PMID- 21430378 OWN - NLM STAT- MEDLINE DCOM- 20110815 LR - 20221207 IS - 1421-9697 (Electronic) IS - 0250-6807 (Linking) VI - 58 IP - 1 DP - 2011 TI - Adherence to the Mediterranean diet in patients with type 2 diabetes mellitus and HbA1c level. PG - 74-8 LID - 10.1159/000324718 [doi] AB - RATIONALE AND OBJECTIVE: The Mediterranean diet (MeDiet) has beneficial effects on cardiovascular risk factors. We analyzed the association between adherence of a MeDiet in patients with type 2 diabetes mellitus (T2DM) and levels of HbA1c. PATIENTS AND METHODS: This was a cross-sectional study in individuals with T2DM participating in the PREDIMED trial at the centre of Pamplona. Information on diet was collected with a validated 14 point scale of adherence to the MeDiet and blood samples were obtained to assess HbA1c levels. RESULTS: We studied 383 participants with T2DM, 53.4% women (mean age 69 +/- 6 years). HbA1c data were available in 262 cases (mean 6.9 +/- 1.5%). Although there was a potential inverse non-significant association between adherence to MeDiet and HbA1c levels after adjusting for age and sex, it was not statistically significant. Multivariate analysis additionally adjusted for physical activity, smoking, time of evolution of the T2DM, body mass index and insulin treatment found similar findings (OR = 0.69, 95% CI 0.17-2.83). CONCLUSIONS: Although we found not enough evidence to support that a MeDiet is associated with lower levels of HbA1c in patients with T2DM, our results suggested an inverse trend. Future studies with larger sample size are necessary. CI - Copyright (c) 2011 S. Karger AG, Basel. FAU - Diez-Espino, Javier AU - Diez-Espino J AD - Primary Health Care Centre of Tafalla, Tafalla, Spain. javier.diez.espino@cfnavarra.es FAU - Buil-Cosiales, Pilar AU - Buil-Cosiales P FAU - Serrano-Martinez, Manuel AU - Serrano-Martinez M FAU - Toledo, Estefania AU - Toledo E FAU - Salas-Salvado, Jordi AU - Salas-Salvado J FAU - Martinez-Gonzalez, Miguel Angel AU - Martinez-Gonzalez MA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110324 PL - Switzerland TA - Ann Nutr Metab JT - Annals of nutrition & metabolism JID - 8105511 RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Aged MH - Aged, 80 and over MH - Body Mass Index MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*diet therapy MH - *Diet, Mediterranean MH - Female MH - Glycated Hemoglobin/*analysis MH - Glycemic Index MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - Spain MH - *Surveys and Questionnaires EDAT- 2011/03/25 06:00 MHDA- 2011/08/16 06:00 CRDT- 2011/03/25 06:00 PHST- 2010/03/24 00:00 [received] PHST- 2011/01/30 00:00 [accepted] PHST- 2011/03/25 06:00 [entrez] PHST- 2011/03/25 06:00 [pubmed] PHST- 2011/08/16 06:00 [medline] AID - 000324718 [pii] AID - 10.1159/000324718 [doi] PST - ppublish SO - Ann Nutr Metab. 2011;58(1):74-8. doi: 10.1159/000324718. Epub 2011 Mar 24.