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Comparison of diets of diabetic and non-diabetic elderly men in Finland, The Netherlands and Italy

Published on Mar 1, 2000in European Journal of Clinical Nutrition3.114
· DOI :10.1038/sj.ejcn.1600916
Suvi M. Virtanen54
Estimated H-index: 54
(UTA: University of Tampere),
Edith J. M. Feskens80
Estimated H-index: 80
+ 5 AuthorsDaan Kromhout108
Estimated H-index: 108
Abstract
Objective: To evaluate whether dietary recommendations for subjects with diabetes are met among Finnish, Dutch and Italian elderly men with diabetes, and whether the diets of diabetic and non-diabetic men differ in these three countries. Design: A dietary survey using cross-check dietary history method. A cross-sectional comparison. Setting: Thirty-year follow-up of survivors from the Finnish, Dutch and Italian cohorts of the Seven Countries Study. Subjects: 227 elderly men from Finland, 537 from The Netherlands, and 417 from Italy, of whom 8–9% had diabetes. Main results: The diets of non-diabetic men from the three countries differed markedly from each other. In all three countries diabetic men consumed less added sugar than non-diabetic men. In Italy, in addition, diabetic men consumed more fruits and berries and vegetables. The Dutch diabetic men ate relatively more cereal products, fruits and berries, milk and milk products, cheese, and meat and meat products and drank less alcoholic beverages than non-diabetic men. The diet of both diabetic and non-diabetic Finnish and Dutch men was characterized by high fat content (41% and 40% of energy, respectively). The fat content of the diet was even higher for diabetic than non-diabetic men in Finland and The Netherlands, but not in Italy. The fibre content of the diet was the highest among Dutch men and diabetic men received more dietary fibre than non-diabetic men in The Netherlands and Italy, but not in Finland. The diet of diabetic and non-diabetic Finnish men differed little from each other and was characterized by high nutrient density of several vitamins and minerals. The proportion of protein of energy intake was higher among diabetic than non-diabetic Dutch and Italian men. Conclusions: The diet of the diabetic men from Finland, the Netherlands, and Italy resembled more the diet of non-diabetic men from the respective countries than the diet of diabetic men from the other countries. In the diet of Italian diabetic men, the proportions of fat, saturated fatty acids and carbohydrates were nearest the recommended levels. Sponsorship: The National Institute on Aging, Bethesda, USA, the Dutch Prevention Foundation, the Hague, The Netherlands, the Academy of Finland, and the Sandoz Gerontological Foundation. European Journal of Clinical Nutrition (2000) 54, 181–186
  • References (16)
  • Citations (27)
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References16
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#1Jussi K. HuttunenH-Index: 60
#2Antti AroH-Index: 56
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. This paper contains the description of a recommendation for dietary therapy in diabetes mellitus prepared by the Finnish Diabetes Association's Committee on Dietary Therapy in 1980.
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#1M. Toeller (HHU: University of Düsseldorf)H-Index: 19
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The EURODIAB IDDM Complications Study, a cross-sectional, clinic-based study, was designed to measure the prevalence of diabetic complications in stratified samples of European insulin-dependent diabetic (IDDM) patients. As diet may be related to diabetic complications, nutritional intake was analysed in the study population. The aims of this first nutritional paper are to describe the nutrient intake in 2868 IDDM patients from 30 centres in 16 countries throughout Europe, to investigate the deg...
77 CitationsSource
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OBJECTIVE: Study of the relationships of conformity to dietary recommendations and subsequent rates of total mortality and mortality from specific causes. DESIGN: Prospective investigation of risk factors related to cardiovascular disease. SETTING: Two Italian rural cohorts of the Seven Countries Study. SUBJECTS: The study populations are defined samples from two villages, Crevalcore in Northern Italy and Montegiorgio in Central Italy. The examination in 1965, which included an individual dietar...
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#1Tomoko ShimakawaH-Index: 1
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In a 30-year follow-up survey of the Finnish cohorts of the Seven Countries Study in 1989, 470 men aged 70-89 years were examined in two rural areas of Finland, in the East and in the West. Life-style-related coronary heart disease risk factors were at high levels in both groups, but the difference between areas found in the same cohort in middle age had mostly disappeared or partially reversed. Mean levels of systolic/diastolic blood pressure, body mass index, fasting blood glucose, blood gluco...
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: The diabetic diet is fundamentally a healthy diet, high in complex carbohydrates, high in dietary fibre, low in fat. A nutritionally adequate, mixed diet is satisfactory for most people with diabetes and special foods or food supplements are not required. The dietary recommendations directed towards the diabetic population are essentially similar to those recommended by most authorities for the population as a whole. Education of diabetic patients and their families and also individualised die...
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The reproducibility of food intake data from elderly men in the Zutphen Study was investigated in repeated dietary surveys carried out three (n=115) and 12 (n=145) months after the initial survey (April 1985). The differences in the reproducibility estimations for the two different time periods were generally small. The ratios of the interindividual and intraindividual variance were large for carbohydrates and small for vitamin A. The larger this ratio, the higher the probability of detecting an...
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