关键词: Anthropometric index Cardiovascular risk factors DASH Diabetic foot ulcer MACE Type 2 diabetes

来  源:   DOI:10.1007/s40200-024-01427-1   PDF(Pubmed)

Abstract:
UNASSIGNED: Diabetes can cause nerve damage, vascular issues, and reduced blood flow to organs such as the feet, leading to foot deformities and ulcers due to high glucose levels. A healthy dietary pattern like DASH can improve insulin sensitivity and weight loss. Due to limited data and rare evidence, our study aims to investigate the relationship between DASH diet adherence and anthropometric, cardiovascular, and foot ulcer indicators.
UNASSIGNED: The study included 339 diabetic patients with foot ulcers (122 females and 217 males). The study gathered data on patient dietary intake, anthropometric measurements, biochemistry, foot ulcers, and novel atherogenic risk factors per international definitions.
UNASSIGNED: The average BMI of the participants was 29.2 ± 5.0, 28.1 ± 4.3, and 28.2 ± 4.2 in the tertiles of DASH index (P-value: 0.18). By increasing the adherence to the DASH index, the monofilament score did not change significantly OR: 1.47; CI: (0.81-2.67). Also, foot ulcer area did not change significantly between DASH tertiles OR: 1.01; CI: (0.56-1.83). Atherogenic risk factors also decreased among the DASH tertiles, but statistically not significant.
UNASSIGNED: DASH adherence did not change neuropathy score and cholindex and cardiovascular risk factors significantly and has no significant effect on foot ulcer size.
摘要:
糖尿病会导致神经损伤,血管问题,减少流向脚部等器官的血液,导致足部畸形和溃疡由于高葡萄糖水平。像DASH这样的健康饮食模式可以改善胰岛素敏感性和体重减轻。由于有限的数据和罕见的证据,我们的研究旨在探讨DASH饮食依从性与人体测量学之间的关系,心血管,和足部溃疡指标。
该研究包括339名患有足部溃疡的糖尿病患者(122名女性和217名男性)。该研究收集了患者饮食摄入量的数据,人体测量,生物化学,足部溃疡,和新的动脉粥样硬化危险因素根据国际定义。
在DASH指数的三分位数中,参与者的平均BMI为29.2±5.0、28.1±4.3和28.2±4.2(P值:0.18)。通过增加对DASH指数的坚持,单丝评分无明显变化OR:1.47;CI:(0.81-2.67).此外,足部溃疡面积在DASH四分位数之间无明显变化OR:1.01;CI:(0.56-1.83).DASH三元之间的动脉粥样硬化危险因素也有所下降,但统计意义不大。
DASH依从性没有显著改变神经病变评分和胆总管指数及心血管危险因素,对足部溃疡大小无显著影响。
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