Adopting a high-polyphenolic diet is associated with an improved glucose profile: prospective analysis within the PREDIMED-plus trial
File(s)antioxidants-11-00316-v3.pdf (1.12 MB)
Published version
OA Location
Author(s)
Tresserra-Rimbau, Anna
Castro-Barquero, Sara
Becerra-Tomas, Nerea
Babio, Nancy
Martinez-Gonzalez, Miguel angel
Type
Journal Article
Abstract
Previous studies suggested that dietary polyphenols could reduce the incidence and complications of type-2 diabetes (T2D); although the evidence is still limited and inconsistent. This work analyzes whether changing to a diet with a higher polyphenolic content is associated with an improved glucose profile. At baseline, and at 1 year of follow-up visits, 5921 participants (mean age 65.0 ± 4.9, 48.2% women) who had overweight/obesity and metabolic syndrome filled out a validated 143-item semi-quantitative food frequency questionnaire (FFQ), from which polyphenol intakes were calculated. Energy-adjusted total polyphenols and subclasses were categorized in tertiles of changes. Linear mixed-effect models with random intercepts (the recruitment centers) were used to assess associations between changes in polyphenol subclasses intake and 1-year plasma glucose or glycosylated hemoglobin (HbA1c) levels. Increments in total polyphenol intake and some classes were inversely associated with better glucose levels and HbA1c after one year of follow-up. These associations were modified when the analyses were run considering diabetes status separately. To our knowledge, this is the first study to assess the relationship between changes in the intake of all polyphenolic groups and T2D-related parameters in a senior population with T2D or at high-risk of developing T2D.
Date Issued
2022-02-01
Date Acceptance
2022-02-01
Citation
Antioxidants, 2022, 11 (2), pp.1-21
ISSN
2076-3921
Publisher
MDPI AG
Start Page
1
End Page
21
Journal / Book Title
Antioxidants
Volume
11
Issue
2
Copyright Statement
© 2022 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000765359900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Biochemistry & Molecular Biology
Chemistry, Medicinal
Food Science & Technology
Pharmacology & Pharmacy
antioxidants
Mediterranean diet
flavonoids
phenolic acids
obesity
glucose
HbA1c
glycosylated hemoglobin
metabolic syndrome
CARDIOMETABOLIC RISK
TYPE-2
SUPPLEMENTATION
METAANALYSIS
CONSUMPTION
PREVENTION
Publication Status
Published
Article Number
ARTN 316
Date Publish Online
2022-02-04