Eating habits in elderly diabetic subjects: Assessment in the InCHIANTI Study

Mannucci, Edoardo; Bartali, Benedetta; Lova, Raffaele Molino; Papucci, Mario; Lauretani, Fulvio; Luisi, Maria; Pietrobelli, Angelo; Macchi, Claudio

doi:10.1016/j.numecd.2006.12.009

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…However, the corrections that are made to dietary habits do not appear to be consistent with current recommendations,5 since the consumption of total and saturated fats and dietary fibers is not significantly different 19. Based on the results of the current study, it may be suggested that patients tend to modify the dishes they are used to, eg, by reducing their fat content, rather than to remove them from their diet completely or replace them with other types of food.…”

Section: Discussioncontrasting

confidence: 57%

“…According to the previous studies of Mannucci et al,18,19 in comparison with nondiabetic subjects, patients with known type 2 diabetes report dietary intakes somewhat differently, thus seem to be aware of the need to modify their eating habits. However, the corrections that are made to dietary habits do not appear to be consistent with current recommendations,5 since the consumption of total and saturated fats and dietary fibers is not significantly different 19.…”

Section: Discussionmentioning

confidence: 96%

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An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice

Hendrychova

Vytrisalova²,

Vlcek³

et al. 2013

PPA

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BackgroundDespite the efforts of health care providers, adherence of patients with type 2 diabetes to the recommended diet is poor. The aim of this study was to describe the eating habits with emphasis on fat and fiber-related behavior (FFB) as well as the relationship between FFB behavior and parameters of diabetes control in men and women with type 2 diabetes mellitus.MethodsThe subjects in this observational cross-sectional study were 200 patients (54.5% male, mean age 66.2 ± 10.1 years, mean Diabetes Control and Complications Trial [DDCT] glycosylated hemoglobin [HbA1c] 7.6% ± 1.7%) recruited from diabetes outpatient clinics in the Czech Republic. The subjects filled out the Fat- and Fiber-related Diet Behavior Questionnaire. The most recent patient data on diabetes control and drug therapy were derived from patient medical records.ResultsPatients tend to modify the dishes they are used to, rather than remove them completely from their diet and replace them by other types of foods. It is easier to perform healthier fat-related behaviors than fiber-related ones. Women scored significantly better than men on the fat-related diet habits summary scale (P = 0.002), as well as on “modify meat” (P = 0.001) and “substitute specially manufactured low-fat foods” (P = 0.045) subscales. A better score on the fat-related diet habits summary scale was significantly associated with higher HbA1c (ρ = −0.248; P = 0.027) and higher waist circumference (ρ = −0.254; P = 0.024) in women.ConclusionType 2 diabetes patients are likely to vary in their FFB behavior, and their dietary habits depend on gender. Health care professionals should pay attention to these facts when providing specific education. Emphasis should be placed on how to increase the fiber intake in diabetic patients.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 96%

An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice

Hendrychova

Vytrisalova²,

Vlcek³

et al. 2013

PPA

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“…Notably, the daily energy intake in our population results in being lower than that recommended [ 45 ], particularly in women. This finding is in line with other studies performed in elderly with T2D [ 46 , 47 , 48 ] and could be related to the energy restriction prescribed in T2D patients according to their dietary treatment, although a possible underreporting of food intake due to the limitation of the 24-h dietary recall cannot be excluded. In any case, to increase energy content and protein intake, patients should be encouraged to consume cereals, legumes, meat and poultry, dairy products, and fish, particularly at breakfast and dinner [ 49 ].…”

