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1. 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

Author

G. Citro, Carla Giordano, Sara Grioni, Vittorio Krogh, Olga Vaccaro, Giovanna Gregori, Antonio Bossi, A. C. Babini, L. Tonutti, Giovanni Sartore, Maria Masulli, Maria Pompea Antonia Baldassarre, Graziano Di Cianni, L. Corsi, Rossella Iannarelli, Elisabetta Dall'Aglio, Gabriele Riccardi, Enzo Bonora, Raffaella Buzzetti, Stefania Auciello, Angela A. Rivellese, Michele Sacco, Marilena Vitale, Gennaro Clemente, Vitale M., Masulli M., Rivellese A.A., Bonora E., Babini A.C., Sartore G., Corsi L., Buzzetti R., Citro G., Baldassarre M.P.A., Bossi A.C., Giordano C., Auciello S., Dall'aglio E., Iannarelli R., Tonutti L., Sacco M., Cianni G.D., Clemente G., Gregori G., Grioni S., Krogh V., Riccardi G., Vaccaro O., Vitale, M., Masulli, M., Rivellese, A. A., Bonora, E., Babini, A. C., Sartore, G., Corsi, L., Buzzetti, R., Citro, G., Baldassarre, M. P. A., Bossi, A. C., Giordano, C., Auciello, S., Dall'Aglio, E., Iannarelli, R., Tonutti, L., Sacco, M., Cianni, G. D., Clemente, G., Gregori, G., Grioni, S., Krogh, V., Riccardi, G., and Vaccaro, O.

Subjects
Adult, Blood Glucose, Male, cardiovascular risk factors, Adolescent, Saturated fat, lcsh:TX341-641, Type 2 diabetes, Added sugar, Dietary habit, Cardiovascular risk factor, Article, Settore MED/13 - Endocrinologia, Young Adult, Environmental health, Diabetes mellitus, Glucose control, medicine, body mass index, dietary habits, glucose control, pasta consumption, type 2 diabetes, Dietary Carbohydrates, Humans, Hypoglycemic Agents, Child, Body mass index, Adiposity, Aged, Nutrition and Dietetics, business.industry, Pasta consumption, Confounding, food and beverages, Feeding Behavior, Middle Aged, medicine.disease, Obesity, European Prospective Investigation into Cancer and Nutrition, Diabetes Mellitus, Type 2, Italy, Cardiovascular Diseases, Child, Preschool, Female, business, lcsh:Nutrition. Foods and food supply, Food Science
Abstract

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.

Published
2020
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2. Influence of dietary fat and carbohydrates proportions on plasma lipids, glucose control and low-grade inflammation in patients with type 2 diabetes—The TOSCA.IT Study

Author

Sebastiano Squatrito, Daniela Di Lauro, Massimo Boemi, Marcello Vitale, Veronica Montani, G. Citro, A. C. Babini, Annunziata Lapolla, L. Tonutti, A.A. Rivellese, Maria Masulli, Mauro Cignarelli, L. Corsi, Gabriele Riccardi, Carla Giordano, Massimo Cigolini, S. Del Prato, Giacomo Romano, Ornella Ciano, Olga Vaccaro, Raffaella Buzzetti, F. Romeo, Gennaro Clemente, Gabriele Perriello, Enzo Bonora, M. A. Dolci, Rossella Iannarelli, Riccardo Trevisan, L. Santarelli, Anna Amelia Turco, Sergio Leotta, C. Iovine, R. Schiano di Cola, Chiara Mazzucchelli, G. Di Cianni, Elisabetta Dall'Aglio, C. Zamboni, Vitale, M., Masulli, M., Rivellese, A., Babini, A., Boemi, M., Bonora, E., Buzzetti, R., Ciano, O., Cignarelli, M., Cigolini, M., Clemente, G., Citro, G., Corsi, L., Dall'Aglio, E., Del Prato, S., Di Cianni, G., Dolci, M., Giordano, C., Iannarelli, R., Iovine, C., Lapolla, A., Lauro, D., Leotta, S., Mazzucchelli, C., Montani, V., Perriello, G., Romano, G., Romeo, F., Santarelli, L., di Cola, R., Squatrito, S., Tonutti, L., Trevisan, R., Turco, A., Zamboni, C., Riccardi, G., Vaccaro, O., Vitale, Marilena, Masulli, Maria, Rivellese, ANGELA ALBAROSA, Babini, A. C, Boemi, M, Bonora, E, Buzzetti, R, Ciano, O, Cignarelli, M, Cigolini, M, Clemente, G, Citro, G, Corsi, L, Dall'Aglio, E, Del Prato, S, Di Cianni, G, Dolci, M. A, Giordano, C, Iannarelli, R, Iovine, Ciro, Lapolla, A, Lauro, D, Leotta, S, Mazzucchelli, C, Montani, V, Perriello, G, Romano, G, Romeo, F, Santarelli, L, di Cola, R. Schiano, Squatrito, S, Tonutti, L, Trevisan, R, Turco, ANNA AMELIA, Zamboni, C, Riccardi, Gabriele, Vaccaro, Olga, Vitale, M, Masulli, M, Rivellese, A, Babini, A, Dolci, M, Iovine, C, di Cola, R, Turco, A, Riccardi, G, and Vaccaro, O

