The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.

<h4>Background</h4>No previous study has assessed the diet of the diabetic patients in the general population of an entire country in Europe. This study evaluates accordance of the diet of diabetic adults in Spain with nutritional recommendations of the European Association for the Study...

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Autores principales:	Maritza Muñoz-Pareja, Luz M León-Muñoz, Pilar Guallar-Castillón, Auxiliadora Graciani, Esther López-García, José R Banegas, Fernando Rodríguez-Artalejo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0580bf23b7704f1798845ea7e6f2635a
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spelling	oai:doaj.org-article:0580bf23b7704f1798845ea7e6f2635a2021-11-18T07:14:40ZThe diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.1932-620310.1371/journal.pone.0039454https://doaj.org/article/0580bf23b7704f1798845ea7e6f2635a2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22745757/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>No previous study has assessed the diet of the diabetic patients in the general population of an entire country in Europe. This study evaluates accordance of the diet of diabetic adults in Spain with nutritional recommendations of the European Association for the Study of Diabetes (EASD), American Diabetes Association (ADA), and the Mediterranean diet (MD).<h4>Methods and findings</h4>Cross-sectional study conducted in 2008-2010 among 12,948 persons representative of the population aged ≥18 years in Spain. Usual food consumption was assessed with a dietary history. EASD accordance was defined as ≥6 points on a score of 12 nutritional goals, ADA accordance as ≥3 points on a score of 6 goals, and MD accordance as ≥7 points on the Mediterranean Diet Adherence Screener. In the 609 diagnosed diabetic individuals, the diet was rich in saturated fat (11.2% of total energy), but trans fat intake was relatively low (1.1% energy) and monounsaturated fat intake was high (16.1% energy). Carbohydrate intake was relatively low (41.1% energy), but sugar intake was high (16.9% energy). Intake of cholesterol (322 mg/day) and sodium (3.1 g/day) was also high, while fiber intake was insufficient (23.8 g/day). EASD accordance was observed in 48.7% diabetic patients, ADA accordance in 46.3%, and MD accordance in 57.4%. The frequency of EASD, ADA and MD accordance was not statistically different between diagnosed and undiagnosed diabetic individuals.<h4>Conclusions</h4>Only about half of diabetic patients in Spain have a diet that is consistent with the major dietary recommendations. The lack of dietary differences between diagnosed and undiagnosed diabetic individuals reflects deficiencies in diabetes management.Maritza Muñoz-ParejaLuz M León-MuñozPilar Guallar-CastillónAuxiliadora GracianiEsther López-GarcíaJosé R BanegasFernando Rodríguez-ArtalejoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 6, p e39454 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maritza Muñoz-Pareja Luz M León-Muñoz Pilar Guallar-Castillón Auxiliadora Graciani Esther López-García José R Banegas Fernando Rodríguez-Artalejo The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
description	<h4>Background</h4>No previous study has assessed the diet of the diabetic patients in the general population of an entire country in Europe. This study evaluates accordance of the diet of diabetic adults in Spain with nutritional recommendations of the European Association for the Study of Diabetes (EASD), American Diabetes Association (ADA), and the Mediterranean diet (MD).<h4>Methods and findings</h4>Cross-sectional study conducted in 2008-2010 among 12,948 persons representative of the population aged ≥18 years in Spain. Usual food consumption was assessed with a dietary history. EASD accordance was defined as ≥6 points on a score of 12 nutritional goals, ADA accordance as ≥3 points on a score of 6 goals, and MD accordance as ≥7 points on the Mediterranean Diet Adherence Screener. In the 609 diagnosed diabetic individuals, the diet was rich in saturated fat (11.2% of total energy), but trans fat intake was relatively low (1.1% energy) and monounsaturated fat intake was high (16.1% energy). Carbohydrate intake was relatively low (41.1% energy), but sugar intake was high (16.9% energy). Intake of cholesterol (322 mg/day) and sodium (3.1 g/day) was also high, while fiber intake was insufficient (23.8 g/day). EASD accordance was observed in 48.7% diabetic patients, ADA accordance in 46.3%, and MD accordance in 57.4%. The frequency of EASD, ADA and MD accordance was not statistically different between diagnosed and undiagnosed diabetic individuals.<h4>Conclusions</h4>Only about half of diabetic patients in Spain have a diet that is consistent with the major dietary recommendations. The lack of dietary differences between diagnosed and undiagnosed diabetic individuals reflects deficiencies in diabetes management.
format	article
author	Maritza Muñoz-Pareja Luz M León-Muñoz Pilar Guallar-Castillón Auxiliadora Graciani Esther López-García José R Banegas Fernando Rodríguez-Artalejo
author_facet	Maritza Muñoz-Pareja Luz M León-Muñoz Pilar Guallar-Castillón Auxiliadora Graciani Esther López-García José R Banegas Fernando Rodríguez-Artalejo
author_sort	Maritza Muñoz-Pareja
title	The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
title_short	The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
title_full	The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
title_fullStr	The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
title_full_unstemmed	The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
title_sort	diet of diabetic patients in spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/0580bf23b7704f1798845ea7e6f2635a
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The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.

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