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Associations Between Plant-Based Dietary Indices and Dietary Acid Load With Cardiovascular Risk Factors Among Diabetic Patients Publisher



Daneshzad E1 ; Jahangir F1 ; Heshmati J2 ; Larijani B3 ; Surkan PJ4 ; Azadbakht L1, 5
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Nutritional Science, School of Nutritional Science and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran
  3. 3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  5. 5. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Diabetes in Developing Countries Published:2021


Abstract

Aim: To study how a plant-based diet and dietary acid load (DAL) are related to cardiovascular disease (CVD) risk factors among type 2 diabetic women. Methods: In this cross-sectional study, a validated food frequency questionnaire was used to assess the dietary intake of 230 diabetic women. We created a plant-based dietary index (PDI), healthy PDI (hPDI), and unhealthy PDI (uPDI). DAL was calculated based on potential renal acid load (PRAL) and net endogenous acid production (NEAP). Results: Patients in the highest tertile of PDI had lower fasting blood sugar (146.74 ± 6.16 vs. 152.87 ± 6.09, p = 0.009) and lower 2-h postprandial glucose (181.76 ± 7.03 vs. 203.01 ± 6.94, p = 0.002). Patients in the highest tertile of PDI were at lower risk of high waist circumference in a crude model (odd ratios: 0.43; 95% CI: 0.19; 0.96, p = 0.039); however, this association did not reach statistical significant after adjustment for confounders. Conclusion: Our study suggests that plant-based dietary indices and DAL are not associated with CVD risk factors among diabetic patients. © 2020, Research Society for Study of Diabetes in India.
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