2型糖尿病患者坚持地中海饮食与外周动脉疾病之间的关系：一项观察性研究。

IF 2.9 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Journal of diabetes and its complications Pub Date : 2024-09-23 DOI:10.1016/j.jdiacomp.2024.108871

Sara Zúnica-García , José F. Javier Blanquer-Gregori , Ruth Sánchez-Ortiga , Esther Chicharro-Luna , María Isabel Jiménez-Trujillo

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引用次数: 0

摘要

简介：目的：评估2型糖尿病（T2DM）患者坚持地中海饮食（MD）与周身动脉疾病（PAD）之间的关系：评估地中海饮食（Mediterranean diet，MD）与 2 型糖尿病（T2DM）患者周身动脉疾病（PAD）之间的关系：方法：对 174 名确诊为 T2DM 的患者进行了观察性分段研究，其中 78 名患者患有 PAD。如果患者获得了踝肱指数（ABI），则被认为患有 PAD：ABI、DFU、间歇性跛行和足部脉搏缺失与坚持用药相关。DFU、间歇性跛行和胫后脉搏缺失与 MEDAS-14 的最终得分相关。坚果摄入量、白肉偏好和炒菜摄入量与是否存在 PAD 相关。多变量分析显示，MD 的坚持率与性别（OR = 0.044，95 % CI 0.003-0619）、年龄（OR = 0.139，95 % CI 0.029-0.666）、T2DM 持续时间（OR = 7.383，95 % CI 1.523-35.779）和诊断年龄有关。779）、诊断 T2DM 时的年龄（OR = 6082，95 % IC 1.415-26.136）以及是否存在 DFU（OR = 0.000，95 % IC 0.000-0.370）和间歇性跛行（OR = 0.004，95 % IC 0.000-0.534）：结论：坚持MD与T2DM血管并发症的减少有关，突出了其作为饮食干预策略的潜力。

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Association between Mediterranean diet adherence and peripheral artery disease in type 2 diabetes mellitus: An observational study

Introduction

To evaluate the relationship between adherence to the Mediterranean diet (MD) and periphereal artery disease (PAD) in patients with type 2 diabetes mellitus (T2DM).

Methods

An observational sectional study was conducted with 174 patients diagnosed with T2DM, of which 78 patients had PAD. A patient was considered to have PAD if they obtained an ankle-brachial index (ABI) < 0.9 and/or absence of both distal pulses in one of the two feet. Data on sociodemographic and anthropometric variables, physical activity, smoking habits, biochemical blood parameters, and comorbidities were recorded. Good adherence to the MD was considered with a score ≥ 9 in MEDAS-14. Vascular factors independently associated with adherence to the MD in patients with T2DM were identified through multivariate logistic regression analysis.

Results

ABI, DFU, intermittent claudication and pedal pulse absence correlated with MD adherence. DFU, intermittent claudication and posterior tibial pulse absence were associated with the final score obtained in the MEDAS-14. Nut consumption, white meat preference and sautéed dish intake were associated with PAD presence. Multivariate analysis linked MD adherence to sex (OR = 0.044, 95 % CI 0.003–0619), age (OR = 0.139, 95 % CI 0.029–0.666), duration of T2DM (OR = 7.383, 95 % CI 1.523–35.779) and age at diagnosis of T2DM (OR = 6082, 95 % IC 1.415–26.136), as well as the presence of DFU (OR = 0.000, 95 % IC 0.000–0.370) and intermittent claudication (OR = 0.004, 95 % IC 0.000–0.534).

Conclusions

Adherence to the MD is associated with a reduction in vascular complications in T2DM, highlighting its potential as a dietary intervention strategy.

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来源期刊

Journal of diabetes and its complications 医学-内分泌学与代谢

CiteScore

5.90

自引率

3.30%

发文量

153

审稿时长

16 days

期刊介绍： Journal of Diabetes and Its Complications (JDC) is a journal for health care practitioners and researchers, that publishes original research about the pathogenesis, diagnosis and management of diabetes mellitus and its complications. JDC also publishes articles on physiological and molecular aspects of glucose homeostasis. The primary purpose of JDC is to act as a source of information usable by diabetes practitioners and researchers to increase their knowledge about mechanisms of diabetes and complications development, and promote better management of people with diabetes who are at risk for those complications. Manuscripts submitted to JDC can report any aspect of basic, translational or clinical research as well as epidemiology. Topics can range broadly from early prediabetes to late-stage complicated diabetes. Topics relevant to basic/translational reports include pancreatic islet dysfunction and insulin resistance, altered adipose tissue function in diabetes, altered neuronal control of glucose homeostasis and mechanisms of drug action. Topics relevant to diabetic complications include diabetic retinopathy, neuropathy and nephropathy; peripheral vascular disease and coronary heart disease; gastrointestinal disorders, renal failure and impotence; and hypertension and hyperlipidemia.