The association between macronutrient intake and the metabolic syndrome and its components in type 1 diabetes

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Ahola , A J , Harjutsalo , V , Thorn , L , Freese , R , Forsblom , C , Mäkimattila , S , Groop , P-H & FinnDiane Study Grp 2017 , ' The association between macronutrient intake and the metabolic syndrome and its components in type 1 diabetes ' , British Journal of Nutrition , vol. 117 , no. 3 , pp. 450-456 . https://doi.org/10.1017/S0007114517000198

Title: The association between macronutrient intake and the metabolic syndrome and its components in type 1 diabetes
Author: Ahola, Aila J.; Harjutsalo, Valma; Thorn, Lena; Freese, Riitta; Forsblom, Carol; Mäkimattila, Sari; Groop, Per-Henrik; FinnDiane Study Grp
Contributor: University of Helsinki, Department of Medicine
University of Helsinki, Department of Medicine
University of Helsinki, Clinicum
University of Helsinki, Department of Food and Nutrition
University of Helsinki, Clinicum
University of Helsinki, Department of Medicine
University of Helsinki, Clinicum
Date: 2017-02
Language: eng
Number of pages: 7
Belongs to series: British Journal of Nutrition
ISSN: 0007-1145
URI: http://hdl.handle.net/10138/182572
Abstract: Diet is a major modifiable lifestyle factor that may affect the components of the metabolic syndrome. We aimed to investigate the association between relative proportions of macronutrients and the components of the metabolic syndrome in a population of individuals with type 1 diabetes. In all, 791 individuals without nephropathy, with plausible energy intake and known metabolic syndrome status, taking part in the Finnish Diabetic Nephropathy Study were included in the analyses. Dietary data were collected with a diet record. The association between the relative macronutrient intake and the outcome variables were analysed using multivariable nutrient density substitution models. The relative proportions of dietary macronutrients or fatty acids were not associated with the presence of the metabolic syndrome. In men, however, favouring carbohydrates over fats was associated with lower odds of the waist component, whereas favouring either carbohydrates or fats over proteins was associated with lower odds of the blood pressure component of the metabolic syndrome. In women, substituting carbohydrates for fats was associated with lower HDL-cholesterol concentration. Substituting carbohydrates or fats for alcohol or protein was, in men, associated with lower systolic blood pressure. To conclude, the relative distribution of macronutrients may have some relevance for the metabolic syndrome.
Subject: Type 1 diabetes
Macronutrient intakes
Metabolic syndrome
Substitution models
HIGH-CARBOHYDRATE DIETS
RISK-FACTORS
INSULIN-RESISTANCE
GLYCEMIC CONTROL
HEART-DISEASE
LOW-FAT
WOMEN
LIPOPROTEINS
NEPHROPATHY
PREVALENCE
3141 Health care science
3121 General medicine, internal medicine and other clinical medicine
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