Relationships between food choices, physical activity, glycated haemoglobin and Body Mass Index in type 1 diabetes patients treated with personal insulin pumps - what else can surprise?
Keywords:
Diabetes type 1, Dietary Assessment, Food Choices, Insulin Infusion Systems, Physical ActivityAbstract
Background and aim: The aim of the study was to find the relationship between food choices and physical activity, glycated haemoglobin and body mass index among people with type 1 diabetes without complications treated with personal insulin pumps. Methods: A cross-sectional study was conducted using a Beliefs and Eating Habits Questionnaire with additional follow-up questions. The data from the questionnaire and the last glycated haemoglobin from the patient file were used. Results: We included 116 patients with type 1 diabetes and founded the relationship between physical activity at leisure and snacking in the subgroup of men (p=0.009). Overweight was more common among men. It has been shown that people with glycated haemoglobin over 7% (53 mmol/mol) preferred light products (p=0.003). In the univariate logistic regression model the choice of light products was influenced by gender, age, glycated haemoglobin level and physical activity at leisure. The statistically significant relationship was found between the physical activity at leisure and the frequency of white bread and rolls (p=0.016). Conclusions: We found that men with low and moderate physical activity snack more between meals. Light products were significantly associated with higher level of glycated haemoglobin and weight. Despite good glycaemic control, patients should be reminded and educated about proper nutrition and the selection of good products during physical activity at work and at leisure, taking into account the parameter such as Body Mass Index.
References
American Diabetes Association. Standards of Medical Care in Diabetes-2021. Diabetes Care. 2021;44(1):1-222.
Araszkiewicz A, Bandurska-Stankiewicz E, Borys S, et al. 2021 Guidelines on the management of patients with diabetes. A position of Diabetes Poland. Clin Diabetol. 2021;10(1):1-113. doi:10.5603/dk.2021.0001
Jeznach-Steinhagen A. Żywienie Osób z Cukrzycą. 1st ed. Warsaw: PWN; 2020.
Krzyżowska S, Matejko B, Kieć-Wilk B, et al. Assessment of selected food intake frequency in patients with type 1 diabetes treated with personal insulin pumps. Rocz Panstw Zakl Hig. 2019;70(3):259-265. doi:10.32394/rpzh.2019.0076
Kowalkowska J, Wadolowska L, Czarnocinska J, et al. Reproducibility of a Questionnaire for Dietary Habits, Lifestyle and Nutrition Knowledge Assessment (KomPAN) in Polish Adolescents and Adults. Nutrients. 2018;10(12):1845. doi:10.3390/nu10121845
Wądołowska L, Krusińska B. Procedura opracowania danych żywieniowych z kwestionariusza KomPAN. Rozdz.3. In: Gawęcki J, ed. Kwestionariusz Do Badania Poglądów i Zwyczajów Żywieniowych Oraz Procedura Opracowania Danych. 1st ed. Warsaw: Wyd. Komitetu Nauki o Żywieniu Człowieka Polskiej Akademii Nauk; 2014:34-51 www.knozc.pan.pl (access: 2022.02.13).
Pedersen BK, Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scand J Med Sci Sports. 2006;16(1):3-63. doi:10.1111/j.1600-0838.2006.00520.x
Matejko B, Skupien J, Mrozińska S, et al. Factors associated with glycemic control in adult type 1 diabetes patients treated with insulin pump therapy. Endocrine. 2015;48(1):164-169. doi:10.1007/s12020-014-0274-2
Swasey KK, Orchard TJ, Costacou T. Trends in cardiovascular risk factor management in type 1 diabetes by sex. J Diabetes Complications. 2018;32(4):411-417. doi:10.1016/j.jdiacomp.2018.01.003
Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes (Lond). 2008;32(3):S56-S59. doi:10.1038/ijo.2008.87
Ostman C, Jewiss D, King N, Smart NA. Clinical outcomes to exercise training in type 1 diabetes: A systematic review and meta-analysis. Diabetes Res Clin Pract. 2018;139:380-391. doi:10.1016/j.diabres.2017.11.036
Hawrysz I, Krusińska B, Słowińska MA, et al. Nutritional knowledge, diet quality and breast or lung cancer risk: a case-control study of adults from Warmia and Mazury region in Poland. Rocz Panstw Zakl Hig. 2016;67(1):9-15.
