Type 1 diabetic subjects with diabetic retinopathy show an unfavorable pattern of fat intake

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2018-08-29
Author
Granado Casas, Minerva
Ramírez-Morros, Anna
Martín, Mariona
Real, Jordi
Alonso, Núria
Valldeperas, Xavier
Traveset Maeso, Alicia
Rubinat, Esther
Alcubierre Calvo, Núria
Hernández García, Marta
Puig-Domingo, Manuel
Lecube Torelló, Albert
Castelblanco Echavarría, Esmeralda
Mauricio Puente, Dídac
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Granado Casas, Minerva; Ramírez-Morros, Anna; Martín, Mariona; Real, Jordi; Alonso, Núria; Valldeperas, Xavier; ... Mauricio Puente, Dídac. (2018) . Type 1 diabetic subjects with diabetic retinopathy show an unfavorable pattern of fat intake. Nutrients, 2018, vol. 10, num. 1184, p. 1-10. https://doi.org/10.3390/nu10091184.
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Abstract
Medical nutrition therapy is an important part of the management of type 1 diabetes mellitus (T1DM). Proper adherence to a healthy diet may have a favorable impact on diabetes management and its diabetic complications. Our aim was to assess differences in food and nutrient intake of type 1 diabetic patients with and without diabetic retinopathy (DR). This was a two-center, cross-sectional study in patients with T1DM, with and without DR. Subjects were recruited from the outpatient clinic of the two participating centers. A validated food frequency questionnaire was administered. A total of 103 T1DM patients with DR and 140 T1DM patient without DR were recruited. Subjects with DR showed a lower intake of total fat (p = 0.036) than that of their non-DR counterparts. DR was associated with increasing age (p = 0.004), hypertension (p < 0.001), and diabetes duration (p < 0.001), however there was a negative association with high educational level (p = 0.018). The multivariate-adjusted analysis showed that the intake of complex carbohydrates was positively related to the presence of DR (p = 0.031). In contrast, the intakes of total fat (p = 0.009), monounsaturated fatty acids (MUFAs) (p = 0.012), oleic acid (p = 0.012), and vitamin E (p = 0.006) were associated with the absence of DR. As conclusions, the intake of total MUFAs, oleic acid, and vitamin E is associated with a lower frequency of DR in patients with T1DM. These results suggest a potential protective effect of these lipid components for DR.
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http://hdl.handle.net/10459.1/64754
DOI
https://doi.org/10.3390/nu10091184
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Nutrients, 2018, vol. 10, num. 1184, p. 1-10
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cc-by (c) Granado Casas, Minerva et al., 2018
Except where otherwise noted, this item's license is described as cc-by (c) Granado Casas, Minerva et al., 2018