Subjects
Blood Glucose, Dietary Fiber, Male, 0301 basic medicine, Glycated Hemoglobin A, Glucose control, Medicine (miscellaneous), Type 2 diabetes, Settore MED/13 - Endocrinologia, 0302 clinical medicine, Risk Factors, Surveys and Questionnaires, Dietary fat, fat, plsam lipids, low-grade inflammation, Nutritional guidelines, Nutrition and Dietetics, biology, Middle Aged, HDL-cholesterol, Cholesterol, C-Reactive Protein, Carbohydrates, diet, fat, Glucose control, HDL-cholesterol, Nutritional guidelines, Triglycerides, Type 2 diabetes, Carbohydrates, Diet, Fat, Triglycerides, Female, Dietary Proteins, Type 2, Dietary Carbohydrates, medicine.medical_specialty, HDL, 030209 endocrinology & metabolism, LDL, 03 medical and health sciences, Internal medicine, Plasma lipids, Diabetes Mellitus, medicine, Humans, In patient, Aged, Glycated Hemoglobin, Inflammation, 030109 nutrition & dietetics, business.industry, Cholesterol, HDL, C-reactive protein, Cholesterol, LDL, Anthropometry, medicine.disease, Dietary Fats, Endocrinology, Diabetes Mellitus, Type 2, biology.protein, Diet · Carbohydrates · Fat · Glucose control · HDL-cholesterol · Triglycerides · Type 2 diabetes · Nutritional guidelines, Energy Intake, business
Abstract

Purpose: The optimal macronutrient composition of the diet for the management of type 2 diabetes is debated, particularly with regard to the ideal proportion of fat and carbohydrates. The aim of the study was to explore the association of different proportions of fat and carbohydrates of the diet—within the ranges recommended by different guidelines—with metabolic risk factors. Methods: We studied 1785 people with type 2 diabetes, aged 50–75, enrolled in the TOSCA.IT Study. Dietary habits were assessed using a validated food-frequency questionnaire (EPIC). Anthropometry, fasting lipids, HbA1c and C-reactive protein (CRP) were measured. Results: Increasing fat intake from

Published
2015
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3. Sex differences in food choices, adherence to dietary recommendations and plasma lipid profile in type 2 diabetes - The TOSCA.IT study

