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RESEARCH PRODUCT
Sex differences in food choices, adherence to dietary recommendations and plasma lipid profile in type 2 diabetes - The TOSCA.IT study
Christian CaselliM. C. RuffoFabrizio CappelliniMaria MasulliP. Di BartoloCarmela GiordanoGiovanni SartoreG. CitroL. CorsiStefano SignoriniGiorgio ClementeG. MancastroppaM. MoriElena CeccarelliRaffaella BuzzettiRoberto AnichiniOlga VaccaroGabriele PerrielloA. C. BabiniVittorio KroghL. TonuttiSergio Giuseppe LonghitanoLaura SalviCarlo GiordaAgostino ConsoliR. CarpinteriM. E. RinaldiChiara MazzucchelliA. ZogheriMassimo BoemiA. De GregorioClarissa ZamboniMonia GarofoloS. CocozzaEnzo BonoraVeronica MontaniC. ScarannaGiovanna RiccardiLucia FontanaG. Di CianniMauro CignarelliC. IovineSara GrioniMartina Vitalesubject
MaleTime FactorsHealthy DietEndocrinology Diabetes and MetabolismSaturated fatMedicine (miscellaneous)Type 2 diabetesCardiovascular risk factors; Diabetes; Dietary habits; Men; Nutritional recommendations; Sex differences; Women; Medicine (miscellaneous); Nutrition and Dietetics; Endocrinology Diabetes and Metabolism; Cardiology and Cardiovascular MedicineDiabeteRecommended Dietary AllowancesChoice Behaviorchemistry.chemical_compound0302 clinical medicineEndocrinologyRisk FactorsCardiovascular risk factors; Diabetes; Dietary habits; Men; Nutritional recommendations; Sex differences; Women; Aged; Biomarkers; Diabetes Mellitus Type 2; Female; Food Preferences; Humans; Italy; Lipids; Male; Middle Aged; Nutrition Assessment; Risk Factors; Sex Factors; Surveys and Questionnaires; Time Factors; Treatment Outcome; Choice Behavior; Feeding Behavior; Healthy Diet; Patient Compliance; Recommended Dietary Allowances; Medicine (miscellaneous); Endocrinology Diabetes and Metabolism; Nutrition and Dietetics; Cardiology and Cardiovascular MedicineSurveys and QuestionnairesFood choiceMedicine030212 general & internal medicineFood scienceCardiovascular risk factorsNutrition and DieteticsDietary habitsDiabetesMenMiddle AgedLipidsDiabetes and MetabolismTreatment OutcomeItalySaturated fatty acidFemaleDiet HealthyCardiology and Cardiovascular MedicineType 2030209 endocrinology & metabolismAdded sugarDietary habit03 medical and health sciencesFood PreferencesSex FactorsDiabetes mellitusSex differencesDiabetes MellitusHumansWomenAgedCardiovascular risk factors; Diabetes; Dietary habits; Men; Nutritional recommendations; Sex differences; Women; Aged; Biomarkers; Diabetes Mellitus Type 2; Female; Food Preferences; Humans; Italy; Lipids; Male; Middle Aged; Nutrition Assessment; Risk Factors; Sex Factors; Surveys and Questionnaires; Time Factors; Treatment Outcome; Choice Behavior; Diet Healthy; Feeding Behavior; Patient Compliance; Recommended Dietary AllowancesHealthybusiness.industryUnsaturated fatNutritional recommendationFeeding BehaviorSex differencemedicine.diseaseDietNutrition AssessmentchemistryDiabetes Mellitus Type 2Patient ComplianceNutritional recommendationsGlycated hemoglobinbusinessBiomarkersdescription
Background and aims: Diabetic women have a more adverse plasma lipid profile than men. Sex differences in dietary habits may play a role, but are little investigated. The study evaluates the quality of diet, adherence to the nutritional recommendations of the Diabetes and Nutrition Study Group and their relation with plasma lipid in men and women with diabetes. Methods and results: We studied 2573 people, aged 50e75, enrolled in the TOSCA.IT study (clinicaltrials.gov; NCT00700856). Plasma lipids were measured centrally. Diet was assessed with a semi-quantitative food frequency questionnaire.Women had a more adverse plasma lipid profile than men.Women consumed significantly more legumes, vegetables, fruits, eggs, milk, vegetable oils, and added sugar, whereas men consumed more starchy foods, soft drinks and alcoholic beverages. This stands for a higher proportion (%) of energy intake from saturated fat and added sugar (12.0 2.4 vs 11.5 2.5 and 3.4 3.2 vs 2.3 3.2, P < 0.04), and a higher intake of fiber (11.2 2.8 vs 10.4 2.6 g/1000 Kcal/day) in women. Adherence to the recommendations for saturated fat and fiber consumption was associated with significantly lower LDL-cholesterol regardless of sex. Adherence to the recommendations for added sugars was associated with significantly lower triglycerides and higher HDL-cholesterol in men and women. Conclusions: Men and women with diabetes show significant differences in adherence to nutritional recommendations, but sex differences in plasma lipid profile are unlikely to be explained by nutritional factors. Adherence to the nutritional recommendations is associated with a better plasma lipid profile regardless of sex, thus reinforcing the importance of substituting saturated for unsaturated fat sources, increasing fiber and reducing added sugar intake.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2016-01-01 |