PMID- 28098780 OWN - NLM STAT- MEDLINE DCOM- 20170613 LR - 20240324 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 9 IP - 1 DP - 2017 Jan 13 TI - Adding Salt to Meals as a Risk Factor of Type 2 Diabetes Mellitus: A Case-Control Study. LID - 10.3390/nu9010067 [doi] LID - 67 AB - OBJECTIVE: Type 2 diabetes mellitus (T2DM) is thought to arise from the complex interplay between genetic and environmental factors. It is important to identify modifiable risk factors that may help to reduce the risk of diabetes. Data on salt intake and the risk of type 2 diabetes are limited. The aim of this study was to assess the relationship between adding salt to prepared meals and the risk of type 2 diabetes. METHODS: In a case-control study, we included 234 cases, all of whom were patients aged 35-86 years with a newly confirmed diagnosis of T2DM, and 468 controls that were free of the disease. Cases and controls (ratio 1:2) were matched by gender and age (+/-5 years). A questionnaire was used to collect information on possible risk factors for diabetes. Adding salt to prepared meals was assessed according to: Never, when there was not enough, or almost every time without tasting. The odds ratios (OR), and 95% confidence intervals (CI) for type 2 diabetes was calculated using a conditional logistic regression. RESULTS: The cases had a higher body mass index and a significantly lower education level compared to the controls. Variables such as waist circumference, body mass index, eating speed, smoking, family history of diabetes, arterial hypertension, plasma triglycerides, educational level, occupational status, morning exercise, marital status, daily urine sodium excretion, and daily energy intake were retained in the models as confounders. After adjusting for possible confounders, an approximately two-fold increased risk of type 2 diabetes was determined in subjects who add salt to prepared meals when "it is not enough" or "almost every time without tasting" (1.82; 95% CI 1.19-2.78; p = 0.006) compared with never adding salt. CONCLUSION: Presented data suggest the possible relationship between additional adding of salt to prepared meals and an increased risk of type 2 diabetes. FAU - Radzeviciene, Lina AU - Radzeviciene L AD - Institute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Eiveniu 2, 50009 Kaunas, Lithuania. lina_radzeviciene@yahoo.com. FAU - Ostrauskas, Rytas AU - Ostrauskas R AD - Institute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Eiveniu 2, 50009 Kaunas, Lithuania. rytas.ostrauskas@lsmuni.lt. LA - eng PT - Journal Article DEP - 20170113 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Sodium Chloride, Dietary) RN - 0 (Triglycerides) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Blood Pressure MH - Body Mass Index MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*epidemiology MH - Exercise MH - Female MH - Humans MH - Logistic Models MH - Male MH - Meals MH - Middle Aged MH - Risk Factors MH - Sodium Chloride, Dietary/administration & dosage/*adverse effects MH - Surveys and Questionnaires MH - Triglycerides/blood MH - Waist Circumference PMC - PMC5295111 OTO - NOTNLM OT - case-control study OT - risk factors OT - salt OT - salt intake OT - type 2 diabetes COIS- The authors declare no conflicts of interest. EDAT- 2017/01/19 06:00 MHDA- 2017/06/14 06:00 PMCR- 2017/01/01 CRDT- 2017/01/19 06:00 PHST- 2016/10/15 00:00 [received] PHST- 2016/12/23 00:00 [revised] PHST- 2017/01/10 00:00 [accepted] PHST- 2017/01/19 06:00 [entrez] PHST- 2017/01/19 06:00 [pubmed] PHST- 2017/06/14 06:00 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - nu9010067 [pii] AID - nutrients-09-00067 [pii] AID - 10.3390/nu9010067 [doi] PST - epublish SO - Nutrients. 2017 Jan 13;9(1):67. doi: 10.3390/nu9010067.