Author

Christian Caselli, M. C. Ruffo, Fabrizio Cappellini, Maria Masulli, P. Di Bartolo, Carmela Giordano, Giovanni Sartore, G. Citro, L. Corsi, Stefano Signorini, Giorgio Clemente, G. Mancastroppa, M. Mori, Elena Ceccarelli, Raffaella Buzzetti, Roberto Anichini, Olga Vaccaro, Gabriele Perriello, A. C. Babini, Vittorio Krogh, L. Tonutti, Sergio Giuseppe Longhitano, Laura Salvi, Carlo Giorda, Agostino Consoli, R. Carpinteri, M. E. Rinaldi, Chiara Mazzucchelli, A. Zogheri, Massimo Boemi, A. De Gregorio, Clarissa Zamboni, Monia Garofolo, S. Cocozza, Enzo Bonora, Veronica Montani, C. Scaranna, Giovanna Riccardi, Lucia Fontana, G. Di Cianni, Mauro Cignarelli, C. Iovine, Sara Grioni, Martina Vitale, Vitale, Marilena, Masulli, Maria, Cocozza, Sara, Anichini, R., Babini, A. C., Boemi, M., Bonora, E., Buzzetti, R., Carpinteri, R., Caselli, C., Ceccarelli, E., Cignarelli, M., Citro, G., Clemente, G., Consoli, A., Corsi, L., De Gregorio, A., Di Bartolo, P., Di Cianni, G., Fontana, L., Garofolo, M., Giorda, C. B., Giordano, C., Grioni, S., Iovine, Ciro, Longhitano, S., Mancastroppa, G., Mazzucchelli, C., Montani, V., Mori, M., Perriello, G., Rinaldi, M. E., Ruffo, M. C., Salvi, L., Sartore, G., Scaranna, C., Tonutti, L., Zamboni, C., Zogheri, A., Krogh, V., Cappellini, F., Signorini, S., Riccardi, Gabriele, and Vaccaro, Olga

Subjects
Male, Time Factors, Healthy Diet, Endocrinology, Diabetes and Metabolism, Saturated fat, Medicine (miscellaneous), Type 2 diabetes, Cardiovascular risk factors, Diabetes, Dietary habits, Men, Nutritional recommendations, Sex differences, Women, Nutrition and Dietetics, Cardiology and Cardiovascular Medicine, Diabete, Recommended Dietary Allowances, Choice Behavior, chemistry.chemical_compound, 0302 clinical medicine, Endocrinology, Risk Factors, Aged, Biomarkers, Diabetes Mellitus, Type 2, Female, Food Preferences, Humans, Italy, Lipids, Middle Aged, Nutrition Assessment, Sex Factors, Surveys and Questionnaires, Treatment Outcome, Feeding Behavior, Patient Compliance, Food choice, Medicine, 030212 general & internal medicine, Food science, Diabetes and Metabolism, Saturated fatty acid, Diet, Healthy, Type 2, 030209 endocrinology & metabolism, Added sugar, Dietary habit, 03 medical and health sciences, Diabetes mellitus, Diabetes Mellitus, Healthy, business.industry, Unsaturated fat, Nutritional recommendation, Sex difference, medicine.disease, Diet, chemistry, Glycated hemoglobin, business
Abstract

Background and aims: Diabetic women have a more adverse plasma lipid profile than men. Sex differences in dietary habits may play a role, but are little investigated. The study evaluates the quality of diet, adherence to the nutritional recommendations of the Diabetes and Nutrition Study Group and their relation with plasma lipid in men and women with diabetes. Methods and results: We studied 2573 people, aged 50e75, enrolled in the TOSCA.IT study (clinicaltrials.gov; NCT00700856). Plasma lipids were measured centrally. Diet was assessed with a semi-quantitative food frequency questionnaire.Women had a more adverse plasma lipid profile than men.Women consumed significantly more legumes, vegetables, fruits, eggs, milk, vegetable oils, and added sugar, whereas men consumed more starchy foods, soft drinks and alcoholic beverages. This stands for a higher proportion (%) of energy intake from saturated fat and added sugar (12.0 2.4 vs 11.5 2.5 and 3.4 3.2 vs 2.3 3.2, P < 0.04), and a higher intake of fiber (11.2 2.8 vs 10.4 2.6 g/1000 Kcal/day) in women. Adherence to the recommendations for saturated fat and fiber consumption was associated with significantly lower LDL-cholesterol regardless of sex. Adherence to the recommendations for added sugars was associated with significantly lower triglycerides and higher HDL-cholesterol in men and women. Conclusions: Men and women with diabetes show significant differences in adherence to nutritional recommendations, but sex differences in plasma lipid profile are unlikely to be explained by nutritional factors. Adherence to the nutritional recommendations is associated with a better plasma lipid profile regardless of sex, thus reinforcing the importance of substituting saturated for unsaturated fat sources, increasing fiber and reducing added sugar intake.

