DIETARY PATTERN AND TYPE 1 DIABETES

Valzimeire do Nascimento de  Oliveira; Valéria Cristina Nogueira; Soraia Pinheiro Machado; Maria Izabel Florindo Guedes

doi:10.59171/nutrivisa-2024v11e12006

Authors

Valzimeire do Nascimento de Oliveira State University of Ceará, Fortaleza, Ceará, Brazil https://orcid.org/0000-0003-1218-9800
Valéria Cristina Nogueira Federal Institute of Ceará, Ubajara, Ceará, Brazil. https://orcid.org/0000-0001-7512-7047
Soraia Pinheiro Machado State University of Ceará, Fortaleza, Ceará, Brazil https://orcid.org/0000-0002-3918-4738
Maria Izabel Florindo Guedes State University of Ceará, Fortaleza, Ceará, Brazil https://orcid.org/0000-0002-4569-8663

DOI:

https://doi.org/10.59171/nutrivisa-2024v11e12006

Keywords:

Diabetes Mellitus, Type 1, pattern, western dietary, principal component analysi, eating

Abstract

Studies on nutritional epidemiology have shown associations between dietary patterns and diabetes. This study was carried out to identify dietary patterns and assess their association with the presence or absence of type 1 diabetes. In this cross-sectional study with forty-five patients with type 1 diabetes and 45 healthy adult subjects, social and lifestyle demographic data were collected using structured questionnaires. Food intake was estimated using a 24-hour recall. Dietary patterns were identified by principal component factor analysis, followed by orthogonal varimax rotation. Poisson regression was used to estimate the prevalence ratios of independent variables about dependent variables. Three main patterns were identified: prudent, snack, and western. Together, they explained 34.49% of the variance. The prudent pattern was one that represents the intake of food groups recommended in a healthy diet. There was no significant association between patterns and the presence or absence of type 1 diabetes.

References

ADA. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2022. 17–38. https://doi.org/10.2337/dc22-S002

AHLUWALIA, N.; ANDREEVA, V. A.; KESSE-GUYOT, E.; HERCBERG, S. Dietary patterns, inflammation, and the metabolic syndrome. Diabetes & metabolism, v. 39, n. 2, p. 99–110, 2013. doi: https://doi.org/10.1016/j.diabet.2012.08.007.

ALARADI, M.; OUAGUENI, A.; KHATIB, R.; ATTIEH, G.; BAWADI, H.; SHI, Z. Dietary patterns and glycaemic control among Qatari adults with type 2 diabetes. Public health nutrition, v. 24, n.14, p. 4506–4513, 2021. doi: https://doi.org/10.1017/S1368980020003572.

ALMORAIE, N. M.; SAQAAN, R.; ALHARTHI, R.; ALAMOUDI, A.; BADH, L.; SHATWAN, I. M. Snacking patterns throughout the life span: potential implications on health. Nutrition Research, v. 91, p. 81-94, 2021. doi: https://doi.org/10.1016/j.nutres.2021.05.001.

BEIGREZAEI, S.; GHIASVAND, R.; FEIZI, A.; IRAJ, B. Relationship between Dietary Patterns and Incidence of Type 2 Diabetes. International Journal of Preventive Medicine, v.10, n.122, 2019. doi: https://doi.org/10.4103/ijpvm.IJPVM_206_17.

BRAVE, ABS. Impact of educational intervention on the nutritional profile of patients in primary care. UNILAB: 2018.

CASAS, R.; ESTRUCH, R. Dietary Patterns, Foods, Nutrients and Chronic Inflammatory Disorders. Immunome Res, v. 12, n. 2, p. 1–10, 2016. doi: https:// doi.org/10.4172/1745-7580.10000122.

DAVIES, M. J.; D'ALESSIO, D. A.; FRADKIN, J.; KERNAN, W. N.; MATHIEU, C.; MINGRONE, G.; ROSSING, P.; TSAPAS, A.; WEXLER, D. J.; BUSE, J. B. Management of Hyperglycemia in Type 2 Diabetes. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care, v. 41, n. 12, p. 2669–2701, 2018. doi: https://doi.org/10.2337/dci18-0033.

DOOSTVANDI, T.; MOZAFFARI-KHOSRAVI, H.; MIRMIRAN, P.; BAHADORAN, Z. The association between dietary patterns and insulin resistance: A systematic review. Int. J. Nutr. Food Sci, v. 5, n. 14, 2016. doi: https://doi: 10.11648 / j.ijnfs.s.2016050102.13.

FEDERAL DISTRICT. DIABETES MELLITUS: educational tools for group activities. State Health Secretariat: 2015.

FREIRE, M. B. B.; NASCIMENTO, E. G. C. D.; CAVALCANTI, M. A. F.; FERNANDES, N. C. D. S.; JÚNIOR, J. M. P. Food consumption pattern and factors associated with adults. Revista Família, Ciclos de Vida e Saúde no Contexto Social, v. 6, n. 4, 2018. doi: https://doi: 10.18554 / refacs. v6i4.2982.

