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Food intake of individuals with and without diabetes across different countries and ethnic groups

Noethlings, U.; Boeing, H.; Maskarinec, G.; Sluik, D.; Teucher, B.; Kaaks, R.; Tjonneland, A.; Halkjaer, J.; Dethlefsen, C. and Overvad, K., et al. (2011) In European Journal of Clinical Nutrition 65(5). p.635-641
Abstract
Background/Objectives: Given the importance of nutrition therapy in diabetes management, we hypothesized that food intake differs between individuals with and without diabetes. We investigated this hypothesis in two large prospective studies including different countries and ethnic groups. Subjects/Methods: Study populations were the European Prospective Investigation into Cancer and Nutrition Study (EPIC) and the Multiethnic Cohort Study (MEC). Dietary intake was assessed by food frequency questionnaires, and calibrated using 24h-recall information for the EPIC Study. Only confirmed self-reports of diabetes at cohort entry were included: 6192 diabetes patients in EPIC and 13 776 in the MEC. For the cross-sectional comparison of food... (More)
Background/Objectives: Given the importance of nutrition therapy in diabetes management, we hypothesized that food intake differs between individuals with and without diabetes. We investigated this hypothesis in two large prospective studies including different countries and ethnic groups. Subjects/Methods: Study populations were the European Prospective Investigation into Cancer and Nutrition Study (EPIC) and the Multiethnic Cohort Study (MEC). Dietary intake was assessed by food frequency questionnaires, and calibrated using 24h-recall information for the EPIC Study. Only confirmed self-reports of diabetes at cohort entry were included: 6192 diabetes patients in EPIC and 13 776 in the MEC. For the cross-sectional comparison of food intake and lifestyle variables at baseline, individuals with and without diabetes were matched 1: 1 on sex, age in 5-year categories, body mass index in 2.5 kg/m(2) categories and country. Results: Higher intake of soft drinks (by 13 and 44% in the EPIC and MEC), and lower consumption of sweets, juice, wine and beer (> 10% difference) were observed in participants with diabetes compared with those without. Consumption of vegetables, fish and meat was slightly higher in individuals with diabetes in both studies, but the differences were <10%. Findings were more consistent across different ethnic groups than countries, but generally showed largely similar patterns. Conclusions: Although diabetes patients are expected to undergo nutritional education, we found only small differences in dietary behavior in comparison with cohort members without diabetes. These findings suggest that emphasis on education is needed to improve the current behaviors to assist in the prevention of complications. European Journal of Clinical Nutrition (2011) 65, 635-641; doi: 10.1038/ejcn.2011.11; published online 23 February 2011 (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
diabetes, food intake, medical nutrition therapy, secondary prevention, behavior
in
European Journal of Clinical Nutrition
volume
65
issue
5
pages
635 - 641
publisher
Nature Publishing Group
external identifiers
  • wos:000290249200011
  • scopus:79955651828
ISSN
1476-5640
DOI
10.1038/ejcn.2011.11
language
English
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yes
id
9d2e9f5f-4b4e-4f8f-8c0e-c2f5b7731c82 (old id 1987859)
date added to LUP
2011-07-01 09:28:43
date last changed
2017-06-18 04:17:11
@article{9d2e9f5f-4b4e-4f8f-8c0e-c2f5b7731c82,
  abstract     = {Background/Objectives: Given the importance of nutrition therapy in diabetes management, we hypothesized that food intake differs between individuals with and without diabetes. We investigated this hypothesis in two large prospective studies including different countries and ethnic groups. Subjects/Methods: Study populations were the European Prospective Investigation into Cancer and Nutrition Study (EPIC) and the Multiethnic Cohort Study (MEC). Dietary intake was assessed by food frequency questionnaires, and calibrated using 24h-recall information for the EPIC Study. Only confirmed self-reports of diabetes at cohort entry were included: 6192 diabetes patients in EPIC and 13 776 in the MEC. For the cross-sectional comparison of food intake and lifestyle variables at baseline, individuals with and without diabetes were matched 1: 1 on sex, age in 5-year categories, body mass index in 2.5 kg/m(2) categories and country. Results: Higher intake of soft drinks (by 13 and 44% in the EPIC and MEC), and lower consumption of sweets, juice, wine and beer (&gt; 10% difference) were observed in participants with diabetes compared with those without. Consumption of vegetables, fish and meat was slightly higher in individuals with diabetes in both studies, but the differences were &lt;10%. Findings were more consistent across different ethnic groups than countries, but generally showed largely similar patterns. Conclusions: Although diabetes patients are expected to undergo nutritional education, we found only small differences in dietary behavior in comparison with cohort members without diabetes. These findings suggest that emphasis on education is needed to improve the current behaviors to assist in the prevention of complications. European Journal of Clinical Nutrition (2011) 65, 635-641; doi: 10.1038/ejcn.2011.11; published online 23 February 2011},
  author       = {Noethlings, U. and Boeing, H. and Maskarinec, G. and Sluik, D. and Teucher, B. and Kaaks, R. and Tjonneland, A. and Halkjaer, J. and Dethlefsen, C. and Overvad, K. and Amiano, P. and Toledo, E. and Bendinelli, B. and Grioni, S. and Tumino, R. and Sacerdote, C. and Mattiello, A. and Beulens, J. W. J. and Iestra, J. A. and Spijkerman, A. M. W. and van der A, D. L. and Nilsson, Peter and Sonestedt, Emily and Rolandsson, O. and Franks, P. W. and Vergnaud, A-C and Romaguera, D. and Norat, T. and Kolonel, L. N.},
  issn         = {1476-5640},
  keyword      = {diabetes,food intake,medical nutrition therapy,secondary prevention,behavior},
  language     = {eng},
  number       = {5},
  pages        = {635--641},
  publisher    = {Nature Publishing Group},
  series       = {European Journal of Clinical Nutrition},
  title        = {Food intake of individuals with and without diabetes across different countries and ethnic groups},
  url          = {http://dx.doi.org/10.1038/ejcn.2011.11},
  volume       = {65},
  year         = {2011},
}