Articles producció científica> Bioquímica i Biotecnologia

The effects of different quantities and qualities of protein intake in people with diabetes mellitus

  • Identification data

    Identifier: imarina:6090598
    Authors:
    Pfeiffer AFHPedersen ESchwab URisérus UAas AMUusitupa MThanopoulou AKendall CSievenpiper JLKahleová HRahélic DSalas-Salvadó JGebauer SHermansen K
    Abstract:
    © 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 a
  • Others:

    Author, as appears in the article.: Pfeiffer AFH; Pedersen E; Schwab U; Risérus U; Aas AM; Uusitupa M; Thanopoulou A; Kendall C; Sievenpiper JL; Kahleová H; Rahélic D; Salas-Salvadó J; Gebauer S; Hermansen K
    Department: Bioquímica i Biotecnologia
    URV's Author/s: Salas Salvadó, Jorge
    Keywords: animal protein hypocaloric diet plant protein protein intake type 2 diabetes Animal protein Blood-pressure Body-weight Dietary carbohydrate-restriction Hypocaloric diet Individuals Low-fat diet Management Metaanalysis Plant protein Protein intake Randomized controlled-trial Type 2 diabetes Type-2 Weight loss Weight-loss
    Abstract: © 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.
    Thematic Areas: Biotecnología Ciência de alimentos Ciências agrárias i Ciências biológicas i Ciências biológicas ii Ciências biológicas iii Economia Educação física Enfermagem Engenharias ii Engenharias iv Farmacia Food science Interdisciplinar Medicina i Medicina ii Medicina iii Medicina veterinaria Nutrição Nutrition & dietetics Nutrition and dietetics Planejamento urbano e regional / demografia Psicología Química Saúde coletiva Zootecnia / recursos pesqueiros
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: jordi.salas@urv.cat
    ISSN: 20726643
    Author identifier: 0000-0003-2700-7459
    Record's date: 2023-02-18
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2072-6643/12/2/365
    Papper original source: Nutrients. 12 (2):
    APA: Pfeiffer AFH; Pedersen E; Schwab U; Risérus U; Aas AM; Uusitupa M; Thanopoulou A; Kendall C; Sievenpiper JL; Kahleová H; Rahélic D; Salas-Salvadó J; G (2020). The effects of different quantities and qualities of protein intake in people with diabetes mellitus. Nutrients, 12(2), -. DOI: 10.3390/nu12020365
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.3390/nu12020365
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2020
    Publication Type: Journal Publications
  • Keywords:

    Food Science,Nutrition & Dietetics,Nutrition and Dietetics
    animal protein
    hypocaloric diet
    plant protein
    protein intake
    type 2 diabetes
    Animal protein
    Blood-pressure
    Body-weight
    Dietary carbohydrate-restriction
    Hypocaloric diet
    Individuals
    Low-fat diet
    Management
    Metaanalysis
    Plant protein
    Protein intake
    Randomized controlled-trial
    Type 2 diabetes
    Type-2
    Weight loss
    Weight-loss
    Biotecnología
    Ciência de alimentos
    Ciências agrárias i
    Ciências biológicas i
    Ciências biológicas ii
    Ciências biológicas iii
    Economia
    Educação física
    Enfermagem
    Engenharias ii
    Engenharias iv
    Farmacia
    Food science
    Interdisciplinar
    Medicina i
    Medicina ii
    Medicina iii
    Medicina veterinaria
    Nutrição
    Nutrition & dietetics
    Nutrition and dietetics
    Planejamento urbano e regional / demografia
    Psicología
    Química
    Saúde coletiva
    Zootecnia / recursos pesqueiros
    20726643
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