• Nutrition · Feb 2024

    Dietary patterns and biochemical markers related to diabetes mellitus: an association analysis based on data from the Study of Cardiovascular Risk in Adolescents (ERICA).

    • Bernardo Paz Barboza, Liliana Paula Bricarello, Mariane de Almeida Alves, Camila Tureck, Anabelle Retondario, Giana Zarbato Longo, SouzaAmanda de MouraAMInstitute of Studies on Collective Health, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil., and de VasconcelosFrancisco de Assis GuedesFAGPostgraduate Program in Nutrition, Federal University of Santa Catarina (UFSC), Santa Catarina, Brazil..
    • Postgraduate Program in Nutrition, Federal University of Santa Catarina (UFSC), Santa Catarina, Brazil. Electronic address: bernardo.paz@posgrad.ufsc.br.
    • Nutrition. 2024 Feb 1; 118: 112283112283.

    ObjectiveThe aim of this study was to investigate the association between dietary patterns and biochemical markers related to diabetes mellitus (DM): glucose, insulin, glycated hemoglobin (HbA1c), and homeostasis model assessment of insulin resistance index from 35 454 Brazilian adolescents 12 to 17 y of age.MethodsDietary patterns were derived using factor analysis by the principal components method. The data originated from the school-based study ERICA (Study of Cardiovascular Risk in Adolescents) carried out between 2013 and 2014. Linear regression models analyzed the associations.ResultsThree dietary patterns were found: traditional Brazilian, bread and coffee, and Western. An inverse association was found in young girls between the traditional Brazilian pattern and fasting glucose (β = -0.76; P = 0.005) and HbA1c in the second and third tertiles (β = -0.04; P = 0.002; β = -0 .06; P < 0.001), and the Western pattern with HbA1c (β = -0.02; P = 0.035). In boys, a positive association was found between the second tertile of the dietary pattern and insulin (β = 0.48; P = 0.009) and homeostasis model assessment of insulin resistance index (β = 0.11; P = 0.012).ConclusionsThis study showed that the traditional Brazilian pattern was inversely associated with blood glucose and HbA1c values in girls. Furthermore, the data suggest that there is an important difference between boys and girls in the association of dietary patterns and the markers used.Copyright © 2023 Elsevier Inc. All rights reserved.

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