Published
2016
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4. Quality of life and treatment satisfaction in adults with Type 1 diabetes: a comparison between continuous subcutaneous insulin infusion and multiple daily injections

Author

A. Nicolucci, A. Maione, M. Franciosi, R. Amoretti, E. Busetto, F. Capani, D. Bruttomesso, P. Di Bartolo, A. Girelli, F. Leonetti, L. Morviducci, P. Ponzi, E. Vitacolonna, L. V. Cassano, N. Tota, V. Cherubini, A. Iannilli A. Corsi, P. Ponzani, V. Montani, P. Di Berardino, M. Velussi, F. Giorgino, V. Gigantelli, G. Beltramello, A. Pianta, R. Trevisan, G. Lepore, G. Forlani, G. Marchesini, D. Crazzolara, M. Marchesi, E. Zarra, B. Agosti, G. Careddu, L. Tomaselli, R. Vigneri, M. Agrusta, V. Di Blasi, S. Tumini, M. T. Anzellotti, P. Ruggeri, P. Foglini, M. Rossana, A Murri, S. Toni, M. F. Reali, M. Nizzoli, S. Aquati, G. d’Annunzio, N. Minuto, L. Cataldi, C. Bordone, R. Iannarelli, F. Sciarretta, M. Tagliaferri, M. A. Lezzi, L. Sciangula, A. Ciucci, M. Bonomo, E. Meneghini, G. Mariani, P. Colapinto, G. Testori, P. Rampini, R. Bonfanti, F. Meschi, G. Galimberti, A. Laurenzi, A. Veronelli, C. Mauri, C. Tortul, A. M. Cernigoi, M. E. De Feo, M. Piscopo, G. Annuzzi, L. Bozzetto, A. Franzese, P. Buono, S. Turco, A. Turco, F. Prisco, D. Iafusco, M. Trovati, P. Massucco, S. Costa, M, V. Provenzano, L. Strazzera, G. Ridola, E. Torlone, M. Orsini Federici, A. Bertolotto, M. Aragona, F. Pellicano, V. Manicardi, M. Michelini, M. Parenti, A. C. Babini, P. Borboni, A. Di Flaviani, M. L. Manca Bitti, S. Piccinini, A. Clementi, C. Tubili, C. Suraci, S. Carletti, A. Moretti, M. Maiello, V. C. Iannucci, N. Sulli, B. Shashaj, D. Fava, F. Massimiani, P. Pozzilli, S. Manfrini, C. Landi, I. Tanganelli, G. Grassi, M. Tomelini, R. De Luca, L. Corgiat Mansin, R. Candido, E. Manca, L. Tonutti, C. Noacco, I. Franzetti, P. Marnini., Nicolucci, A., Maione, A., Franciosi, M., Amoretti, R., Busetto, E., Capani, F., Bruttomesso, D., Di Bartolo, P., Girelli, A., Leonetti, F., Morviducci, L., Ponzi, P., Vitacolonna, E., Cassano, L. V., Tota, N., Cherubini, V., Corsi, A. Iannilli A., Ponzani, P., Montani, V., Di Berardino, P., Velussi, M., Giorgino, F., Gigantelli, V., Beltramello, G., Pianta, A., Trevisan, R., Lepore, G., Forlani, G., Marchesini, G., Crazzolara, D., Marchesi, M., Zarra, E., Agosti, B., Careddu, G., Tomaselli, L., Vigneri, R., Agrusta, M., Di Blasi, V., Tumini, S., Anzellotti, M. T., Ruggeri, P., Foglini, P., Rossana, M., Murri, A, Toni, S., Reali, M. F., Nizzoli, M., Aquati, S., D’Annunzio, G., Minuto, N., Cataldi, L., Bordone, C., Iannarelli, R., Sciarretta, F., Tagliaferri, M., Lezzi, M. A., Sciangula, L., Ciucci, A., Bonomo, M., Meneghini, E., Mariani, G., Colapinto, P., Testori, G., Rampini, P., Bonfanti, R., Meschi, F., Galimberti, G., Laurenzi, A., Veronelli, A., Mauri, C., Tortul, C., Cernigoi, A. M., De Feo, M. E., Piscopo, M., Annuzzi, G., Bozzetto, L., Franzese, A., Buono, P., Turco, S., Turco, A., Prisco, F., Iafusco, D., Trovati, M., Massucco, P., Costa, S., M, Provenzano, V., Strazzera, L., Ridola, G., Torlone, E., Orsini Federici, M., Bertolotto, A., Aragona, M., Pellicano, F., Manicardi, V., Michelini, M., Parenti, M., Babini, A. C., Borboni, P., Di Flaviani, A., Manca Bitti, M. L., Piccinini, S., Clementi, A., Tubili, C., Suraci, C., Carletti, S., Moretti, A., Maiello, M., Iannucci, V. C., Sulli, N., Shashaj, B., Fava, D., Massimiani, F., Pozzilli, P., Manfrini, S., Landi, C., Tanganelli, I., Grassi, G., Tomelini, M., De Luca, R., Corgiat Mansin, L., Candido, R., Manca, E., Tonutti, L., Noacco, C., Franzetti, I., and Marnini., P.

