the diet of diabetic patients in spain in 2008–2010 accordance with the main dietary recommendations—a cross-sectional study糖尿病患者的饮食在西班牙2008 - 2010年主要按照膳食建议为横断面研究.pdf

The Diet of Diabetic Patients in Spain in 2008–2010: Accordance with the Main Dietary Recommendations— A Cross-Sectional Study ˜ ´ ˜ ´ ´ Maritza Munoz-Pareja, Luz M. Leon-Munoz, Pilar Guallar-Castillon, Auxiliadora Graciani, Esther Lopez- ´ ´ ´ Garcıa, Jose R. Banegas, Fernando Rodrıguez-Artalejo* ´ ´ Departamento Medicina Preventiva y Salud Publica, Universidad Autonoma de Madrid/IdiPaz; CIBERESP, Madrid, Spain Abstract Background: No previous study has assessed the diet of the diabetic patients in the general population of an entire country in Europe. This study evaluates accordance of the diet of diabetic adults in Spain with nutritional recommendations of the European Association for the Study of Diabetes (EASD), American Diabetes Association (ADA), and the Mediterranean diet (MD). Methods and Findings: Cross-sectional study conducted in 2008–2010 among 12,948 persons representative of the population aged $18 years in Spain. Usual food consumption was assessed with a dietary history. EASD accordance was defined as $6 points on a score of 12 nutritional goals, ADA accordance as $3 points on a score of 6 goals, and MD accordance as $7 points on the Mediterranean Diet Adherence Screener. In the 609 diagnosed diabetic individuals, the diet was rich in saturated fat (11.2% of total energy), but trans fat intake was relatively low (1.1% energy) and monounsaturated fat intake was high (16.1% energy). Carbohydrate intake was relatively low (41.1%