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Diabetes: reduced risk of death due to certain dietary factors

A high consumption of whole grain products, fiber, Fish and omega-3 fatty acids is associated with a lower early stage, according to a new meta-analysis risk of death in adults with Type 2 diabetes.

According to a meta-analysis, a diet high in whole grains, fiber, fish, and n-3 polyunsaturated fatty acids (PUFAs) is associated with a reduced risk of early death in adults with type 2 diabetes. scientific work will be presented at this year’s annual meeting of the European Association for the Study of Diabetes (EASD) in Stockholm, Sweden (September 19-23), reports the specialist journal “Diabetologia” in an issue current. Message.

nutrition for a longer life

“There is a little Nutritional recommendations and guidelines for people with type 2 diabetes, but most are not evidence-based or come from general population studies”says the author Dr Janette Barbaresko from the German Diabetes Center (DDZ) in Düsseldorf.

“Our scientific review of the best currently available evidence shows with reasonable certainty that a diet rich in whole grains, fibre, fish and PUFAs, as well as an increased consumption of vegetables and plant proteins, can help people with type 2 diabetes. to live longer.”

Review of observational studies

People with type 2 diabetes are more prone to cardiovascular disease, dementia, cancer and fractures. Despite an increasing number of effective drugs, changes way of life – like exercise and diet – a cornerstone of treatment.

However, little is known about the link between diet and prevention disease and death in people with type 2 diabetes.

Some studies link nutritional factors such as the Mediterranean diet or vegetable consumption with all-cause mortality in so-called diabetes, but the association with various dietary factors has not been comprehensively summarized.

To find out more, German researchers conducted a Systematic review of 107 prospective observational studies assessing dietary factors (i.e. dietary patterns, foods and food groups, macronutrients [Kohlenhydrate, Fette, Eiweiß] and micronutrients [Mineralstoffe und Vitamine] phytochemicals and dietary supplements [z. B. Vitamin E, Magnesium]) and the risk of death from all causes in adults (aged 18 years and older) with type 2 diabetes.

protective effect

Analyzes revealed an indication of a protective effect by ingesting whole grains, fiber, fish, and n-3 PUFAs before death from any cause.

Adding one serving (20 g/day) of whole grains from foods like whole wheat bread and rice or breakfast cereals was associated with a reduced risk of death of about 16 %. Any increase in fish consumption one serving per week was associated with a five percent lower risk of death.

Similarly, an additional intake of five grams of fiber per day (equivalent to one medium sized pear) and an increase in n-3 PUFAs of 0.1 g per day were associated with a 14% and 13% reduction in the risk of death from all causes, respectively.

The body does not produce n-3 fatty acids naturally, good sources include fish, vegetable oil, nuts (especially walnuts), flax seeds and flaxseed oil, and leafy greens .

An increase in consumption of 100 grams of vegetables and 10 grams of vegetable protein such as nuts, tofu, beans, lentils and peas was associated with a 12 and 9 percent lower risk of death, respectively.

These foods are known for their beneficial effects on blood pressure, cholesterol levels, blood sugar and for their anti-inflammatory effectwhich can help reduce the risk of comorbidities like cardiovascular disease and cancer.

Higher cholesterol consumption increases the risk of death

On the other hand, a higher consumption of eggs and cholesterol are associated with an increased risk of death from any cause.

Increasing egg consumption by 10 g per day (equivalent to two medium-sized eggs per week) was associated with a 5% higher risk of death and adding 300 mg cholesterol associated with a 19 percent increase per day.

For other dietary factors, no context found and/or the evidence was very uncertain, including: dietary habits such as the Mediterranean diet and the low-carb, high-protein diet.

“It requires further researchprovide more robust and comprehensive evidence on various dietary factors and the progression of diabetes”says study leader Dr. Sabrina Schlesinger of the DDZ and the German Center for Diabetes Research (DZD) in Munich-Neuherberg.

“But our results suggest that for people with type 2 diabetes, there is an easy and medium to low risk could improve their condition if they are able to add a few servings of whole grains, fiber, fish, vegetable oils and vegetables to their weekly diet.

However, the researchers also note that their work focuses on a observational study and therefore does not prove that people with type 2 diabetes who eat a diet rich in whole grains, fiber, fish and n-3 PUFAs will live longer. (ad)

Author and source information

This text corresponds to the requirements of the specialized medical literature, medical guidelines and current studies and has been verified by health professionals.

Sources:

  • Diabetology: High intake of whole grains, fiber, fish and omega-3 fatty acids linked to lower risk of death in adults with type 2 diabetes (Accessed: September 17, 2022), Eurek alert!

Important Note:
This article contains general advice only and should not be used for self-diagnosis or treatment. It cannot substitute a visit to the doctor.

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