Ontology highlight
ABSTRACT: Aims/introduction
There are few studies to investigate the relationship between macronutrients and longitudinal changes in arterial stiffness in patients with type 2 diabetes mellitus. This exploratory study sought to determine whether macronutrients were correlated with increased arterial stiffness independently of conventional atherosclerotic risk factors.Materials and methods
The study participants comprised 733 type 2 diabetes outpatients who had no apparent history of cardiovascular diseases. The dietary schedule was assessed with a validated, brief, self-administered diet history questionnaire. At baseline and at years 2 and 5, brachial-ankle pulse wave velocity was measured. A multivariable linear mixed-effects model was used to determine the predictive values of macronutrients and atherosclerotic risk factors for longitudinal changes in brachial-ankle pulse wave velocity.Results
There was a significant increase in brachial-ankle pulse wave velocity values over the 5-year follow-up period. In a multivariable linear mixed-effects model that adjusted for age and sex, lower saturated fatty acid intake was significantly correlated with persistently higher brachial-ankle pulse wave velocity, independently of other atherosclerotic risk factors. Lower intake of dairy products in particular showed this correlation.Conclusions
Our data showed that lower saturated fatty acids intake was correlated with persistently higher brachial-ankle pulse wave velocity in type 2 diabetes patients. Among food sources of saturated fatty acids, lower dairy products specifically were correlated with elevated brachial-ankle pulse wave velocity. This might be because the consumption of dairy products in Japan is much lower than in Western countries.
SUBMITTER: Mita T
PROVIDER: S-EPMC7858113 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Mita Tomoya T Someya Yuki Y Osonoi Yusuke Y Osonoi Takeshi T Saito Miyoko M Nakayama Shiho S Ishida Hidenori H Sato Hiroaki H Gosho Masahiko M Watada Hirotaka H
Journal of diabetes investigation 20200811 2
<h4>Aims/introduction</h4>There are few studies to investigate the relationship between macronutrients and longitudinal changes in arterial stiffness in patients with type 2 diabetes mellitus. This exploratory study sought to determine whether macronutrients were correlated with increased arterial stiffness independently of conventional atherosclerotic risk factors.<h4>Materials and methods</h4>The study participants comprised 733 type 2 diabetes outpatients who had no apparent history of cardio ...[more]