European Journal of Nutrition

, Volume 52, Issue 7, pp 1701–1710

Do European people with type 1 diabetes consume a high atherogenic diet? 7-year follow-up of the EURODIAB Prospective Complications Study

  • Sabita S. Soedamah-Muthu
  • Nish Chaturvedi
  • John H. Fuller
  • Monika Toeller
  • EURODIAB Prospective Complications Study Group
Original Contribution

DOI: 10.1007/s00394-012-0473-7

Cite this article as:
Soedamah-Muthu, S.S., Chaturvedi, N., Fuller, J.H. et al. Eur J Nutr (2013) 52: 1701. doi:10.1007/s00394-012-0473-7

Abstract

Background/objectives

Individuals with type 1 diabetes have a high risk of developing cardiovascular diseases, and it has been reported that they consume a high atherogenic diet. We examined how nutrient intake and adherence to current European nutritional recommendations evolved in a large cohort of European individuals with type 1 diabetes over a period of 7 years.

Subjects/methods

We analysed data from the EURODIAB Prospective Complications Study, a European multicentre prospective cohort study. Standardized 3-day dietary records were employed in individuals with type 1 diabetes. One thousand one hundred and two patients (553 men, 549 women, baseline age 33 ± 10 years, duration 15 ± 9 years) had complete nutritional data available at baseline and after 7 years. We calculated mean differences in reported nutrients over time and adjusted these for age, gender, HbA1c and BMI with ANOVA models.

Results

Compared to baseline, there were minor changes in nutrients. Reported protein (−0.35 % energy (en), fat (−1.07 % en), saturated fat (−0.25 % en) and cholesterol (−7.42 mg/1000 kcal) intakes were lower, whereas carbohydrate (+1.23 % en) and fibre (+0.46 g/1000 kcal) intakes were higher at the 7-year follow-up. European recommendations for adequate nutrient intakes were followed in individuals with type 1 diabetes for protein (76 % at baseline and 78 % at follow-up), moderately for fat (34, 40 %), carbohydrate (34, 41 %) and cholesterol (39, 47 %), but poorly for fibre (1.4, 2.4 %) and saturated fat (11, 13 %).

Conclusion

European individuals with type 1 diabetes consume a high atherogenic diet as few patients met recommendations for dietary fibre and saturated fat. This study showed minor changes in dietary nutrients and energy intakes over a period of 7 years. Nutrition education needs particular focus on strategies to increase dietary fibre and reduce saturated fat to exploit their potential benefit.

Keywords

Type 1 diabetes mellitusCardiovascular diseaseNutritional intakeNutrientsCaloric intakeDietary recordsEURODIAB Prospective Complications StudyDietary recommendationsRe-examinationFollow-up

Abbreviations

ANOVA

Analysis of variance

BMI

Body mass index

BMR

Basic metabolic rate

DCCT

Diabetes control and complications trial

DNSG

Diabetes and nutrition study group

EASD

European Association for the Study of Diabetes

HbA1c

Glycated haemoglobin

PCS

Prospective complications study

WHO

World Health Organization

Supplementary material

394_2012_473_MOESM1_ESM.doc (234 kb)
Supplementary material 1 (DOC 233 kb)

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Sabita S. Soedamah-Muthu
    • 1
  • Nish Chaturvedi
    • 2
  • John H. Fuller
    • 3
  • Monika Toeller
    • 4
  • EURODIAB Prospective Complications Study Group
  1. 1.Division of Human NutritionWageningen UniversityWageningenThe Netherlands
  2. 2.International Centre for Circulatory Health, National Heart and Lung InstituteImperial College LondonLondonUK
  3. 3.Department of Epidemiology and Public HealthUniversity College LondonLondonUK
  4. 4.Department of Endocrinology, Diabetology and RheumatologyUniversity Hospital, Heinrich-Heine-UniversityDüsseldorfGermany