FUNG, T. T.; SCHULZE, M.; MANSON, J. E.; WILLETT, W. C.; HU, F. B. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Archives of Internal Medicine, v. 164, n. 20, p. 2235–2240, 2004. doi: https://doi.org/10.1001/archinte.164.20.2235.

HASSANEIN, M.; TARIK, A.E.; MOHAMED, N.A. Management of type 2 diabetes when fasting during Ramadan. Diabetes and Ramadan: Practical Guidelines. IDF-DAR Alliance, Brussels, Belgium. 2021.

IBGE. Pesquisa de orçamentos familiares 2017-2018: análise do consumo alimentar pessoal no Brasil. Rio de Janeiro: IBGE – Coordenação de Trabalho e Rendimento; 2020. 20 p. ISBN 978-65-87201-15-3.

IDF. IDF DIABETES ATLAS (p. 141), 2021. https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf.

JOSEPH, M.; SHYAMASUNDER, A. H.; GUPTA, R. D.; ANAND, V.; THOMAS, N. Demographic details, clinical features, and nutritional characteristics of young adults with Type 1 diabetes mellitus - A South Indian tertiary center experience. Indian Journal of Endocrinology and Metabolism, v. 20, n. 6, p. 799–804, 2016. doi: https://doi.org/10.4103/2230-8210.192895.

LOUZADA, M.L.C. Nutrition and Health: the role of food ultraprocessing. USP: 2015.

LOUZADA, M.L.C.; CANELLA, D.S.; JAIME, P.S.; MONTEIRO, C.A. Food and health: the scientific foundation of the food guide for the Brazilian population. USP: 2019.

MARTÍNEZ, M.; GÓMEZ-DÍAZ, R. A.; GONZÁLEZ, A.; GONZÁLEZ, R. M.; BECERRA, M.; RIO, S.; CRUZ, M.; WACHER-RODARTE, N. H.; PACHECO, R.; ABURTO, V. Association between glycemic control and dietary patterns in patients with type 2 diabetes in a Mexican institute. Nutrition, v. 78, n. 110901, 2020. doi: https://doi.org/10.1016/j.nut.2020.110901.

MARTINS, P.F.A.; FARIA, L.R.C. Ultra-processed foods: a public health issue. With Health Sciences, v. 29, p. 14-17, 2018. doi: https://doi.org/10.51723/ccs.v29iSuppl%201.161.

MEDINA-REMÓN, A.; KIRWAN, R.; LAMUELA-RAVENTÓS, R. M.; ESTRUCH, R. Dietary patterns and the risk of obesity, type 2 diabetes mellitus, cardiovascular diseases, asthma, and neurodegenerative diseases. Critical Reviews in Food Science and Nutrition, v. 58, n. 2, p. 262–296, 2018. doi: https://doi.org/10.1080/10408398.2016.1158690.

MICHELS, K. B.; SCHULZE, M. B. Can dietary patterns help us detect diet–disease associations? Nutrition research reviews, v. 18, n. 2, p. 241-248, 2005. doi: https://doi: 10.1079/NRR2005107.

MOURA, P.C.; PENA, G.G.; GUIMARAES, J.B.; REIS, J.S. Nutritional education in the treatment of diabetes in primary health care: overcoming barriers. Rev APS, v. 21, p. 226-34, 2018. doi: https://doi: 10.34019 / 1809-8363.2018.v21.15607.

NEUHOUSER, M.L. The importance of healthy dietary patterns in chronic disease prevention. Nutrition Research, 70, pp. 3-6, 2019. doi: https: //doi: 10.1016/j.nutres.2018.06.002.

NEWBY, P. K.; TUCKER, K. L. Empirically derived eating patterns using factor or cluster analysis: a review. Nutrition reviews, v. 62, n. 5, p.177-203, 2004. doi: https://doi: 10.1301 / nr.2004.may.177-203.

PAN, B.; WU, Y.; YANG, Q.; GE, L.; GAO, C.; XUN, Y.; TIAN, J.; DING, G. The impact of major dietary patterns on glycemic control, cardiovascular risk factors, and weight loss in patients with type 2 diabetes: a network meta‐analysis. Journal of Evidence‐Based Medicine, v. 12, n. 1, p. 29-39, 2019. doi: https://doi.org/10.1111/jebm.12312.

PIONA, C.; VENTRICI, C.; MARCOVECCHIO, L.; CHIARELLI, F.; MAFFEIS, C.; BONFANTI, R.; RABBONE, I. Long-term complications of type 1 diabetes: what do we know and what do we need to understand? Minerva Pediatrics, v. 73, n. 6, p. 504–522, 2021. doi: https://doi.org/10.23736/S2724-5276.21.06545-9.

QI, L.; CORNELIS, M. C.; ZHANG, C.; VAN DAM, R. M.; HU, F. B. Genetic predisposition, Western dietary pattern, and the risk of type 2 diabetes in men. The American Journal of Clinical Nutrition, v. 89, n. 5, p. 1453–1458, 2009. doi: https://doi.org/10.3945/ajcn.2008.27249.

