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The NS, King IB, Couch SC, Crandell JL, Dabelea D, Liese AD, Mayer-Davis EJ. Plasma trans-palmitoleic acid is associated with cardio-metabolic risk factors in youth with type 1 diabetes. Diabetes Metab 2017; 44:181-184. [PMID: 28583347 DOI: 10.1016/j.diabet.2017.02.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Revised: 02/07/2017] [Accepted: 02/07/2017] [Indexed: 01/18/2023]
Affiliation(s)
- N S The
- Department of Health Sciences, Furman University, Greenville, SC, USA.
| | - I B King
- Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA
| | - S C Couch
- Department of Nutritional Sciences, University of Cincinnati Medical Center, Cincinnati, OH, USA
| | - J L Crandell
- Department of Biostatistics, Gillings School of Global Public Health and School of Nursing, University of North Carolina, Chapel Hill, NC, USA
| | - D Dabelea
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Denver, Aurora, CO, USA
| | - A D Liese
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - E J Mayer-Davis
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
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The NS, Shay CM, Lamichhane AP, Crume TL, Crandell JL, Wang S, Dabelea D, Lawrence JM, Mayer-Davis EJ. Association between breastfeeding and insulin sensitivity among young people with Type 1 and Type 2 diabetes: the SEARCH Nutrition Ancillary Study. Diabet Med 2016; 33:1452-5. [PMID: 26972798 PMCID: PMC5018905 DOI: 10.1111/dme.13112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/08/2016] [Indexed: 11/28/2022]
Affiliation(s)
- N S The
- Department of Health Sciences, Furman University, Greenville, SC
| | - C M Shay
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - A P Lamichhane
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - T L Crume
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Denver, Aurora, CO
| | - J L Crandell
- School of Nursing and Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - S Wang
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - D Dabelea
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Denver, Aurora, CO
| | - J M Lawrence
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA
| | - E J Mayer-Davis
- Department of Nutrition and Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Zhong VW, Lamichhane AP, Crandell JL, Couch SC, Liese AD, The NS, Tzeel BA, Dabelea D, Lawrence JM, Marcovina SM, Kim G, Mayer-Davis EJ. Association of adherence to a Mediterranean diet with glycemic control and cardiovascular risk factors in youth with type I diabetes: the SEARCH Nutrition Ancillary Study. Eur J Clin Nutr 2016; 70:802-7. [PMID: 26908421 PMCID: PMC4935596 DOI: 10.1038/ejcn.2016.8] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2015] [Revised: 12/20/2015] [Accepted: 01/17/2016] [Indexed: 02/07/2023]
Abstract
Background/Objectives This study aimed to determine the association between a Mediterranean diet and glycemic control and other cardiovascular risk factors among youth with type 1 diabetes (T1D). Subjects/Methods Incident T1D cases aged <20 years at diagnosis between 2002 and 2005 were included. Participants were seen at baseline (N=793), 1-year (N=512) and 5-year follow-up visits (N=501). Mediterranean diet score was assessed using a modified KIDMED index (mKIDMED). Multivariate linear regression and longitudinal mixed model were applied to determine the association between mKIDMED score and log-HbA1c, lipids, blood pressure (BP), and obesity. Results In cross-sectional analyses using baseline data, for individuals with an HbA1c of 7.5%, a two-point higher mKIDMED score (one standard deviation) was associated with 0.15% lower HbA1c (P=0.02). A two-point higher mKIDMED score was associated with 4.0 mg/dL lower total cholesterol (TC) (P=0.006), 3.4 mg/dL lower low-density lipoprotein (LDL)-C (P=0.004), 3.9 mg/dL lower non-high-density lipoprotein (non-HDL)-C (P=0.004), and 0.07 lower LDL-C/HDL-C ratio (P=0.02). Using longitudinal data, a two-point increase in mKIDMED score was associated with 0.01% lower log-HbA1c (P=0.07), 1.8 mg/dL lower TC (P=0.05), 1.6 mg/dL lower LDL-C (P=0.03), and 1.8 mg/dL lower non-HDL-C (P=0.03) than would otherwise have been expected. HbA1c mediated about 20% of the association for lipids in both cross-sectional and longitudinal models. An unexpected positive association between mKIDMED score and systolic BP was found among non-Hispanic white youth in cross-sectional analyses (P=0.009). Mediterranean diet was not associated with obesity. Conclusions Mediterranean diet may improve glycemic control and cardiovascular health in T1D youth.
