{"id":24740,"date":"2015-09-01T00:00:00","date_gmt":"2018-12-03T21:01:30","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effect-of-improving-dietary-quality-on-carotid-intima-media\/"},"modified":"2018-12-03T22:01:30","modified_gmt":"2018-12-03T21:01:30","slug":"effect-of-improving-dietary-quality-on-carotid-intima-media","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effect-of-improving-dietary-quality-on-carotid-intima-media\/","title":{"rendered":"Effect of improving dietary quality on carotid intima media thickness in subjects with type 1 and type 2 diabetes: a 12-mo randomized controlled trial."},"content":{"rendered":"

Background:<\/strong> People with diabetes are at a heightened risk of cardiovascular disease compared with the general population. To our knowledge, randomized controlled trials investigating the effect of improving dietary quality on carotid intima media thickness, a marker of subclinical atherosclerosis and predictor of cardiovascular disease, have not been conducted in populations with diabetes.<\/p>\n

Objective:<\/strong> We aimed to determine whether increasing fruit (+1 serving; 150 g\/d), vegetable (+2 servings; 150 g\/d), and dairy (+1 serving; 200–250 g\/d) intakes slows 12-mo common carotid artery intima media thickness (CCA IMT) progression, compared with a control group continuing to consume their usual diet, in people with type 1 and type 2 diabetes.<\/p>\n

Design:<\/strong> A 12-mo randomized controlled trial was conducted. The primary outcome was mean CCA IMT, measured at baseline and 12 mo, with B-mode ultrasound. Participants in the intervention group received counseling from a dietitian at baseline and 1, 3, 6, and 9 mo, and compliance was measured with a food-frequency questionnaire at baseline, 3 mo, and 12 mo. The control group continued consuming their usual diet.<\/p>\n

Results:<\/strong> In total, 118 participants completed the study. Vegetable (46 g\/d; 95% CI: 14, 77 g\/d; P<\/em> < 0.001) and fruit (179 g\/d; 95% CI: 119, 239 g\/d; P<\/em> < 0.001) intakes were increased at 3 mo in the intervention group compared with the control group. This increase was not maintained at 12 mo, but intake increased overall in the cohort (fruit, 48 g\/d; vegetables, 14 g\/d). An increase in dairy consumption was not achieved, but yogurt intake was higher in the intervention group at 3 mo (38 g; 95% CI: 12, 65 g; P<\/em> < 0.001); this was not maintained at 12 mo. At 12 mo, CCA IMT regressed (mean ± SD: −0.01 ± 0.04 mm; P<\/em> < 0.001), with a greater effect in the treatment group (mean ± SD: −0.02 ± 0.04 mm vs. −0.004 ± 0.04 mm; P<\/em> = 0.009).<\/p>\n

Conclusion:<\/strong> Improving dietary quality in people with well-controlled type 1 and type 2 diabetes may slow CCA IMT progression. This trial was registered at https:\/\/www.anzctr.org.au as ACTRN12613000251729.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-24740","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"School of Pharmacy and Medical Sciences & Sansom Institute for Health Research, University of South Australia, Adelaide, Australia. jennifer.keogh@unisa.edu.au.","annee":"2015","mois":"9","numero":"","page":"","auteurs":[{"ID":1739,"post_author":"0","post_date":"2018-12-03 16:02:06","post_date_gmt":"2018-12-03 15:02:06","post_content":"","post_title":"Peter M Clifton","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"peter-m-clifton","to_ping":"","pinged":"","post_modified":"2018-12-03 16:02:06","post_modified_gmt":"2018-12-03 15:02:06","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/peter-m-clifton\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":2265,"post_author":"0","post_date":"2018-12-03 16:53:56","post_date_gmt":"2018-12-03 15:53:56","post_content":"","post_title":"Kristina S Petersen","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"kristina-s-petersen","to_ping":"","pinged":"","post_modified":"2018-12-03 16:53:56","post_modified_gmt":"2018-12-03 15:53:56","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/kristina-s-petersen\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":24738,"post_author":"0","post_date":"2018-12-03 22:01:27","post_date_gmt":"2018-12-03 21:01:27","post_content":"","post_title":"Natalie Blanch","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"natalie-blanch","to_ping":"","pinged":"","post_modified":"2018-12-03 22:01:27","post_modified_gmt":"2018-12-03 21:01:27","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/natalie-blanch\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":24739,"post_author":"0","post_date":"2018-12-03 22:01:28","post_date_gmt":"2018-12-03 21:01:28","post_content":"","post_title":"Jennifer B Keogh","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jennifer-b-keogh","to_ping":"","pinged":"","post_modified":"2018-12-03 22:01:28","post_modified_gmt":"2018-12-03 21:01:28","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/jennifer-b-keogh\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1719,"post_author":"0","post_date":"2018-12-03 16:01:56","post_date_gmt":"2018-12-03 15:01:56","post_content":"","post_title":"The American journal of clinical nutrition","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"the-american-journal-of-clinical-nutrition","to_ping":"","pinged":"","post_modified":"2018-12-03 16:01:56","post_modified_gmt":"2018-12-03 15:01:56","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/the-american-journal-of-clinical-nutrition\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"\nEffect of improving dietary quality on carotid intima media thickness in subjects with type 1 and type 2 diabetes: a 12-mo randomized controlled trial. - 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