PMID- 32736300 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20221207 IS - 1873-1244 (Electronic) IS - 0899-9007 (Linking) VI - 78 DP - 2020 Oct TI - Association between glycemic control and dietary patterns in patients with type 2 diabetes in a Mexican institute. PG - 110901 LID - S0899-9007(20)30184-2 [pii] LID - 10.1016/j.nut.2020.110901 [doi] AB - OBJECTIVE: The aim of this study was to evaluate the association between glycemic control (hemoglobin (Hb) A1c <7%) and the dietary patterns identified in Mexican patients with type 2 diabetes mellitus (T2DM). METHODS: This was a secondary analysis conducted with 4838 patients with T2DM in Mexico. Biochemical blood profiles, socioeconomic level, anthropometric measurements, and dietary data were obtained. Dietary data from a food frequency questionnaire were used to derive dietary patterns. Factor analysis was conducted to ascertain dietary patterns, and multivariate analysis was fitted to assess the relationship between glycemic control and consumption of dietary patterns. RESULTS: Three dietary patterns were identified. After control for potential cofounders (age, sex, duration of T2DM, body mass index, pharmacologic treatment, intensity of physical activity, socioeconomic level, and kcal/kg ideal weight), we found that consuming a Western-style diet (odds ratio [OR], 1.533, 95% confidence interval [CI], 1.253-1.875; P < 0.000), and the sweets and dairy diet (fats and sugars; OR, 1.444; 95% CI, 1.133-1.841; P = 0.003) patterns were associated with HbA1c >/=7%, whereas consuming a healthy dietary patter (OR, 0.800; 95% CI, 0.642-0.998; P = 0.048) was associated with HbA1c <7%. CONCLUSIONS: Consuming a healthy diet was associated with glycemic control; whereas the Western-style or sweets and dairy patterns promoted a lack of metabolic control. These results support the promotion of a healthy pattern in the Mexican population with T2DM. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Martinez, Monica Leonor Ruiz AU - Martinez MLR AD - Hospital de Gineco-Pediatria 3 A, Centro Medico Nacional "La Raza," Mexico City, Mexico. FAU - Gomez-Diaz, Rita Angelica AU - Gomez-Diaz RA AD - Unidad de Investigacion en Epidemiologia Clinica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Gonzalez, Adriana Leticia Valdez AU - Gonzalez ALV AD - Unidad de Investigacion en Epidemiologia Clinica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Gonzalez, Rafael Mondragon AU - Gonzalez RM AD - Unidad de Investigacion en Epidemiologia Clinica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Becerra, Martha Catalina Sanchez AU - Becerra MCS AD - Unidad de Investigacion en Bioquimica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Rio, Sandra Lorena Garcia Del AU - Rio SLGD AD - Unidad de Investigacion en Epidemiologia Clinica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Cruz, Miguel AU - Cruz M AD - Unidad de Investigacion en Bioquimica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Wacher-Rodarte, Niels Hansen AU - Wacher-Rodarte NH AD - Unidad de Investigacion en Epidemiologia Clinica, UMAE Hospital de Especialidades, Centro Medico Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. Electronic address: wacherniels@gmail.com. FAU - Pacheco, Ramon Alberto Rascon AU - Pacheco RAR AD - Coordinacion de Vigilancia Epidemiologica, Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Aburto, Victor Hugo Borja AU - Aburto VHB AD - Direccion de Prestaciones Medicas, Instituto Mexicano del Seguro Social, Mexico City, Mexico. LA - eng PT - Journal Article DEP - 20200620 PL - United States TA - Nutrition JT - Nutrition (Burbank, Los Angeles County, Calif.) JID - 8802712 RN - 0 (Glycated Hemoglobin A) SB - IM MH - Body Mass Index MH - *Diabetes Mellitus, Type 2 MH - Diet MH - Glycated Hemoglobin MH - Glycemic Control MH - Humans MH - Mexico OTO - NOTNLM OT - Dietary pattern OT - Glycemic control OT - Healthy pattern OT - Mexico OT - Type 2 diabetes OT - Western-style pattern EDAT- 2020/08/01 06:00 MHDA- 2021/06/24 06:00 CRDT- 2020/08/01 06:00 PHST- 2020/02/28 00:00 [received] PHST- 2020/04/02 00:00 [revised] PHST- 2020/05/27 00:00 [accepted] PHST- 2020/08/01 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2020/08/01 06:00 [entrez] AID - S0899-9007(20)30184-2 [pii] AID - 10.1016/j.nut.2020.110901 [doi] PST - ppublish SO - Nutrition. 2020 Oct;78:110901. doi: 10.1016/j.nut.2020.110901. Epub 2020 Jun 20.