Autor segons l'article: Diaz-Lopez, Andres; Babio, Nancy; Martinez-Gonzalez, Miguel A; Corella, Dolores; Amor, Antonio J; Fito, Montse; Estruch, Ramon; Aros, Fernando; Gomez-Gracia, Enrique; Fiol, Miquel; Lapetra, Jose; Serra-Majem, Lluis; Basora, Josep; Javier Basterra-Gortari, F; Zanon-Moreno, Vicente; Angel Munoz, Miguel; Salas-Salvado, Jordi
Departament: Ciències Mèdiques Bàsiques Medicina i Cirurgia Bioquímica i Biotecnologia
Autor/s de la URV: Babio Sánchez, Nancy Elvira / Basora Gallisa, Josep / Becerra Tomás, Nerea / Bulló Bonet, Mònica / Cabre Vila, Juan Jose / Castro Salomó, Antoni / Díaz López, Andres / Fernández Ballart, Joan Domènech / Salas Salvadó, Jorge
Paraules clau: Risk factors Nuts Middle aged Microvessels Male Incidence Humans Female Diet, mediterranean Diabetic retinopathy Diabetic nephropathies Diabetic angiopathies Diabetes mellitus, type 2 Cardiovascular diseases Aged, 80 and over Aged
Resum: To date no clinical trials have evaluated the role of dietary patterns on the incidence of microvascular diabetes complications. We hypothesized that a nutritional intervention based on the Mediterranean diet (MedDiet) would have greater protective effect on diabetic retinopathy and nephropathy than a low-fat control diet.This was a post hoc analysis of a cohort of patients with type 2 diabetes participating in the PREvención con DIeta MEDiterránea (PREDIMED) study, a multicenter randomized nutritional intervention trial conducted in a population at high cardiovascular risk. Individuals with type 2 diabetes who were free of microvascular complications at enrollment (n = 3,614, aged 55-80 years) were randomly assigned to one of three dietary interventions: MedDiet supplemented with extravirgin olive oil (MedDiet+EVOO), MedDiet supplemented with mixed nuts (MedDiet+Nuts), or a low-fat control diet. Two independent outcomes were considered: new onset of diabetic retinopathy and nephropathy. Hazard ratios (HRs) were calculated using multivariable-adjusted Cox regression.During a median follow-up of 6.0 years, we identified 74 new cases of retinopathy and 168 of nephropathy. Compared with the control diet, multivariable-adjusted HRs for diabetic retinopathy were 0.56 (95% CI 0.32-0.97) for the MedDiet+EVOO and 0.63 (0.35-1.11) for the MedDiet+Nuts. No between-group differences were found for nephropathy. When the yearly updated information on adherence to the MedDiet was considered, the HR for retinopathy in the highest versus the lowest quintile was 0.34 (0.13-0.89; P = 0.001 for trend). No significant associations were found for nephropathy.A MedDiet enriched with EVOO may protect against diabetic retinopathy but not diabetic nephropathy.© 2015 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.
Àrees temàtiques: Saúde coletiva Odontología Nutrição Medicina iii Medicina ii Medicina i Internal medicine Interdisciplinar General medicine Engenharias iv Enfermagem Endocrinology, diabetes and metabolism Endocrinology & metabolism Ciências biológicas ii Ciências biológicas i Biotecnología Antropologia / arqueologia Advanced and specialized nursing
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 01495992
Adreça de correu electrònic de l'autor: juanjose.cabre@urv.cat josep.basora@urv.cat andres.diaz@urv.cat nerea.becerra@urv.cat monica.bullo@urv.cat josep.basora@urv.cat antoni.castro@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
Identificador de l'autor: 0000-0003-1082-6861 0000-0002-7500-5629 0000-0002-4429-6507 0000-0002-0218-7046 0000-0001-5441-6333 0000-0003-2700-7459 0000-0003-3527-5277
Data d'alta del registre: 2024-10-26
Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
Referència a l'article segons font original: Diabetes Care. 38 (11): 2134-2141
Referència de l'ítem segons les normes APA: Diaz-Lopez, Andres; Babio, Nancy; Martinez-Gonzalez, Miguel A; Corella, Dolores; Amor, Antonio J; Fito, Montse; Estruch, Ramon; Aros, Fernando; Gomez- (2015). Mediterranean Diet, Retinopathy, Nephropathy, and Microvascular Diabetes Complications: A Post Hoc Analysis of a Randomized Trial. Diabetes Care, 38(11), 2134-2141. DOI: 10.2337/dc15-1117
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2015
Tipus de publicació: Journal Publications
Repositori URV