Sex differences in food choices, adherence to dietary recommendations and plasma lipid profile in type 2 diabetes - The TOSCA.IT study

被引：43

作者：

Vitale, M. ^{[1
]}

Masulli, M. ^{[1
]}

Cocozza, S. ^{[1
]}

Anichini, R. ^{[2
]}

Babini, A. C. ^{[3
]}

Boemi, M. ^{[4
]}

Bonora, E. ^{[5
]}

Buzzetti, R. ^{[6
]}

Carpinteri, R. ^{[7
]}

Caselli, C. ^{[8
]}

Ceccarelli, E. ^{[9
]}

Cignarelli, M. ^{[10
]}

Citro, G. ^{[11
]}

Clemente, G. ^{[1
]}

Consoli, A. ^{[12
]}

Corsi, L. ^{[13
]}

De Gregorio, A. ^{[14
]}

Di Bartolo, P. ^{[15
]}

Di Cianni, G. ^{[16
]}

Fontana, L. ^{[17
]}

Garofolo, M. ^{[18
]}

Giorda, C. B. ^{[19
]}

Giordano, C. ^{[20
]}

Grioni, S. ^{[21
]}

Iovine, C. ^{[1
]}

Longhitano, S. ^{[22
]}

Mancastroppa, G. ^{[23
]}

Mazzucchelli, C. ^{[24
]}

Montani, V. ^{[25
]}

Mori, M. ^{[26
]}

Perriello, G. ^{[27
]}

Rinaldi, M. E. ^{[28
]}

Ruffo, M. C. ^{[29
]}

Salvi, L. ^{[30
]}

Sartore, G. ^{[31
]}

Scaranna, C. ^{[32
]}

Tonutti, L. ^{[33
]}

Zamboni, C. ^{[34
]}

Zogheri, A. ^{[35
]}

Krogh, V. ^{[21
]}

Cappellini, F. ^{[36
]}

Signorini, S. ^{[36
]}

Riccardi, G. ^{[1
]}

Vaccaro, O. ^{[1
]}

机构：

[1] Univ Naples Federico II, Dipartimento Med Clin & Chirurgia, Via S Pansini 5, I-80131 Naples, Italy

[2] USL 3, UO Diabetol, Pistoia, Italy

[3] Osped Infermi, Diabetol, Rimini, Italy

[4] Ist INRCA IRCCS, UOC Malattie Metab & Diabetol, Ancona, Italy

[5] Univ Verona, Dipartimento Med, Div Endocrinol Diabete & Metab, I-37100 Verona, Italy

[6] Osped Santa Maria Goretti, UOC Diabetol Univ, Latina, Italy

[7] UO Malattie Metab & Diabetol, Ao Treviglio, Italy

[8] AUSL Romagna, UOD Endocrinol & Diabetol, Cesena, Italy

[9] Univ Siena, Dipartimento Med Chirurgia & Neurosci, UOC Diabetol, I-53100 Siena, Italy

[10] OORR Foggia, Endocrinol, Foggia, Italy

[11] ASP, UO Endocrinol & Diabetol, Potenza, Italy

[12] Univ G dAnnunzio, DMSI CeSI Met, Chieti, CH, Italy

[13] ASL 4 Chiavarese, SSD Diabetol & Malattie Metab, Genoa, Italy

[14] Osped San Salvatore, UOSD Diabetol, Laquila, Italy

[15] UO Diabetol Ravenna, A Usl Romagna, Italy

[16] ASL 6, UOC Diabetol, Livorno, Italy

[17] Osped S Pertini, UOC Diabetol & Dietol, Rome, Italy

[18] Univ Pisa, Dipartimento Med Clin & Sperimentale, I-56100 Pisa, Italy

[19] ASL Torino 5, Chieri, Italy

[20] Univ Palermo, Endocrinol & Malattie Metab, I-90133 Palermo, Italy

[21] Ist Nazl Tumori, Fdn IRCCS, Unita Epidemiol & Prevenz, Milan, Italy

[22] Univ Catania, Dipartimento Med Clin & Sperimentale, I-95124 Catania, Italy

[23] Univ Parma, Dipartimento Med Clin & Sperimentale, I-43100 Parma, Italy

[24] Univ Genoa, IRCCS San Martino, DIMI, Genoa, Italy

[25] Presidio Osped Atri, UOSD, Atri, TE, Italy

[26] ASL 1, SSD Diabetol, Massa Carrara, Italy

[27] Univ Perugia, MISEM, I-06100 Perugia, Italy

[28] Univ Roma Tor Vergata, Dipartimento Med Sistemi, Rome, Italy

[29] Policlin Messina, Dipartimento Med Interna, Messina, Italy

[30] Univ Roma La Sapienza, Dipartimento Med Clin & Mol, Rome, Italy

[31] Univ Padua, DPT Med, I-35100 Padua, Italy

[32] AO Papa Giovanni XXIII, USC Malattie Endocrine & Diabetol, Bergamo, Italy

[33] AOU S Maria Misericordia, SOC Endocrinol & Malattie Metab, Udine, Italy

[34] AOU Arcispedale S Anna, UO Malattie Metab Dietol & Nutr Clin, Ferrara, Italy

[35] Osped Prato, UO Diabetol, Prato, PO, Italy

[36] Univ Milano Bicocca, Osped Desio, Dipartimento Patol Sperimentale, Milan, Italy

来源：

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES | 2016年 / 26卷 / 10期

关键词：

Diabetes; Dietary habits; Nutritional recommendations; Sex differences; Men; Women; Cardiovascular risk factors; CARDIOVASCULAR-DISEASE; RISK-FACTORS; SUGAR INTAKE; METAANALYSIS; COMPLICATIONS; INDIVIDUALS; PREVENTION; MORTALITY; MELLITUS; IMPACT;

D O I：

10.1016/j.numecd.2016.04.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and aims: Diabetic women have a more adverse plasma lipid profile than men. Sex differences in dietary habits may play a role, but are little investigated. The study evaluates the quality of diet, adherence to the nutritional recommendations of the Diabetes and Nutrition Study Group and their relation with plasma lipid in men and women with diabetes. Methods and results: We studied 2573 people, aged 50-75, enrolled in the TOSCA.IT study (clinicaltrials.gov; NCT00700856). Plasma lipids were measured centrally. Diet was assessed with a semi-quantitative food frequency questionnaire. Women had a more adverse plasma lipid profile than men. Women consumed significantly more legumes, vegetables, fruits, eggs, milk, vegetable oils, and added sugar, whereas men consumed more starchy foods, soft drinks and alcoholic beverages. This stands for a higher proportion (%) of energy intake from saturated fat and added sugar (12.0 +/- 2.4 vs 11.5 +/- 2.5 and 3.4 +/- 3.2 vs 2.3 +/- 3.2, P < 0.04), and a higher intake of fiber (11.2 +/- 2.8 vs 10.4 +/- 2.6 g/1000 Kcal/day) in women. Adherence to the recommendations for saturated fat and fiber consumption was associated with significantly lower LDL-cholesterol regardless of sex. Adherence to the recommendations for added sugars was associated with significantly lower triglycerides and higher HDL-cholesterol in men and women. Conclusions: Men and women with diabetes show significant differences in adherence to nutritional recommendations, but sex differences in plasma lipid profile are unlikely to be explained by nutritional factors. Adherence to the nutritional recommendations is associated with a better plasma lipid profile regardless of sex, thus reinforcing the importance of substituting saturated for unsaturated fat sources, increasing fiber and reducing added sugar intake. (C) 2016 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

引用

页码：879 / 885

页数：7

共 24 条

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