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Nutritional intake of 2868 IDDM patients from 30 centres in Europe

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Summary

The EURODIAB IDDM Complications Study, a cross-sectional, clinic-based study, was designed to measure the prevalence of diabetic complications in stratified samples of European insulin-dependent diabetic (IDDM) patients. As diet may be related to diabetic complications, nutritional intake was analysed in the study population. The aims of this first nutritional paper are to describe the nutrient intake in 2868 IDDM patients from 30 centres in 16 countries throughout Europe, to investigate the degree of regional differences in nutrient intake and to compare current intakes with recommended levels. Nutritional intake from 1458 male and 1410 female IDDM patients was assessed by a validated 3-day record (two weekdays, Sunday) and centrally analysed. Mean energy intake for all patients was 2390±707 kcal/day. Mean protein intake was 1.5±0.5 g/kg body weight. Carbohydrate intake was 43% and fibre intake 18 g/day. Alcohol intake for the total cohort was 2% of energy. Total fat contributed 38% of energy, with 14% from saturated fat. The Italian centres reported lower total and saturated fat intakes compared with other centres. Recommendations from the Diabetes and Nutrition Study Group of the EASD for total fat, saturated fatty acids and carbohydrate were only achieved by 14%, 14% and 15% of patients, respectively. The data of the present study clearly indicate current problems in the nutritional intake of European IDDM patients. These findings contribute to the definition of future targets in the nutritional management of IDDM patients, to be achieved as part of the initiatives taken by the St. Vincent Declaration action programme.

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Abbreviations

IDDM:

Insulin-dependent diabetes mellitus

EASD:

European Association for the Study of Diabetes

WHO:

World Health Organization

stn:

standardized

FAO:

Food and Agriculture Organization

CHO:

carbohydrate

SAFA:

saturated fatty acids

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Authors and Affiliations

  1. Department of Medicine, Diabetes Research Institute, Heinrich-Heine-University, Düsseldorf, Germany

    M. Toeller, A. Klischan, G. Heitkamp, W. Schumacher, R. Milne, A. Buyken & F. A. Gries

  2. Diabetes Centre, Athens Medical School, Hippokration Hospital, Athens, Greece

    B. Karamanos

Authors
  1. M. Toeller
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  2. A. Klischan
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  3. G. Heitkamp
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  4. W. Schumacher
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  5. R. Milne
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  6. A. Buyken
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  7. B. Karamanos
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  8. F. A. Gries
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The EURODIAB IDDM Complications Study Group

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Toeller, M., Klischan, A., Heitkamp, G. et al. Nutritional intake of 2868 IDDM patients from 30 centres in Europe. Diabetologia 39, 929–939 (1996). https://doi.org/10.1007/BF00403912

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  • DOI: https://doi.org/10.1007/BF00403912

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