Schübert H, Müller UA, Kramer G, et al. Snacking is Common in People with Diabetes Type 1 and Type 2 with Insulin Therapy and Is Not Associated With Metabolic Control or Quality of Life. Exp Clin Endocrinol Diabetes. 2019;127(7):461-467. doi:10.1055/a-0631-8813
Heller T, Kloos C, Keßler D, et al. Use of snacks in insulin-treated people with diabetes mellitus and association with HbA1c , weight and quality of life: a cross sectional study. Diabet Med. 2015;32(3):353-358. doi:10.1111/dme.12616
Barnes TL, French SA, Harnack LJ, et al. Snacking behaviors, diet quality, and body mass index in a community sample of working adults. J Acad Nutr Diet. 2015;115(7):1117-1123. doi:10.1016/j.jand.2015.01.009
O'Connor L, Brage S, Griffin SJ, Wareham NJ, Forouhi NG. The cross-sectional association between snacking behaviour and measures of adiposity: the Fenland Study, UK. Br J Nutr. 2015;114(8):1286-1293. doi:10.1017/S000711451500269X
Hartley C, Keast RS, Liem DG. The Response of More Health Focused and Less Health Focused People to a Physical Activity Calorie Equivalent Label on Discretionary Snack Foods. Nutrients. 2019;11(3):525. Published 2019 Feb 28. doi:10.3390/nu11030525
Astrup A, Geiker NRW, Magkos F. Effects of Full-Fat and Fermented Dairy Products on Cardiometabolic Disease: Food Is More Than the Sum of Its Parts. Adv Nutr. 2019;10(5):924S-930S. doi:10.1093/advances/nmz069
Knill CJ, Kennedy JF. Low-calorie foods handbook: Aaron M. New York: Altschul, Marcel Decker ; 1993.
El-Bostany AN, Ahmed MG, Amany AS. Development of light mayonnaise formula using carbohydrate-based fat replacement. Aust J Basic Appl Sci. 2011;5(9):673-682.
de Queiroz Pane D, Dias CB, Meinhart AD, et al. Evaluation of the sweetener content in diet/light/zero foods and drinks by HPLC-DAD. J Food Sci Technol. 2015;52(11):6900-6913.
Babio N, Becerra-Tomás N, Martínez-González MÁ, et al. Consumption of Yogurt, Low-Fat Milk, and Other Low-Fat Dairy Products Is Associated with Lower Risk of Metabolic Syndrome Incidence in an Elderly Mediterranean Population. J Nutr. 2015;145(10):2308-2316. doi:10.3945/jn.115.214593
Zong G, Eisenberg DM, Hu FB, Sun Q. Consumption of Meals Prepared at Home and Risk of Type 2 Diabetes: An Analysis of Two Prospective Cohort Studies. PLoS Med. 2016;13(7):e1002052. doi:10.1371/journal.pmed.1002052
Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev. 2012;13(4):329-346. doi:10.1111/j.1467-789X.2011.00953.x
Bradbury KE, Guo W, Cairns BJ, Armstrong ME, Key TJ. Association between physical activity and body fat percentage, with adjustment for BMI: a large cross-sectional analysis of UK Biobank. BMJ Open. 2017;7(3):e011843. doi:10.1136/bmjopen-2016-011843
Buyken AE, Toeller M, Heitkamp G, et al. Glycemic index in the diet of European outpatients with type 1 diabetes: relations to glycated hemoglobin and serum lipids. Am J Clin Nutr. 2001;73(3):574-581. doi:10.1093/ajcn/73.3.574
Vega-López S, Ausman LM, Griffith JL, Lichtenstein AH. Interindividual variability and intra-individual reproducibility of glycemic index values for commercial white bread. Diabetes Care. 2007;30(6):1412-1417. doi:10.2337/dc06-1598
Bertachi A, Viñals C, Biagi L, et al. Prediction of Nocturnal Hypoglycemia in Adults with Type 1 Diabetes under Multiple Daily Injections Using Continuous Glucose Monitoring and Physical Activity Monitor. Sensors (Basel). 2020;20(6):1705. doi:10.3390/s20061705
Nishio Y, Funatsu Y, Tsunem, N, Tanimoto-Yoshikawa E, et al. The hypoglycemic effect and sensory properties of bread prepared using combinations of Japanese whole rye, whole-wheat and wheat flours. IFRJ.2018;25(5):2177-2184.
Bozzetto L, Alderisio A, Giorgini M, et al. Extra-Virgin Olive Oil Reduces Glycemic Rezponse to a High-Glycemic Index Meal in Patients With Type 1 Diabetes: A Randomsd Controlled Trial. Diabetes Care. 2016;39(4):518-524. doi:10.2337/dc15-2189.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Sabina Krzyżowska, Katarzyna Cyranka, Bartłomiej Matejko, Przemysław Witek, Katarzyna Cyganek, Beata Kieć-Wilk, Tomasz Klupa
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
