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Pharmacological and Nutritional Modulation of Vascular Calcification
Open AccessArticle

Pasta Consumption and Connected Dietary Habits: Associations with Glucose Control, Adiposity Measures, and Cardiovascular Risk Factors in People with Type 2 Diabetes—TOSCA.IT Study

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Department of Clinical Medicine and Surgery, University of Naples Federico II, 80131 Naples, Italy
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Division of Endocrinology, Diabetes and Metabolism, University and Hospital Trust of Verona, 37138 Verona, Italy
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Medical Division, Rimini Hospital, 47900 Rimini, Italy
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Dipartimento di Medicina, University of Padova, 35100 Padova, Italy
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Dipartimento di Diabetologia e Malattie del Metabolismo, ASL 4 Chiavarese, 16043 Genova, Italy
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Department of Experimental Medicine, Sapienza University, 04100 Rome, Italy
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UO Endocrinologia e Diabetologia, ASP, 85100 Potenza, Italy
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CeSI-MeT-Centro di Scienze dell’Invecchiamento e Medicina Traslazionale-University G. D’Annunzio of Chieti, 66100 Pescara, Italy
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UOC Malattie Endocrine e Centro Regionale per il Diabete Mellito, ASST Bergamo Ovest di Treviglio, 24047 Treviglio, Italy
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Section of Endocrinology, Diabetology and Metabolic Diseases, University of Palermo, 90127 Palermo, Italy
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Dipartimento di Medicina Clinica e Sperimentale, University of Parma, 43100 Parma, Italy
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UOSD Diabetologia e Malattie del Metabolismo, Ospedale San Salvatore, 67100 L’Aquila, Italy
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SOC di Endocrinologia e Malattie del Metabolismo, AOU S. Maria della Misericordia, 33100 Udine, Italy
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Center for Outcomes Research and Clinical Epidemiology (CORESEARCH), 65124 Pescara, Italy
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UOC Diabetologia, ASL 6, 57100 Livorno, Italy
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IRPPS Research National Council, Penta di Fisciano, 84025 Salerno, Italy
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SSD Diabetologia, ASL 1, 54100 Massa Carrara, Italy
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Unità di Epidemiologia e Prevenzione, Fondazione IRCCS, Istituto Nazionale Tumori, 20133 Milano, Italy
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(1), 101; https://doi.org/10.3390/nu12010101
Received: 11 November 2019 / Revised: 18 December 2019 / Accepted: 25 December 2019 / Published: 30 December 2019
Background: Pasta is a refined carbohydrate with a low glycemic index. Whether pasta shares the metabolic advantages of other low glycemic index foods has not really been investigated. The aim of this study is to document, in people with type-2 diabetes, the consumption of pasta, the connected dietary habits, and the association with glucose control, measures of adiposity, and major cardiovascular risk factors. Methods: We studied 2562 participants. The dietary habits were assessed with the European Prospective Investigation into Cancer and Nutrition (EPIC) questionnaire. Sex-specific quartiles of pasta consumption were created in order to explore the study aims. Results: A higher pasta consumption was associated with a lower intake of proteins, total and saturated fat, cholesterol, added sugar, and fiber. Glucose control, body mass index, prevalence of obesity, and visceral obesity were not significantly different across the quartiles of pasta intake. No relation was found with LDL cholesterol and triglycerides, but there was an inverse relation with HDL-cholesterol. Systolic blood pressure increased with pasta consumption; but this relation was not confirmed after correction for confounders. Conclusions: In people with type-2 diabetes, the consumption of pasta, within the limits recommended for total carbohydrates intake, is not associated with worsening of glucose control, measures of adiposity, and major cardiovascular risk factors. View Full-Text
Keywords: type 2 diabetes; pasta consumption; dietary habits; glucose control; body mass index; cardiovascular risk factors type 2 diabetes; pasta consumption; dietary habits; glucose control; body mass index; cardiovascular risk factors
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Vitale, M.; Masulli, M.; Rivellese, A.A.; Bonora, E.; Babini, A.C.; Sartore, G.; Corsi, L.; Buzzetti, R.; Citro, G.; Baldassarre, M.P.A.; Bossi, A.C.; Giordano, C.; Auciello, S.; Dall’Aglio, E.; Iannarelli, R.; Tonutti, L.; Sacco, M.; Di Cianni, G.; Clemente, G.; Gregori, G.; Grioni, S.; Krogh, V.; Riccardi, G.; Vaccaro, O. Pasta Consumption and Connected Dietary Habits: Associations with Glucose Control, Adiposity Measures, and Cardiovascular Risk Factors in People with Type 2 Diabetes—TOSCA.IT Study. Nutrients 2020, 12, 101.

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