Next Article in Journal
The Relationship between Controlling Nutritional (CONUT) Score and Clinical Markers among Adults with Hepatitis C Virus Related Liver Cirrhosis
Previous Article in Journal
Dietary Intake and Beliefs of Pregnant Women with Gestational Diabetes in Cape Town, South Africa
Open AccessArticle

Type 1 Diabetic Subjects with Diabetic Retinopathy Show an Unfavorable Pattern of Fat Intake

1
Department of Endocrinology and Nutrition, Health Sciences Research Institute & University Hospital Germans Trias i Pujol, 08916 Badalona, Spain
2
Lleida Institute for Biomedical Research Dr. Pifarré Foundation, IRBLleida, University of Lleida, 25198 Lleida, Spain
3
Department of Endocrinology & Nutrition, University Hospital Germans Trias i Pujol, 08916 Badalona, Spain
4
Epidemiology and Public Health, International University of Catalonia, 08017 Barcelona, Spain
5
Unit Support of Research, Institut d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain
6
Center for Biomedical Research on Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III, 08907 Barcelona, Spain
7
Department of Ophthalmology, University Hospital Germans Trias i Pujol, 08916 Badalona, Spain
8
Department of Ophthalmology, University Hospital Arnau de Vilanova, 25198 Lleida, Spain
9
Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain
10
Department of Endocrinology & Nutrition, University Hospital Arnau de Vilanova, 25198 Lleida, Spain
11
Department of Endocrinology & Nutrition, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, 08041 Barcelona, Spain
*
Authors to whom correspondence should be addressed.
Nutrients 2018, 10(9), 1184; https://doi.org/10.3390/nu10091184
Received: 13 July 2018 / Revised: 25 August 2018 / Accepted: 27 August 2018 / Published: 29 August 2018
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. View Full-Text
Keywords: type 1 diabetes; diabetic retinopathy; dietary pattern; oleic acid; fatty acids; carbohydrates type 1 diabetes; diabetic retinopathy; dietary pattern; oleic acid; fatty acids; carbohydrates
MDPI and ACS Style

Granado-Casas, M.; Ramírez-Morros, A.; Martín, M.; Real, J.; Alonso, N.; Valldeperas, X.; Traveset, A.; Rubinat, E.; Alcubierre, N.; Hernández, M.; Puig-Domingo, M.; Lecube, A.; Castelblanco, E.; Mauricio, D. Type 1 Diabetic Subjects with Diabetic Retinopathy Show an Unfavorable Pattern of Fat Intake. Nutrients 2018, 10, 1184.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop