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RESEARCH PRODUCT

Dietary intake and major food sources of polyphenols in people with type 2 diabetes: The TOSCA.IT Study

M. VitaleM. MasulliA. A. RivelleseE. BonoraF. CappelliniAndrea NicolucciS. SquatritoD. AntenucciA. BarreaC. BianchiF. BianchiniL. FontanaP. FornengoF. GiorginoA. GnassoE. MannucciA. MazzottiR. NappoA. P. PalenaP. PataG. PerrielloS. PotenzianiR. RadinL. RicciF. RomeoC. SantiniM. ScarponiRiccardo SerraA. TimiA. A. TurcoM. VedovatoD. ZavaroniS. GrioniG. RiccardiO. VaccaroAngela Albarosa RivelleseSara CocozzaStefania AucielloAnna Amelia TurcoEnzo BonoraMassimo CigoliniIsabella PichiriCorinna BranganiElena TomasettoGabriele PerrielloAlessia TimiSebastiano SquatritoTiziana SinagraSara LonghitanoVanessa TropeaGiorgio BallardiniAnna Carla BabiniRaffaella RipaniGiovanna GregoriMaria DolciLaura BruselliIsabella SalutiniMary MoriFabio BaccettiAnnunziata LapollaGiovanni SartoreSilvia BurlinaNino Cristiano ChilelliRaffaella BuzzettiChiara VendittiStella PotenzianiAngela CarloneGalluzzoâ€&nbspAldo Carla GiordanoVittoria TorregrossaLaura CorsiGiacomo CuneoSimona CorsiBiagio TizioGennaro ClementeGiuseppe CitroMaria NataleVita SalvatoreGraziano Di CianniEmilia LacariaLaura RussoRossella IannarelliAntonella De GregorioFilomena SciarrettaSettimio D’andreaValeria MontaniEmanuela CannarsaKatia DolcettiRenzo CorderaLaura Affinito BonabelloChiara MazzucchelliCarlo Bruno GiordaFrancesco RomeoCaterina BonettoDaniela AntenucciMaria Pompea Antonia BaldassarreCiro IovineRossella NappoOrnella CianoElisabetta Dall’aglioGiovanni MancastroppaFranco GrimaldiLaura TonuttiMassimo BoemiFederica D’angeloSergio LeottaLucia FontanaDavide LauroMaria Elena RinaldiMauro CignarelliOlga La MacchiaStefania FarielloFranco TomasiChiara ZamboniNicoletta DozioRoberto TrevisanCristiana ScarannaStefano Del PratoRoberto MiccoliCristina BianchiMonia GarofoloGiuseppe PuglieseLaura SalviGraziela RangelMartina VitaleRoberto AnichiniAnna TedeschiElisa CorsiniDomenico CucinottaAntonino Di BenedettoLoretta GiuntaMaria Concetta RuffoAntonio Carlo BossiRita CarpinterFrancesco DottaElena CeccarelliPaolo Di BartoloChiara CaselliAlessandra LubertoCostanza SantiniArianna MazzottiGiovanni CalbucciAgostino ConsoliFederica GinestraMaria CalabreseAlessia ZogheriLucia RicciFrancesco GiorginoLuigi LaviolaClaudia IppolitoLucia TarantinoAngelo AvogaroMonica VedovatoAgostino GnassoClaudio CaralloCaterina ScicchitanoDonatella ZavaroniStefania LivragaPaolo Cavallo PerinPaolo ForrnengoTania PrinzisSalvatore De CosmoAntonio Pio PalenaSimonetta BacciEdoardo MannucciCaterina LamannaPietro PataGabriele LettinaAntimo AielloAngelina BarreaCarlo LalliMaura ScarponiIvano FranzettiRaffaella RadinRosalia SerraFrancesca PetrachiVincenzo AsprinoClaudio CapraMassimo CigoliniElisa ForteStella PotenzianiGiulio Marchesini ReggianiGabriele ForlaniLuca MontesiNatalia MazzellaPier Marco PiattiLucilla MontiMichela StuccilloPasquale AulettaEttore PetraroliGiuseppe CapobiancoGeremia RomanoMichele CutoloGiosetta De SimoneGennaro CaiazzoPeppe NunziataSusy SorrentinoUmberto AmeliaPasqualino CalatolaGelsomina Capuano

