Περίληψη:
To evaluate the effect on overall and cardiovascular mortality of diet
and physical activity amongst diabetic persons.
Population-based prospective investigation, from 1993 to mid-2004, in
the Greek arm of the European Prospective Investigation into Cancer and
Nutrition.
Volunteers from the general adult Greek population.
From an original sample of 28 572 volunteers, 1013 were taking at
enrolment drugs for diabetes mellitus, had no missing information on the
study variables and no comorbidity. Diet was assessed at baseline
through a validated questionnaire. Proportional hazards regression was
used to assess the relation of dietary factors and physical activity
with mortality.
None.
Mortality ratios overall and from cardiovascular causes.
During 4579 person-years, 80 deaths have occurred, 46 of which from
cardiovascular causes. Physical activity was strongly inversely
associated with mortality. Two nutritional variables were significantly
associated with diabetic mortality, with hazard ratios for increases of
daily intake by one standard deviation being 1.31 for eggs [95%
confidence interval (95% CI) 1.07 to 1.60] and 1.82 for saturated
lipids (95% CI, 1.14 to 2.90). These two associations were considerably
stronger for cardiovascular mortality. Waist-to-height ratio was
positively, whereas hip circumference inversely associated with
mortality. No significant interactions with gender for any of the study
variables were evident.
Amongst confirmed diabetic persons, increased physical activity is
associated with significant reduction of mortality, whereas increased
consumption of eggs and saturated fats is associated with significant
increase of mortality. Monounsaturated lipids are preferable for
diabetic persons.
Συγγραφείς:
Trichopoulou, A.
Psaltopoulou, T.
Orfanos, P.
Trichopoulos,
D.
