Evidence map›Paper›PMID 30019088›Full record

Observational studyEuropean journal of nutrition2019

Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus.

Minerva Granado-Casas, Nuria Alcubierre, Mariona Martín, Jordi Real, Anna M Ramírez-Morros, Maribel Cuadrado, Núria Alonso, Mireia Falguera, Marta Hernández, Eva Aguilera and 4 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Minerva Granado-CasasDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain.
Nuria AlcubierreBiomedical Research Institute, University of Lleida, Lleida, Spain.
Mariona MartínDepartment of Endocrinology and Nutrition, University Hospital Germans Trias i Pujol, Badalona, Spain.
Jordi RealDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain.
Anna M Ramírez-MorrosDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain.
Maribel CuadradoDepartment of Endocrinology and Nutrition, University Hospital Germans Trias i Pujol, Badalona, Spain.
Núria AlonsoDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain.
Mireia FalgueraPrimary Health Care Centre Igualada Nord, Consorci Sanitari de l'Anoia, Igualada, Spain.
Marta HernándezDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova, Lleida, Spain.
Eva AguileraDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain.
Albert LecubeDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova, Lleida, Spain.
Esmeralda CastelblancoDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain. esmeraldacas@gmail.com.
Manel Puig-DomingoDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain.
Dídac MauricioDepartment of Endocrinology and Nutrition, Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916, Badalona, Spain. didacmauricio@gmail.com.
Biomedical Research Institute of Lleida · ESHospital Universitari Germans Trias i Pujol · ESHospital d'Igualada · ESHospital Universitari Arnau de Vilanova · ESInstituto de Salud Carlos III · ESUniversitat Internacional de Catalunya · ES

Funding

Associació Catalana de Diabetis Beca Educació Terapèutica 2015Instituto de Salud Carlos III PI12/00183Instituto de Salud Carlos III PI15/00625Ministerio de Educación, Cultura y Deporte FPU15/03005
6 · The paper itself

Abstract

purposeWe aimed to assess food intake and adherence to the Mediterranean Diet in patients with T1D compared with nondiabetic individuals.

methodsThis was an observational, multicenter study in 262 T1D subjects and 254 age- and sex-matched nondiabetic subjects. A validated food-frequency questionnaire was administered. The alternate Mediterranean Diet Score (aMED) and alternate Healthy Eating Index (aHEI) were assessed. The clinical variables were also collected. The analysis of data included comparisons between groups and multivariate models.

resultsCompared to the controls, the patients with T1D had a higher intake of dairy products (p < 0.001), processed meat (p = 0.001), fatty fish (p = 0.009), fruits and vegetables (p < 0.001), nuts (p = 0.011), legumes (p < 0.001), potatoes (p = 0.045), and bread (p = 0.045), and a lower intake of seafood (p = 0.011), sweets (p < 0.001), and alcohol drinks (p = 0.025). This intake pattern resulted in a higher consumption of complex carbohydrates (p = 0.049), fiber (p < 0.001), protein (p < 0.001), polyunsaturated fatty acids (PUFA) (p = 0.007), antioxidants (p < 0.001), vitamins (p < 0.001), and minerals (p < 0.001). The frequency of patients with T1D and low aMED score (23.2%) was lower than that of the controls (35.4%; p = 0.019). The overall multivariate analysis showed that, among other factors, being a T1D subject was associated with improved aMED and aHEI scores (p = 0.006 and p < 0.001). In patients with T1D, residing in a nonurban area was associated with improved aMED and aHEI scores (p = 0.001 and p < 0.001).

conclusionsAdult patients with T1D showed healthier dietary habits and a higher adherence to the Mediterranean Diet than nondiabetic subjects. Residing in a nonurban area is associated with an improved dietary pattern.

Indexed as

AdultDiabetes Mellitus, Type 1Diet, MediterraneanFemaleHumansMaleMiddle AgedPatient ComplianceRisk FactorsDietary habitsFood intakeIntake patternMedical nutrition therapyMediterranean DietType 1 diabetes mellitus

Identifiers

PMID30019088
PMCPMC6689285
OpenAlexW2883807014

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.