دورية أكاديمية
Fruit and vegetable intake and cardiovascular risk factors in people with newly diagnosed type 2 diabetes
| العنوان: | Fruit and vegetable intake and cardiovascular risk factors in people with newly diagnosed type 2 diabetes |
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| المؤلفون: | Lamb, M. J E, Griffin, S. J., Sharp, S. J., Cooper, A. J M |
| سنة النشر: | 2017 |
| المجموعة: | White Rose Research Online (Universities of Leeds, Sheffield & York) |
| الوصف: | Background/Objectives:The cardiovascular benefit of increasing fruit and vegetable (F&V) intake following diagnosis of diabetes remains unknown. We aimed to describe how quantity and variety of F&V intake, and plasma vitamin C, change after diagnosis of type 2 diabetes and examine whether these changes are associated with improvements in cardiovascular risk factors.Subjects/Methods:A total of 401 individuals with screen-detected diabetes from the ADDITION-Cambridge study were followed up over 5 years. F&V intake was assessed by food frequency questionnaire and plasma vitamin C at baseline, at 1 year and at 5 years. Linear mixed models were used to estimate associations of changes in quantity and variety of F&V intake, and plasma vitamin C, with cardiovascular risk factors and a clustered cardiometabolic risk score (CCMR), where a higher score indicates higher risk.Results:F&V intake increased in year 1 but decreased by year 5, whereas variety remained unchanged. Plasma vitamin C increased at 1 year and at 5 years. Each s.d. increase (250g between baseline and 1 year and 270g between 1 and 5 years) in F&V intake was associated with lower waist circumference (-0.92 (95% CI: -1.57, -0.27) cm), HbA 1c (-0.11 (-0.20, -0.03) %) and CCMR (-0.04 (-0.08, -0.01)) at 1 year and higher high-density lipoprotein (HDL)-cholesterol (0.04 (0.01, 0.06) mmol/l) at 5 years. Increased plasma vitamin C (per s.d., 22.5 μmol/l) was associated with higher HDL-cholesterol (0.04 (0.01, 0.06) mmol/l) and lower CCMR (-0.07 (-0.12, -0.03)) between 1 and 5 years.Conclusions:Increases in F&V quantity following diagnosis of diabetes are associated with lower cardiovascular risk factors. Health promotion interventions might highlight the importance of increasing, and maintaining increases in, F&V intake for improved cardiometabolic health in patients with diabetes. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | https://eprints.whiterose.ac.uk/117824/1/ejcn2016180a.pdfTest; Lamb, M. J E orcid.org/0000-0002-1284-9912 , Griffin, S. J., Sharp, S. J. et al. (1 more author) (2017) Fruit and vegetable intake and cardiovascular risk factors in people with newly diagnosed type 2 diabetes. European Journal of Clinical Nutrition. pp. 115-121. ISSN 1476-5640 |
| DOI: | 10.1038/ejcn.2016.180 |
| الإتاحة: | https://doi.org/10.1038/ejcn.2016.180Test https://eprints.whiterose.ac.uk/117824Test/ https://eprints.whiterose.ac.uk/117824/1/ejcn2016180a.pdfTest |
| حقوق: | cc_by |
| رقم الانضمام: | edsbas.BF9D74C6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1038/ejcn.2016.180 |
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