ArticleDiabetologia2012
Dietary saturated fat and fibre and risk of cardiovascular disease and all-cause mortality among type 1 diabetic patients: the EURODIAB Prospective Complications Study.
Article in Diabetologia, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Dietary fibre and whole grains in diabetes management: Systematic review and meta-analyses.PLoS medicine · 2020Pooled it
- Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus: the Fukuoka Diabetes Registry.Nutrition journal · 2013Trial
- Intakes of dietary fiber, vegetables, and fruits and incidence of cardiovascular disease in Japanese patients with type 2 diabetes.Diabetes care · 2013Trial
- Chinese Guidelines for Medical Nutrition Therapy for Patients with Diabetes (2022 Edition).Asia Pacific journal of clinical nutrition · 2024Article
- A Mediterranean Diet May Be Protective in the Development of Diabetic Retinopathy.International journal of molecular sciences · 2023Review
- Incident cardiovascular disease by clustering of favourable risk factors in type 1 diabetes: the EURODIAB Prospective Complications Study.Diabetologia · 2022Article
- Adherence to the Mediterranean Diet Is Associated with Better Metabolic Features in Youths with Type 1 Diabetes.Nutrients · 2022Article
- Data driven patterns of nutrient intake and coronary artery disease risk in adults with type 1 diabetes.Journal of diabetes and its complications · 2021Article
- Carbohydrate restriction for diabetes: rediscovering centuries-old wisdom.The Journal of clinical investigation · 2021Review
- Gut Microbiota and Type 1 Diabetes Mellitus: The Effect of Mediterranean Diet.Frontiers in nutrition · 2020Review
- Dietary fiber intake and mortality in a Mediterranean population: the "Seguimiento Universidad de Navarra" (SUN) project.European journal of nutrition · 2019Article
- Cardiovascular Risk in Type 1 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019Review
- Higher fiber intake is associated with lower blood pressure levels in patients with type 1 diabetes.Archives of endocrinology and metabolism · 2018Article
- Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?Journal of diabetes research · 2018Article
- Association of diet and lifestyle with glycated haemoglobin in type 1 diabetes participants in the EURODIAB prospective complications study.European journal of clinical nutrition · 2016Article
- Dietary patterns associated with HbA1c and LDL cholesterol among individuals with type 1 diabetes in China.Journal of diabetes and its complications · 2015Article
- Dietary strategies for adult type 1 diabetes in light of outcome evidence.European journal of clinical nutrition · 2015Review
- Associations of nutrient intake with glycemic control in youth with type 1 diabetes: differences by insulin regimen.Diabetes technology & therapeutics · 2014Article
- Do European people with type 1 diabetes consume a high atherogenic diet? 7-year follow-up of the EURODIAB Prospective Complications Study.European journal of nutrition · 2013Article
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
Abstract
aims/hypothesisLow adherence to recommendations for dietary saturated fatty acid (SFA) and fibre intake in patients with type 1 diabetes mellitus may heighten their increased risk of cardiovascular disease (CVD) and mortality. We examined the relationship of SFA and total, soluble and insoluble fibre with incident CVD and all-cause mortality in type 1 diabetic patients.
methodsA prospective cohort analysis was performed in 2,108 European type 1 diabetic patients aged 15-60 years who were free of CVD at baseline and enrolled in the EURODIAB Prospective Complications Study (51% male). Diet was assessed from a standardised 3 day dietary record. HR were calculated using Cox proportional hazards models.
resultsDuring a mean follow-up of 7.3 years, 148 incident cases of fatal and non-fatal CVD and 46 all-cause deaths were documented. No statistically significant association was found between SFA and CVD and all-cause mortality. Total dietary fibre, per 5 g/day, was associated with lower all-cause mortality risk (HR 0.72; 95% CI 0.55, 0.95). This association was stronger for soluble fibre (per 5 g/day, HR 0.34; 95% CI 0.14, 0.80) compared with insoluble fibre (per 5 g/day; HR 0.66; 95% CI 0.45, 0.97). Similar results were found for the association with CVD. CONCLUSIONS/
interpretationThis study suggests that reported dietary SFA is not significantly associated with CVD and all-cause mortality in type 1 diabetic patients. On the contrary, higher dietary fibre consumption, especially soluble fibre, within the range commonly consumed by type 1 diabetic patients, may contribute to the prevention of CVD and all-cause mortality in type 1 diabetic patients.
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