REAL RODRIGUES, C. C.; RIBOLDI, B. P.; DA COSTA RODRIGUES, T.; SARMENTO, R. A.; ANTONIO, J. P.; CARNEVALE DE ALMEIDA, J. Association of Eating Patterns and Diabetic Kidney Disease in Type 2 Diabetes: a Cross-Sectional Study. Journal of Renal Nutrition: the official journal of the Council on Renal Nutrition of the National Kidney Foundation, S1051-2276(22)00187-X, 2022. Advance online publication. doi: https://doi.org/10.1053/j.jrn.2022.09.011.

RODRÍGUEZ-MONFORTE, M.; SÁNCHEZ, E.; BARRIO, F.; COSTA, B.; FLORES-MATEO, G. Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies. European Journal of Nutrition, v. 56, n. 3, p. 925-947, 2017. doi: https://doi.org/10.1007 / s00394-016-1305-y.

SADIYA, A.; MNLA, R. Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, v. 12, p. 1143–1150, 2019. doi: https://doi.org/10.2147/DMSO.S209320.

SALES-PERES, S. H.; GUEDES, M.; SÁ, L. M.; NEGRATO, C. A.; LAURIS, J. R. Lifestyle of patients with diabetes mellitus type 1: a systematic review. Ciencia & Saude Coletiva, v. 21, n. 4, p. 1197–1206, 2016. doi: https://doi.org/10.1590/1413-81232015214.20242015.

SAJJADPOUR, Z.; NASLI-ESFAHANI, E.; SIASSI, F.; RAJAB, A.; QORBANI, M.; SOTOUDEH, G. Healthy Dietary Pattern is Related to Blood Lipids in Patients with Type 1 Diabetes Mellitus: A Cross-sectional Study from a Developing Country. International Journal of Preventive Medicine, v. 12, n. 7, 2021. doi: https://doi.org/10.4103/ijpvm.IJPVM_554_18.

SCHOENBORN, C.A.; ADAMS, P.F. Health behaviors of adults: United States, 2005–2007. National Center for Health Statistics. Vital Health Stat, v. 10, n. 245, 2010.

SCHULZE, M. B.; MARTÍNEZ-GONZÁLEZ, M. A.; FUNG, T. T.; LICHTENSTEIN, A. H.; FOROUHI, N. G. Food based dietary patterns and chronic disease prevention. British Medical Journal, v. 361, k2396. 2018. doi: https://doi.org/10.1136/bmj.k2396.

SELEM, S. S.; CASTRO, M. A.; CÉSAR, C. L.; MARCHIONI, D. M.; FISBERG, R. M. Associations between dietary patterns and self-reported hypertension among Brazilian adults: a cross-sectional population-based study. Journal of the Academy of Nutrition and Dietetics, v. 114, n. 8, p. 1216–1222, 2014. doi: https://doi.org/10.1016/j.jand.2014.01.007

SHADMAN, Z.; AKHOUNDAN, M.; POORSOLTAN, N.; LARIJANI, B.; QORBANI, M.; HEDAYATI, M.; NIKOO, M. K. Association of major dietary patterns with cardio-metabolic risk factors in type 2 diabetic patients. Iranian Journal of Public Health, v. 45, n.11, p. 1491, 2016.

SHU, L.; SHEN, X. M.; LI, C.; ZHANG, X. Y.; ZHENG, P. F. Dietary patterns are associated with type 2 diabetes mellitus among middle-aged adults in Zhejiang Province, China. Nutrition Journal, v. 16, n. 1, p. 1-9, 2017. doi: https://doi: 10.1186 / s12937-017-0303-0.

SROUR, B.; FEZEU, L. K.; KESSE-GUYOT, E.; ALLÈS, B.; MÉJEAN, C.; ANDRIANASOLO, R. M.; CHAZELAS, E.; DESCHASAUX, M.; HERCBERG, S.; GALAN, P.; MONTEIRO, C.A.; JULIA, C.; TOUVIER, M. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). British Medical Journal, v. 365, 2019. doi: https://doi: 10.1136 / bmj.l1451.

VANNUCHIL, R.F.; CARREIRA, C.M.; PEGORARO, L.G.O.; GVOZD, R. Impact of multiprofessional group intervention on the nutritional profile and lifestyle of overweight and obese women. Revista Saúde Pública Paraná, v. 17, p. 189-98, 2016. doi: https://doi: 10.22421 / 15177130.2016v17n2p189.

WALSH, E. I.; JACKA, F. N.; BUTTERWORTH, P.; ANSTEY, K. J.; CHERBUIN, N. The association between Western and Prudent dietary patterns and fasting blood glucose levels in type 2 diabetes and normal glucose metabolism in older Australian adults. Heliyon, v. 3, n. 6, e00315, 2017. doi: https://doi.org/10.1016/j.heliyon.2017.e00315.

WORLD HEALTH ORGANIZATION. Global status report on alcohol. Geneva: WHO; 2004.