esther
dc.contributor.author Banegas, Jose Ramón
dc.contributor.author Rodriguez Artalejo, Fernando
dc.contributor.other UAM. Departamento de Medicina Preventiva y Salud Pública y Microbiología es_ES
dc.date.accessioned 2015-05-08T10:57:14Z
dc.date.available 2015-05-08T10:57:14Z
dc.date.issued 2012-06-22
dc.identifier.citation Plos One 7.6 (2012): e39454 en_US
dc.identifier.issn 1932-6203 (online) en_US
dc.identifier.uri http://hdl.handle.net/10486/666086
dc.description.abstract 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 en_US
dc.description.sponsorship 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’ en_US
dc.format.extent 9 pag. es_ES
dc.format.mimetype application/pdf en
dc.language.iso eng en
dc.publisher Public Library of Science en_US
dc.relation.ispartof Plos One en_US
dc.rights © 2012 Muñoz-Pareja et al. es_ES
dc.subject.other Cross-Sectional Studies en_US
dc.subject.other Diabetic Diet en_US
dc.subject.other Spain en_US
dc.subject.other Dietary Fats en_US
dc.title The diet of diabetic patients in Spain in 2008-2010: Accordance with the main dietary recommendations-a cross-sectional study en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.identifier.doi 10.1371/journal.pone.0039454 es_ES
dc.identifier.publicationfirstpage e39454 es_ES
dc.identifier.publicationissue 6 es_ES
dc.identifier.publicationlastpage e39454 es_ES
dc.identifier.publicationvolume 7 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion en
dc.rights.cc Reconocimiento es_ES
dc.rights.accessRights openAccess en
dc.authorUAM Rodríguez Artalejo, Fernando (259343)


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