HEALTHY AND UNHEALTHY DIETARY PATTERNS ARE RELATED TO LIPID PARAMETERS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Background and Aim: The effects of a single food or nutrient on disease may be insufficient and poor, but the cumulative effect is detectable. The purpose of this study is to determine the relationship between dietary patterns and lipid parameters in patients with type 2 diabetesMethods: 740 diabetic patients from different districts of Tehran participated in this cross sectional study. Dietary patterns were identified by factor analysis. Univariable and multivariable logistic regression models were used to determine odds ratio of dyslipidemia in relation to dietary patterns.Results: Two major dietary patterns were identified: Healthy dietary pattern (high intake of vegetables, tomatoes, fruits, fish, olives, beans) and Unhealthy dietary pattern (high intake of simple and refined carbohydrate, processed meat, industrial juices, high-fat dairy products, butter, sweets and desserts, eggs, snacks and sugar). After adjusting the confounders, Healthy dietary pattern reduced odds for hypertriglyceridemia by 49%. Also the chance of increased HDL-c in the highest quartile of Healthy dietary pattern was 2.4 times more than those in the lowest. Conclusion: Healthy dietary pattern is associated with low levels of LDL-c and high HDL-c levels. No association was found between Unhealthy pattern with lipid profile

Keywords:

Dietary pattern , dyslipidemia , factor analysis , Type 2 diabetes