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Affiliation(s)
- V W Zhong
- Department of Nutrition, University of North Carolina, Chapel Hill, NC, USA
| | - A P Lamichhane
- Department of Nutrition, University of North Carolina, Chapel Hill, NC, USA
| | - J L Crandell
- School of Nursing and Department of Biostatistics, University of North Carolina, Chapel Hill, NC, USA
| | - S C Couch
- Department of Nutritional Sciences, University of Cincinnati, Cincinnati, OH, USA
| | - A D Liese
- Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA
| | - N S The
- Department of Health Sciences, Furman University, Greenville, SC, USA
| | - B A Tzeel
- Department of Nutrition, University of North Carolina, Chapel Hill, NC, USA
| | - D Dabelea
- Department of Epidemiology, University of Colorado, Denver, CO, USA
| | - J M Lawrence
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA
| | - S M Marcovina
- Department of Medicine, University of Washington, Seattle, WA, USA
| | - G Kim
- Seattle Children's Hospital, Seattle, WA, USA
| | - E J Mayer-Davis
- Department of Nutrition, University of North Carolina, Chapel Hill, NC, USA.,Department of Medicine, University of North Carolina, Chapel Hill, NC, USA
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The NS, Crandell JL, Lawrence JM, King IB, Dabelea D, Marcovina SM, D'Agostino RB, Norris JM, Pihoker C, Mayer-Davis EJ. Vitamin D in youth with Type 1 diabetes: prevalence of insufficiency and association with insulin resistance in the SEARCH Nutrition Ancillary Study. Diabet Med 2013; 30:1324-32. [PMID: 23909945 PMCID: PMC3822440 DOI: 10.1111/dme.12297] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/30/2013] [Indexed: 01/06/2023]
Abstract
AIMS To determine the prevalence of plasma vitamin D (25-dihydroxyvitamin D) insufficiency in individuals with Type 1 diabetes and to determine the cross-sectional and longitudinal associations of plasma vitamin D with insulin resistance. METHODS Participants from the SEARCH for Diabetes in Youth Study [n = 1426; mean age 11.2 years (sd 3.9)] had physician-diagnosed Type 1 diabetes [diabetes duration mean 10.2 months (sd 6.5)] with data available at baseline and follow-up (approximately 12 and 24 months after baseline). Insulin resistance was estimated using a validated equation. Cross-sectional and longitudinal multivariate logistic regression models were used to determine the association of plasma vitamin D with insulin resistance, adjusting for potential confounders. RESULTS Forty-nine per cent of individuals had plasma vitamin D < 50 nmol/l and 26% were insulin resistant. In cross-sectional multivariate analyses, participants who had higher plasma vitamin D (65 nmol/l) had lower odds of prevalent insulin resistance than participants with lower plasma vitamin D (25 nmol/l) (odds ratio 0.70, 95% CI 0.57-0.85). This association was attenuated after additional adjustment for BMI z-score, which could be a confounder or a mediator (odds ratio 0.81, 95% CI 0.64-1.03). In longitudinal multivariate analyses, individuals with higher plasma vitamin D at baseline had lower odds of incident insulin resistance, but this was not significant (odds ratio 0.85, 95% CI 0.63-1.14). CONCLUSIONS Vitamin D insufficiency is common in individuals with Type 1 diabetes and may increase risk for insulin resistance. Additional prospective studies are needed to determine the association between plasma vitamin D and insulin resistance, and to further examine the role of adiposity on this association.
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Affiliation(s)
- N S The
- Department of Health Sciences, Furman University, Greenville, SC
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