Section: Discussionsupporting

confidence: 92%

Protein and Leucine Intake at Main Meals in Elderly People with Type 2 Diabetes

et al. 2023

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Background: The recommended protein intake for the elderly is 25–30 g at main meals, with at least 2500–2800 mg of leucine at each meal. There is still little evidence regarding the amount and distribution of protein and leucine intake with meals in the elderly with type 2 diabetes (T2D). In this cross-sectional study, we evaluated protein and leucine intake at each meal in elderly patients with T2D. Methods: A total of 138 patients (91 men and 47 women) with T2D, aged 65 years or older, were included. Participants performed three 24-h dietary recalls for the evaluation of their dietary habits and protein and leucine intake at meals. Results: The average protein intake was 0.9 ± 0.2 g/kg body weight/day, and only 23% of patients complied with the recommendations. The average protein intake was 6.9 g at breakfast, 29 g at lunch, and 21 g at dinner. None of the patients reached the recommended protein intake at breakfast; 59% of patients complied with the recommendations at lunch; and 32% at dinner. The average leucine intake was 579 mg at breakfast, 2195 g at lunch, and 1583 mg at dinner. The recommended leucine intake was not reached by any patient at breakfast, by 29% of patients at lunch, and by 13% at dinner. Conclusions: Our data show that, in elderly patients with T2D, the average protein intake is low, particularly at breakfast and dinner, and that leucine intake is remarkably lower than the recommended levels. These data raise the need to implement nutritional strategies capable of increasing protein and leucine intake in the elderly with T2D.

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“…We adjusted for total daily consumption of animal protein (grams/day) obtained from self-reported questionnaire in our models with Clcr as the primary exposure. 23–25 …”

Section: Methodsmentioning

confidence: 99%

Creatinine Clearance, Walking Speed, and Muscle Atrophy: A Cohort Study

Roshanravan

Patel

Robinson‐Cohen

et al. 2015

American Journal of Kidney Diseases

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Background Chronic kidney disease (CKD) is associated with malnutrition and inflammation. These processes may lead to loss of skeletal muscle and reduced physical performance. Associations of kidney function with muscle composition and longitudinal measures of physical performance are unknown. Study Design Prospective cohort study. Setting & Participants We evaluated 826 community-dwelling older adults enrolled in the Invecchiare in Chianti (InCHIANTI) Study free of baseline stroke or activities of daily living disability. Predictor Baseline creatinine clearance (Clcr) based on a 24-hour urine collection. Outcomes Cross-sectional and longitudinal trajectories of physical performance measured by 7-meter usual gait speed, 400-meter fast gait speed, and knee extension strength using isometric dynamometry. Calf muscle composition assessed by quantitative CT. Results Mean age of participants was 74 ± 7 (SD) years with 183 having Clcr < 60ml/min/1.73m2. After adjustment each 10ml/min/1.73m2 decrement in Clcr was associated with 0.01 (95% CI, 0.004–0.017) m/s slower 7-meter usual walking speed and 0.008 (95% CI, 0.002–0.014) m/s slower 400-meter walking speed. Each 10 ml/min/1.73m2 decrement in Clcr was associated with 28mm2 (95% CI, 0.8–55) lower muscle area and 0.15mg/cm3 (95% CI, 0.04–0.26) lower muscle density. After adjustment, lower Clcr was associated with slower mean 7-meter (P=0.005) and 400-meter (P=0.02) walk and knee extension strength (P=0.001) over the course of follow-up. Over a mean follow-up of 7.1 ±2.5 years, each 10 ml/min/1.73m2 lower baseline Clcr was associated with 0.024 (95% CI, 0.01–0.037) kg/year greater decline in knee strength. Limitations Single baseline measurement of Clcr and 3-year interval between follow-up visits may lead to non-differential misclassification and attenuation of estimates. Conclusions: Among older adults, lower Clcr is associated with muscle atrophy, reduced walking speed and more rapid declines in lower extremity strength over time.

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Eating habits in elderly diabetic subjects: Assessment in the InCHIANTI Study

Cited by 9 publications

References 14 publications

An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice

An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice

Protein and Leucine Intake at Main Meals in Elderly People with Type 2 Diabetes

Creatinine Clearance, Walking Speed, and Muscle Atrophy: A Cohort Study

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