Greater Adherence to Dietary Guidelines Associated with Reduced Risk of Cardiovascular Diseases in Chinese Patients with Type 2 Diabetes

Nutrients

Long-Yun Peng¹  Yan-Bing Li²  Fang-Fang Zeng³  Shang-Ling Wu⁴  Yan-Bin Ye⁴  Pei-Yan Chen⁴  Shu-Yu Zhuo⁴  Wei Lu⁴  Yu-Ming Chen⁵ 

[1] Department of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China;Department of Endocrinology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China;Department of Epidemiology, School of Medicine, Jinan University, Guangzhou 510632, China;Department of Nutrition, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China;Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China;

关键词: diet quality score;    dietary index;    cardiovascular disease;    case-control study;    type 2 diabetes;   

DOI  :  10.3390/nu14091713

来源: DOAJ

【 摘 要 】

The evidence regarding the impact of the scores on healthy eating indices on the risk of cardiovascular events among patients with type 2 diabetes (T2D) is limited. As such, in this study, we examined the associations of adherence to the Chinese and American dietary guidelines and the risk of cardiovascular disease (CVD) among Chinese individuals with T2D. We conducted a 1:1 age- and sex-matched case–control study based on a Chinese population. We used a structured questionnaire and a validated 79-item food-frequency questionnaire to collect general information and dietary intake information, and calculated the Chinese Healthy Eating Index (CHEI) and the Healthy Eating Index-2015 (HEI-2015). As participants, we enrolled a total of 419 pairs of hospital-based CVD cases and controls, all of whom had T2D. We found a significant inverse association between diet quality scores on the CHEI and HEI-2015 and the risk of CVD. The adjusted odds ratios (95% confidence interval) per five-score increment were 0.68 (0.61, 0.76) in the CHEI and 0.60 (0.52, 0.70) in the HEI-2015. In stratified analyses, the protective associations remained significant in the subgroups of sex, BMI, smoking status, tea-drinking, hypertension state, dyslipidemia state, T2D duration, and medical nutrition therapy knowledge (all p < 0.05). These findings suggest that a higher CHEI or HEI-2015 score, representing a higher-quality diet relative to the most recent Chinese or American dietary guidelines, was associated with a decreased risk of CVD among Chinese patients with T2D.

【 授权许可】

Unknown