Diet Quality Indices and Their Correlation with Glycemic Status and Lipid Profile in Patients with Type 2 Diabetes

Abstract

Background. The study aimed to determine the correlation between different diet quality indices and glycemic status and lipid profile in patients with diabetes. Methods. This study was carried out on 235 patients with type 2 diabetes referred to Martyr Motahari Diabetes Clinic of Shiraz city so as to investigate the relationship between glycemic status and lipid profile and the diet quality using Healthy Eating Index (HEI-2010), phytochemical index (PI), and Diet Quality Index-International (DQI_I). Results. A positive correlation was indicated between the serum levels of LDL-C and HEI-2010 scores p = 0.026 . Furthermore, there was a positive correlation between the patients’ age and scores of PI p = 0.006 and between PI and DQI_I p < 0.001 . There was no significant relationship between the scores for all three indicators and biochemical parameters. Conclusion. The results of this study indicated that there was a significant correlation between the serum LDL-C levels and the HEI-2010 scores. Moreover, the age of the patients had a direct correlation with the PI scores.

The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

“…Also, in the total population, higher whole grain intake was associated with an increased level of HDL-C. The findings of the present study are comparable with the results of several previous studies that investigated the possible association of HEI with CVD risk factors and metabolic abnormalities risk (Ziaee et al, 2021;Shah et al, 2010;Saraf-Bank et al, 2017;Monfort-Pires et al, 2014;Huffman et al, 2011;Daneshzad et al, 2019;Asghari et al, 2012a;Zeinalabedini et al, 2023;Firouzabadi et al, 2023;Ahmadijoo et al, 2023); these previous studies have reported the controversial findings on the possible relationship between HEI and the risk of cardiometabolic disorders. Contrary to our results, some studies supported the beneficial role of a diet with a high HEI score in reducing the risk of metabolic disorders; however, similar to our study, some studies did not observe significant results.…”

“…Daneshzad et al (2019) observed that higher adherence to HEI score was negatively related to mean BS level but did not show any significant association with lipid profile levels or anthropometric factors. Also, a recent cross-sectional study conducted on diabetic patients observed a positive correlation between HEI score and LDL-C level but showed no significant correlation with levels of BS, TGs and HDL-C (Ziaee et al, 2021). However, another study suggested that a higher HEI score can be effective in improving the levels of HDL-C and LDL-C, without a significant relationship with TGs among US adult women (Shah et al, 2010).…”

“…Various studies have recently focused on the potential role of HEI, as a suitable diet quality evaluation approach, in the prediction of chronic diseases (Cui et al, 2022;Khodarahmi et al, 2019;Saraf-Bank et al, 2017;Ziaee et al, 2021;Monfort-Pires et al, 2014;Daneshzad et al, 2019). Although three previous studies reported the beneficial relation of HEI score with the risk of metabolic syndrome (MetS) (Cui et al, 2022;Khodarahmi et al, 2019;Saraf-Bank et al, 2017), there are many controversial results on the possible relationship between HEI and risk of cardiometabolic disorders (Ziaee et al, 2021;Shah et al, 2010;Saraf-Bank et al, 2017;Monfort-Pires et al, 2014;Huffman et al, 2011;Daneshzad et al, 2019; NFS 54,3 Asghari et al, 2012a). Daneshzad et al (2019) observed that higher adherence to HEI score was negatively related to mean BS level but did not show any significant association with lipid profile levels or anthropometric factors.…”

“…, 2019; Saraf-Bank et al. , 2017), there are many controversial results on the possible relationship between HEI and risk of cardiometabolic disorders (Ziaee et al. , 2021; Shah et al.…”

The relationship between diet quality indices and odds of breast cancer in women: a case–control study

“…These DQI indices are useful tools for identifying and estimating the quality of diet in different societies with different dietary patterns around the world and their association with chronic nutrition-related diseases such as cancer, diabetes, and fatty liver disease [13,17,19,20]. The relationship between diet quality and BrCa is particularly relevant to study in Iran, due to the increasing rates of BrCa as well as the unique features of the Iranian diet (for example, bulky meals, high intake of refined grains, hydrogenated fats and high percentage of energy intake from carbohydrates),the rapid nutritional transition in this region [21], and high health care costs associated with chronic diseases, especially cancer.…”