Impact of a Mediterranean Dietary Pattern and Its Components on Cardiovascular Risk Factors, Glucose Control, and Body Weight in People with Type 2 Diabetes: A Real-Life Study
, Maria Masulli 1, Ilaria Calabrese 1, Angela Albarosa Rivellese 1, Enzo Bonora 2, Stefano Signorini 3, Gabriele Perriello 4, Sebastiano Squatrito 5, Raffaella Buzzetti 6, Giovanni Sartore 7, Anna Carla Babini 8, Giovanna Gregori 9, Carla Giordano 10, Gennaro Clemente 11, Sara Grioni 12, Pasquale Dolce 13, Gabriele Riccardi 1, Olga Vaccaro 1,*
and on behalf of the TOSCA.IT Study Group †Abstract
This study evaluates the relation of a Mediterranean dietary pattern and its individual components with the cardiovascular risk factors profile, plasma glucose and body mass index (BMI) in people with type 2 diabetes. We studied 2568 participants at 57 diabetes clinics. Diet was assessed with the EPIC (European Prospective Investigation into Cancer and Nutrition) questionnaire, adherence to the Mediterranean diet was evaluated with the relative Mediterranean diet score (rMED). A high compared to a low score was associated with a better quality of diet and a greater adherence to the nutritional recommendations for diabetes. However, even in the group achieving a high score, only a small proportion of participants met the recommendations for fiber and saturated fat (respectively 17% and 30%). Nonetheless, a high score was associated with lower values of plasma lipids, blood pressure, glycated hemoglobin, and BMI. The relationship of the single food items components of the rMED score with the achievement of treatment targets for plasma lipids, blood pressure, glucose, and BMI were also explored. The study findings support the Mediterranean dietary model as a suitable model for type 2 diabetes and the concept that the beneficial health effects of the Mediterranean diet lie primarily in its synergy among various nutrients and foods rather than on any individual component. View Full-Text
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Vitale, M.; Masulli, M.; Calabrese, I.; Rivellese, A.A.; Bonora, E.; Signorini, S.; Perriello, G.; Squatrito, S.; Buzzetti, R.; Sartore, G.; Babini, A.C.; Gregori, G.; Giordano, C.; Clemente, G.; Grioni, S.; Dolce, P.; Riccardi, G.; Vaccaro, O.; on behalf of the TOSCA.IT Study Group. Impact of a Mediterranean Dietary Pattern and Its Components on Cardiovascular Risk Factors, Glucose Control, and Body Weight in People with Type 2 Diabetes: A Real-Life Study. Nutrients 2018, 10, 1067.
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