Subjects
multiple daily injections, Insulin pump, Adult, Male, medicine.medical_specialty, Continuous subcutaneous insulin infusion, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Injections, Subcutaneous, Insulin Glargine, Endocrinology, Patient satisfaction, Insulin Infusion Systems, Quality of life, Internal medicine, Diabetes mellitus, Internal Medicine, medicine, Humans, Hypoglycemic Agents, Insulin, Multiple daily injection, continuous subcutaneous insulin infusion, quality of life, questionnaires, type 1 diabetes, Type 1 diabetes, Questionnaire, Insulin glargine, business.industry, Middle Aged, medicine.disease, Obesity, Surgery, Insulin, Long-Acting, Diabetes Mellitus, Type 1, Patient Satisfaction, Quality of Life, Female, business, Epidemiologic Methods, medicine.drug
Abstract

Aims The aim of this case–control study was to compare quality of life (QoL) and treatment satisfaction in adults with Type 1 diabetes (T1DM) treated with either continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI). Methods Consecutive patients aged between 18 and 55 years, and attending diabetes clinics for a routine visit, completed the Diabetes-Specific Quality-of-Life Scale (DSQOLS), the Diabetes Treatment Satisfaction Questionnaire (DTSQ) and the SF-36 Health Survey (SF-36). Case (CSII) and control subjects (MDI) were recruited in a 1 : 2 ratio. Results Overall, 1341 individuals were enrolled by 62 diabetes clinics; 481 were cases and 860 control subjects. Cases had a longer diabetes duration and were more likely to have eye and renal complications. Age, school education, occupation and HbA 1c were similar. Of control subjects, 90% followed glargine-based MDI regimens and 10% used NPH-based MDI regimens. On multivariate analysis, after adjusting for socioeconomic and clinical characteristics, scores in the following areas of the DSQOLS were higher in cases than control subjects: diet restrictions ( β = 5.96; P < 0.0001), daily hassles ( β = 3.57; P = 0.01) and fears about hypoglycaemia ( β = 3.88; P = 0.006). Treatment with CSII was also associated with a markedly higher DTSQ score ( β = 4.13; P < 0.0001) compared with MDI. Results were similar when CSII was compared separately with glargine- or NPH-based MDI regimens. Conclusions This large, non-randomized, case–control study suggests quality of life gains deriving from greater lifestyle flexibility, less fear of hypoglycaemia, and higher treatment satisfaction, when CSII is compared with either glargine-based or NPH-based MDI regimens. Diabet. Med. 25, 213–220 (2008)

Published
2008

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