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Pasta Consumption and Connected Dietary Habits: Associations with Glucose Control, Adiposity Measures, and Cardiovascular Risk Factors in People with Type 2 Diabetes—TOSCA.IT Study

Background: Pasta is a refined carbohydrate with a low glycemic index. Whether pasta shares the metabolic advantages of other low glycemic index foods has not really been investigated. The aim of this study is to document, in people with type-2 diabetes, the consumption of pasta, the connected dieta...

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Detalles Bibliográficos
Autores principales: Vitale, Marilena, Masulli, Maria, Rivellese, Angela Albarosa, Bonora, Enzo, Babini, Anna Carla, Sartore, Giovanni, Corsi, Laura, Buzzetti, Raffaella, Citro, Giuseppe, Baldassarre, Maria Pompea Antonia, Bossi, Antonio Carlo, Giordano, Carla, Auciello, Stefania, Dall’Aglio, Elisabetta, Iannarelli, Rossella, Tonutti, Laura, Sacco, Michele, Di Cianni, Graziano, Clemente, Gennaro, Gregori, Giovanna, Grioni, Sara, Krogh, Vittorio, Riccardi, Gabriele, Vaccaro, Olga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019547/
https://www.ncbi.nlm.nih.gov/pubmed/31905885
http://dx.doi.org/10.3390/nu12010101
Descripción
Sumario:Background: Pasta is a refined carbohydrate with a low glycemic index. Whether pasta shares the metabolic advantages of other low glycemic index foods has not really been investigated. The aim of this study is to document, in people with type-2 diabetes, the consumption of pasta, the connected dietary habits, and the association with glucose control, measures of adiposity, and major cardiovascular risk factors. Methods: We studied 2562 participants. The dietary habits were assessed with the European Prospective Investigation into Cancer and Nutrition (EPIC) questionnaire. Sex-specific quartiles of pasta consumption were created in order to explore the study aims. Results: A higher pasta consumption was associated with a lower intake of proteins, total and saturated fat, cholesterol, added sugar, and fiber. Glucose control, body mass index, prevalence of obesity, and visceral obesity were not significantly different across the quartiles of pasta intake. No relation was found with LDL cholesterol and triglycerides, but there was an inverse relation with HDL-cholesterol. Systolic blood pressure increased with pasta consumption; but this relation was not confirmed after correction for confounders. Conclusions: In people with type-2 diabetes, the consumption of pasta, within the limits recommended for total carbohydrates intake, is not associated with worsening of glucose control, measures of adiposity, and major cardiovascular risk factors.