subject

0301 basic medicineMaleAge BMI Diabetes Diet Flavonoids Food groups Geographical area Intake Phenolic acids Polyphenols TOSCA.IT study Aged Antioxidants Beverages Cinnamates Cohort Studies Cross-Sectional Studies Databases Factual Diabetes Mellitus Type 2 Female Flavonoids Fruit Glycosides Humans Italy Male Middle Aged Nutritive Value Phenols Polyphenols Diet Diabetic Diet Healthy Patient ComplianceSettore MED/09 - Medicina InternaDatabases FactualCross-sectional studyMedicine (miscellaneous)Type 2 diabetesDiabeteAntioxidantsSettore MED/13 - EndocrinologiaFood groupCohort Studies0302 clinical medicineDiet DiabeticMedicineFood scienceGlycosidesAge; BMI; Diabetes; Diet; Flavonoids; Food groups; Geographical area; Intake; Phenolic acids; Polyphenols; TOSCA.IT study; Medicine (miscellaneous); Nutrition and DieteticsNutrition and DieteticsPhenolic acidDiabetesfood and beveragesMiddle AgedPolyphenols Flavonoids Phenolic acids Diabetes Food groups Diet Age BMI Geographical area Intake TOSCA.IT studyItalyToscaAgeBMIDiabetesDietFlavonoidsFood groupsGeographical areaIntakePhenolic acidsPolyphenolsTOSCA.IT studyCohortIntakeFemaleDiet HealthyNutritive ValueCohort studyPolyphenolPhenolic acids030209 endocrinology & metabolismBeverages03 medical and health sciencesBMIAgePhenolsDiabetes mellitusHumansAgedFlavonoidsGeographical area030109 nutrition & dieteticsbusiness.industryTOSCA.IT studyPolyphenolsAnthropometrymedicine.diseaseFood groupDietToscaCross-Sectional StudiesDiabetes Mellitus Type 2Food groupsPolyphenolCinnamatesAge; BMI; Diabetes; Diet; Flavonoids; Food groups; Geographical area; Intake; Phenolic acids; Polyphenols; TOSCA.IT studyFruitFlavonoidPatient Compliancebusiness

description

Purpose: Proper evaluation of polyphenols intake at the population level is a necessary step in order to establish possible associations with health outcomes. Available data are limited, and so far no study has been performed in people with diabetes. The aim of this work was to document the intake of polyphenols and their major food sources in a cohort of people with type 2 diabetes and in socio-demographic subgroups. Methods: We studied 2573 men and women aged 50–75 years. Among others, anthropometry was measured by standard protocol and dietary habits were investigated by food frequency questionnaire (EPIC). The intake of polyphenols was evaluated using US Department of Agriculture and Phenol-Explorer databases. Results: The mean total polyphenol intake was 683.3 ± 5.8 mg/day. Non-alcoholic beverages represented the main food source of dietary polyphenols and provided 35.5% of total polyphenol intake, followed by fruits (23.0%), alcoholic beverages (14.0%), vegetables (12.4%), cereal products and tubers (4.6%), legumes (3.7%) and oils (2.1%); chocolate, cakes and nuts are negligible sources of polyphenols in this cohort. The two most important polyphenol classes contributing to the total intake were flavonoids (47.5%) and phenolic acids (47.4%). Polyphenol intake increased with age and education level and decreased with BMI; furthermore, in the northern regions of Italy, the polyphenol intake was slightly, but significantly higher than in the central or southern regions. Conclusions: The study documents for the first time the intake of polyphenols and their main food sources in people with diabetes using validated and complete databases of the polyphenol content of food. Compared with published data, collected in people without diabetes, these results suggest a lower intake and a different pattern of intake in people with diabetes. © 2016 Springer-Verlag Berlin Heidelberg

http://hdl.handle.net/10447/227618