Association between diet quality indices and arterial stiffness in youth with type 1 diabetes: SEARCH for Diabetes in Youth Nutrition Ancillary Study.

Association between diet quality indices and arterial stiffness in youth with type 1 diabetes: SEARCH for Diabetes in Youth Nutrition Ancillary Study.
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DOI:
10.1016/j.jdiacomp.2020.107709
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发表时间:
2020-12
影响因子:
3
通讯作者:
Urbina EM
Urbina EM
中科院分区:
医学3区
文献类型:
--
作者:
Liese AD;Couch SC;The NS;Crandell JL;Lawrence JM;Crume TL;Mayer-Davis EJ;Zhong VW;Urbina EM

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我们研究了三种不同的饮食质量指数和两种动脉硬度测量方法在10至30岁的青年和年轻人(YYA)与T1 D之间的关系。在参与青年糖尿病研究的T1 D YYA中进行了横断面(n= 1,421)和纵向(n=520)分析。饮食质量指数包括停止高血压的饮食方法(DASH)指数,2015年健康饮食指数(HEI-2015)和改良的地中海饮食质量指数(mKIDMED)。动脉僵硬度的测量与脉搏波速度(PWV)和增强指数(AIx)获得使用SphygmoCor-Vx设备和眼压计。平均饮食质量为中等至较差,平均评分为41(DASH,范围0-80),55(HEI-2015,范围0-100),3.7(mKIDMED,范围-3-12)。饮食质量评分与中央PWV或Aix无关,独立于人口统计学,临床和生活方式因素,体重指数和HbA 1c。纵向数据与横断面结果一致。这项研究表明,饮食质量可能不会作为一个独立的危险因素动脉硬化在YY与T1 D。这些研究结果并没有削弱消费优质饮食对糖尿病管理的重要性,正如以前的工作所证明的那样。
We studied the association of three distinct diet quality indices and two measures of arterial stiffness in youth and young adults (YYA) aged 10 to 30 with T1D. Cross-sectional (n=1,421) and longitudinal (n=520) analyses were conducted in T1D YYA participating in the SEARCH for Diabetes in Youth Study. The diet quality indices included the Dietary Approaches to Stop Hypertension (DASH) index, the Healthy Eating Index 2015 (HEI-2015), and a modified Mediterranean Diet Quality Index (mKIDMED). Arterial stiffness was measured with pulse wave velocity (PWV) and augmentation index (AIx) obtained using a SphygmoCor-Vx device and tonometer. Average diet quality was moderate to poor, with mean scores of 41 (DASH, range 0-80), 55 (HEI-2015, range 0-100), 3.7 (mKIDMED, range −3-12). None of the diet quality scores was associated with the central PWV or Aix, independent of demographic, clinical and lifestyle factors, body mass index and HbA1c. Longitudinal data yielded consistent findings with cross-sectional results. This study suggests that diet quality may not function as an independent risk factor for arterial stiffening in YYA with T1D. These findings do not diminish the importance of consuming a quality diet for the management of diabetes, as demonstrated in previous work.
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