Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses
Aims Randomized controlled trials have demonstrated the efficacy of several dietary patterns plus physical activity to reduce diabetes onset in people with prediabetes. However, there is no evidence on the effect from the Mediterranean diet on the progression from prediabetes to diabetes. We aimed t...
| Autores: | ; ; ; ; ; ; ; |
|---|---|
| Tipo de documento: | Artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad Complutense de Madrid (UCM) |
| Repositorio: | Docta Complutense |
| Lenguaje: | Inglés |
| OAI Identifier: | oai:docta.ucm.es:20.500.14352/4721 |
| Acceso en línea: | https://hdl.handle.net/20.500.14352/4721 |
| Nivel de acceso: | Acceso abierto |
| Palabra clave: | diet longitudinal studies prediabetic state risk assessment Endocrinología Nutrición 3205.02 Endocrinología 3206 Ciencias de la Nutrición |
| _version_ | 1878742186375249920 |
|---|---|
| author | Cea Soriano, Trinidad Lucía |
| author2 | Pulido Manzanero, José Franch Nadal, Josep Santos Sancho, Juana María Mata Cases, Manel Díez Espino, Javier Ruiz García, Antonio Regidor Poyatos, Enrique |
| author2_role | author author author author author author author |
| author_browse | Cea Soriano, Trinidad Lucía Díez Espino, Javier Franch Nadal, Josep Mata Cases, Manel Pulido Manzanero, José Regidor Poyatos, Enrique Ruiz García, Antonio Santos Sancho, Juana María |
| author_facet | Cea Soriano, Trinidad Lucía Pulido Manzanero, José Franch Nadal, Josep Santos Sancho, Juana María Mata Cases, Manel Díez Espino, Javier Ruiz García, Antonio Regidor Poyatos, Enrique |
| author_role | author |
| collection | Docta Complutense |
| description | Aims Randomized controlled trials have demonstrated the efficacy of several dietary patterns plus physical activity to reduce diabetes onset in people with prediabetes. However, there is no evidence on the effect from the Mediterranean diet on the progression from prediabetes to diabetes. We aimed to evaluate the effect from high adherence to Mediterranean diet on the risk of diabetes in individuals with prediabetes. Methods Prospective cohort study in Spanish Primary Care setting. A total of 1184 participants with prediabetes based on levels of fasting plasma glucose and/or glycated hemoglobin were followed up for a mean of 4.2 years. A total of 210 participants developed diabetes type 2 during the follow up. Hazard ratios of diabetes onset were estimated by Cox proportional regression models associated to high versus low/medium adherence to Mediterranean diet. Different propensity score methods were used to control for potential confounders. Results Incidence rate of diabetes in participants with high versus low/medium adherence to Mediterranean diet was 2.9 versus 4.8 per 100 persons-years. The hazard ratios adjusted for propensity score and by inverse probability weighting (IPW) had identical magnitude: 0.63 (95% confidence interval, 0.43–0.93). The hazard ratio in the adjusted model using propensity score matching 1:2 was 0.56 (95% confidence interval, 0.37–0.84). Conclusions These propensity score analyses suggest that high adherence to Mediterranean diet reduces diabetes risk in people with prediabetes. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_f18b5a7559a95b9680ee89c8dc6e0c6b |
| institution | Universidad Complutense de Madrid (UCM) |
| instname_str | Universidad Complutense de Madrid (UCM) |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:docta.ucm.es:20.500.14352/4721 |
| publishDate | 2021 |
| publishDateSort | 2021 |
| publisher | Wiley |
| publisherStr | Wiley |
| reponame_str | Docta Complutense |
| spelling | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses Cea Soriano, Trinidad Lucía Pulido Manzanero, José Franch Nadal, Josep Santos Sancho, Juana María Mata Cases, Manel Díez Espino, Javier Ruiz García, Antonio Regidor Poyatos, Enrique diet longitudinal studies prediabetic state risk assessment Endocrinología Nutrición 3205.02 Endocrinología 3206 Ciencias de la Nutrición Aims Randomized controlled trials have demonstrated the efficacy of several dietary patterns plus physical activity to reduce diabetes onset in people with prediabetes. However, there is no evidence on the effect from the Mediterranean diet on the progression from prediabetes to diabetes. We aimed to evaluate the effect from high adherence to Mediterranean diet on the risk of diabetes in individuals with prediabetes. Methods Prospective cohort study in Spanish Primary Care setting. A total of 1184 participants with prediabetes based on levels of fasting plasma glucose and/or glycated hemoglobin were followed up for a mean of 4.2 years. A total of 210 participants developed diabetes type 2 during the follow up. Hazard ratios of diabetes onset were estimated by Cox proportional regression models associated to high versus low/medium adherence to Mediterranean diet. Different propensity score methods were used to control for potential confounders. Results Incidence rate of diabetes in participants with high versus low/medium adherence to Mediterranean diet was 2.9 versus 4.8 per 100 persons-years. The hazard ratios adjusted for propensity score and by inverse probability weighting (IPW) had identical magnitude: 0.63 (95% confidence interval, 0.43–0.93). The hazard ratio in the adjusted model using propensity score matching 1:2 was 0.56 (95% confidence interval, 0.37–0.84). Conclusions These propensity score analyses suggest that high adherence to Mediterranean diet reduces diabetes risk in people with prediabetes. Wiley https://hdl.handle.net/20.500.14352/4721 |
| spellingShingle | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses Cea Soriano, Trinidad Lucía diet longitudinal studies prediabetic state risk assessment Endocrinología Nutrición 3205.02 Endocrinología 3206 Ciencias de la Nutrición |
| title | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses |
| title_full | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses |
| title_fullStr | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses |
| title_full_unstemmed | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses |
| title_short | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses |
| title_sort | Mediterranean diet and diabetes risk in a cohort study of individuals with prediabetes: propensity score analyses |
| topic | diet longitudinal studies prediabetic state risk assessment Endocrinología Nutrición 3205.02 Endocrinología 3206 Ciencias de la Nutrición |
| topic_facet | diet longitudinal studies prediabetic state risk assessment Endocrinología Nutrición 3205.02 Endocrinología 3206 Ciencias de la Nutrición |
| url | https://hdl.handle.net/20.500.14352/4721 |