Autor segons l'article: Pfeiffer, Andreas F H; Pedersen, Eva; Schwab, Ursula; Riserus, Ulf; Aas, Anne-Marie; Uusitupa, Matti; Thanopoulou, Anastasia; Kendall, Cyril; Sievenpiper, John L; Kahleova, Hana; Rahelic, Dario; Salas-Salvado, Jordi; Gebauer, Stephanie; Hermansen, Kjeld
Departament: Bioquímica i Biotecnologia
Autor/s de la URV: Salas Salvadó, Jorge
Paraules clau: Weight-loss; Weight loss; Type-2; Type 2 diabetes; Randomized controlled-trial; Protein intake; Plant protein; Middle aged; Metaanalysis; Management; Male; Low-fat diet; Individuals; Hypocaloric diet; Humans; Hemoglobin a1c protein, human; Glycated hemoglobin a; Glycated hemoglobin; Glomerular filtration rate; Female; Energy intake; Dietary proteins; Dietary carbohydrate-restriction; Diet, protein-restricted; Diet, high-protein; Diabetes mellitus, type 2; Body-weight; Blood-pressure; Blood pressure; Animal protein; Adult; type 2 diabetes; protein intake; plant protein; hypocaloric diet; animal protein
Resum: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. The recommended amount and quality of protein in diets of diabetic patients are highly controversial. In order to provide evidence-based information, the Diabetes Nutrition Study Group (DNSG) used a grading procedure used for quality of evidence and strength of recommendations (GRADE). A protein intake of 10% to 20% of energy intake (E%) or about 0.8 to 1.3 g/kg body weight in people below 65 years of age, and 15% to 20% of E% in people above 65 years of age appeared safe in weight-stable conditions. There were no intervention studies addressing metabolic effects, mortality, or cardiovascular events over prolonged periods. Body weight is closely linked to metabolic control and high protein diets are often recommended. Weight-loss diets that include 23% to 32% of E% as protein for up to one year reduced blood pressure and body weight slightly but significantly more than lower protein diets, whereas blood lipids, fasting blood glucose, and HbA1c improved similarly with higher or lower protein intakes in participants with a glomerular filtration rate (GFR) >60 mL/min/1.73 m2 . Patients with a GFR <60 mL/min/1.73 m2 did not show a faster decline of GFR or kidney function with protein intakes around 0.8 g/kg body weight as compared with lower intakes, thereby arguing against a restriction. The effects of protein intake on diabetic eye or nerve disease have not been reported. There are a number of studies that have compared different types of animal proteins (milk, chicken, beef, pork, and fish) or compared animal with plant protein in diabetic patients and have reported a greater reduction of serum cholesterol with plant protein. In summary, the suggested range of protein intake appears to be safe and can be adapted according to personal dietary preferences.
Àrees temàtiques: Zootecnia / recursos pesqueiros; Saúde coletiva; Química; Psicología; Planejamento urbano e regional / demografia; Nutrition and dietetics; Nutrition & dietetics; Nutrição; Medicina veterinaria; Medicina iii; Medicina ii; Medicina i; Interdisciplinar; Food science; Farmacia; Engenharias iv; Engenharias ii; Enfermagem; Educação física; Economia; Ciências biológicas iii; Ciências biológicas ii; Ciências biológicas i; Ciências agrárias i; Ciência de alimentos; Biotecnología
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 20726643
Adreça de correu electrònic de l'autor: jordi.salas@urv.cat
Data d'alta del registre: 2025-02-18
Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
Enllaç font original: https://www.mdpi.com/2072-6643/12/2/365
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
Referència a l'article segons font original: Nutrients. 12 (2): 365-
Referència de l'ítem segons les normes APA: Pfeiffer, Andreas F H; Pedersen, Eva; Schwab, Ursula; Riserus, Ulf; Aas, Anne-Marie; Uusitupa, Matti; Thanopoulou, Anastasia; Kendall, Cyril; Sievenpi (2020). The effects of different quantities and qualities of protein intake in people with diabetes mellitus. Nutrients, 12(2), 365-. DOI: 10.3390/nu12020365
DOI de l'article: 10.3390/nu12020365
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2020
Tipus de publicació: Journal Publications
Repositori URV