TY - JOUR
TI - 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)
AU - Thanopoulou, A
AU - Karamanos, B
AU - Angelico, F
AU - Assaad-Khalil, S and
AU - Barbato, A
AU - Del Ben, M
AU - Djordjevic, P
AU - Dimitrijevic-Sreckovic,
AU - V
AU - Gallotti, C
AU - Katsilambros, N
AU - Migdalis, I
AU - Mrabet, M and
AU - Petkova, M
AU - Roussi, D
AU - Tenconi, MT
JO - Diabetologia
PY - 2004
VL - 47
TODO - 3
SP - 367-376
PB - Springer-Verlag
SN - 0012-186X, 1432-0428
TODO - 10.1007/s00125-003-1316-0
TODO - dietary habits; diabetes; Mediterranean Basin; recommendations
TODO - 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.
ER -