PMID- 37496018 OWN - NLM STAT- MEDLINE DCOM- 20230728 LR - 20230729 IS - 1475-2891 (Electronic) IS - 1475-2891 (Linking) VI - 22 IP - 1 DP - 2023 Jul 26 TI - Association of major dietary patterns with advanced glycation end products and high-sensitivity C-reactive protein in people with type 1 diabetes mellitus. PG - 37 LID - 10.1186/s12937-023-00860-x [doi] LID - 37 AB - BACKGROUND: The associations of diet with serum levels of advanced glycation end products (AGEs) and high-sensitivity C-reactive protein (hs-CRP) have been examined in patients with type 2 diabetes mellitus (T2DM). However, data on patients with type 1 diabetes mellitus (T1DM) are limited. Therefore, this study was conducted to investigate the associations of major dietary patterns with serum levels of AGEs and hs-CRP among patients with T1DM. METHODS: A total of 229 patients with T1DM participated in this current cross-sectional study. We collected dietary data using a validated food frequency questionnaire (FFQ). The factor analysis approach was used to determine major dietary patterns. A fasting blood sample was collected from each participant to assess serum levels of AGEs and hs-CRP. The associations of dietary patterns with elevated levels of AGEs and hs-CRP were assessed using binary logistic regression. RESULTS: Patients with T1DM in the highest tertile of a Western dietary pattern had 4.32 times higher odds of having elevated AGEs than those in the lowest tertile (OR: 4.32, 95% CI: 1.86-10.05). Additionally, adherence to the Western diet was associated with 2.97 times greater odds of having elevated hs-CRP (> 3 mg/L) (OR: 2.97, 95% CI: 1.22-7.24) in these patients. Such positive associations were not observed for unhealthy and traditional dietary patterns. Moreover, higher adherence to a semi-healthy diet (characterized by high consumption of white meat, whole grains, processed meat, and a low salt intake) was associated with 87% lower odds of having elevated hs-CRP (OR: 0.13, 95% CI: 0.05-0.35). However, we found no significant association between the semi-healthy diet and AGEs levels. CONCLUSION: We found that adherence to a Western dietary pattern was associated with elevated levels of AGEs/hs-CRP in patients with T1DM. Also, we discovered a significant inverse association between adherence to a semi-healthy diet and hs-CRP levels. CI - (c) 2023. The Author(s). FAU - Ebrahimi, Zohreh AU - Ebrahimi Z AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. FAU - Shojaeian, Zahra AU - Shojaeian Z AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. FAU - Amiri, Fatemehsadat AU - Amiri F AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. f.amiri58@yahoo.com. FAU - Esmaillzadeh, Ahmad AU - Esmaillzadeh A AD - Department of Community Nutrition, School of Nutritional Sciences & Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Sadeghi, Omid AU - Sadeghi O AD - Nutrition and Food Security Research Center, Department of Community Nutrition, Student Research Committee, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Esteghamati, Alireza AU - Esteghamati A AD - Endocrinology and Metabolism Research Center (EMRC), Internal Medicine Department, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. FAU - Jahed, Seyed Adel AU - Jahed SA AD - Gabric Diabetes Education Association, Tehran, Iran. FAU - Sedaghat, Sara AU - Sedaghat S AD - Gabric Diabetes Education Association, Tehran, Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230726 PL - England TA - Nutr J JT - Nutrition journal JID - 101152213 RN - 9007-41-4 (C-Reactive Protein) RN - 0 (Glycation End Products, Advanced) SB - IM MH - Humans MH - C-Reactive Protein/metabolism MH - *Diabetes Mellitus, Type 1 MH - *Diabetes Mellitus, Type 2 MH - Cross-Sectional Studies MH - Diet MH - Diet, Western MH - Glycation End Products, Advanced PMC - PMC10369805 OTO - NOTNLM OT - AGEs OT - Dietary pattern OT - Type 1 diabetes OT - hs-CRP COIS- The authors declare no competing interests. EDAT- 2023/07/27 01:09 MHDA- 2023/07/28 06:43 PMCR- 2023/07/26 CRDT- 2023/07/26 23:41 PHST- 2022/07/01 00:00 [received] PHST- 2023/06/22 00:00 [accepted] PHST- 2023/07/28 06:43 [medline] PHST- 2023/07/27 01:09 [pubmed] PHST- 2023/07/26 23:41 [entrez] PHST- 2023/07/26 00:00 [pmc-release] AID - 10.1186/s12937-023-00860-x [pii] AID - 860 [pii] AID - 10.1186/s12937-023-00860-x [doi] PST - epublish SO - Nutr J. 2023 Jul 26;22(1):37. doi: 10.1186/s12937-023-00860-x.