Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus

Background: The aim of the study was to evaluate the relationship between polyphenol or polyunsaturated fatty acids (PUFAs) consumption and the selected metabolic and inflammatory markers in type 2 diabetes (T2DM) patients. Methods: The study enrolled 129 diabetics (49 men, mean age 64.1 ± 9.8 years...

Full description

Bibliographic Details
Main Authors: Marcin Kosmalski, Anna Pękala-Wojciechowska, Agnieszka Sut, Tadeusz Pietras, Bogusława Luzak
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/5/1083
_version_ 1797474138055507968
author Marcin Kosmalski
Anna Pękala-Wojciechowska
Agnieszka Sut
Tadeusz Pietras
Bogusława Luzak
author_facet Marcin Kosmalski
Anna Pękala-Wojciechowska
Agnieszka Sut
Tadeusz Pietras
Bogusława Luzak
author_sort Marcin Kosmalski
collection DOAJ
description Background: The aim of the study was to evaluate the relationship between polyphenol or polyunsaturated fatty acids (PUFAs) consumption and the selected metabolic and inflammatory markers in type 2 diabetes (T2DM) patients. Methods: The study enrolled 129 diabetics (49 men, mean age 64.1 ± 9.8 years) with different amounts of polyphenol and PUFAs consumption. Results: A significant effect of polyphenol or PUFAs omega-3 consumption on fasting glucose concentration (FG) or glycated haemoglobin fraction (HbA1c) was reported. A negative association was observed between FG and total polyphenol, flavonoid, flavan-3-ol and stilbene intake. In the group with high flavonoid intake, the FG was significantly lower compared to the group characterised by low flavonoid intake. Polyphenols, except stilbenes, did not modulate HbA1c. Additionally, higher consumption of PUFAs omega-3 significantly decreased HbA1c, and the intake of eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids negatively and significantly correlated with FG and HbA1c. Further analysis confirmed a significant association between EPA + DHA intake and HbA1c, with significant interactions with age and gender or with body mass index and waist-to-hip ratio. The dietary intake of polyphenols or PUFAs was independent of familial diabetes or diabetic diet application. Conclusions: Our study indicates a positive effect of high consumption of flavonoids, omega-3 PUFAs and stilbenes on the markers of carbohydrate metabolism balance and the absence of such an effect on other cardiometabolic markers and inflammatory conditions.
first_indexed 2024-03-09T20:25:51Z
format Article
id doaj.art-0db827f4177546b7bf6defd9234a19d4
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-09T20:25:51Z
publishDate 2022-03-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-0db827f4177546b7bf6defd9234a19d42023-11-23T23:34:16ZengMDPI AGNutrients2072-66432022-03-01145108310.3390/nu14051083Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes MellitusMarcin Kosmalski0Anna Pękala-Wojciechowska1Agnieszka Sut2Tadeusz Pietras3Bogusława Luzak4Department of Clinical Pharmacology, Medical University of Lodz, Kopcińskiego 22, 90-153 Łódź, PolandDepartment of Clinical Pharmacology, Medical University of Lodz, Kopcińskiego 22, 90-153 Łódź, PolandDepartment of Haemostasis and Haemostatic Disorders, Medical University of Lodz, Mazowiecka 6/8, 92-235 Łódź, PolandDepartment of Clinical Pharmacology, Medical University of Lodz, Kopcińskiego 22, 90-153 Łódź, PolandDepartment of Haemostasis and Haemostatic Disorders, Medical University of Lodz, Mazowiecka 6/8, 92-235 Łódź, PolandBackground: The aim of the study was to evaluate the relationship between polyphenol or polyunsaturated fatty acids (PUFAs) consumption and the selected metabolic and inflammatory markers in type 2 diabetes (T2DM) patients. Methods: The study enrolled 129 diabetics (49 men, mean age 64.1 ± 9.8 years) with different amounts of polyphenol and PUFAs consumption. Results: A significant effect of polyphenol or PUFAs omega-3 consumption on fasting glucose concentration (FG) or glycated haemoglobin fraction (HbA1c) was reported. A negative association was observed between FG and total polyphenol, flavonoid, flavan-3-ol and stilbene intake. In the group with high flavonoid intake, the FG was significantly lower compared to the group characterised by low flavonoid intake. Polyphenols, except stilbenes, did not modulate HbA1c. Additionally, higher consumption of PUFAs omega-3 significantly decreased HbA1c, and the intake of eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids negatively and significantly correlated with FG and HbA1c. Further analysis confirmed a significant association between EPA + DHA intake and HbA1c, with significant interactions with age and gender or with body mass index and waist-to-hip ratio. The dietary intake of polyphenols or PUFAs was independent of familial diabetes or diabetic diet application. Conclusions: Our study indicates a positive effect of high consumption of flavonoids, omega-3 PUFAs and stilbenes on the markers of carbohydrate metabolism balance and the absence of such an effect on other cardiometabolic markers and inflammatory conditions.https://www.mdpi.com/2072-6643/14/5/1083type 2 diabetes mellitusdietpolyphenolsomega-3inflammation
spellingShingle Marcin Kosmalski
Anna Pękala-Wojciechowska
Agnieszka Sut
Tadeusz Pietras
Bogusława Luzak
Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus
Nutrients
type 2 diabetes mellitus
diet
polyphenols
omega-3
inflammation
title Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus
title_full Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus
title_fullStr Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus
title_full_unstemmed Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus
title_short Dietary Intake of Polyphenols or Polyunsaturated Fatty Acids and Its Relationship with Metabolic and Inflammatory State in Patients with Type 2 Diabetes Mellitus
title_sort dietary intake of polyphenols or polyunsaturated fatty acids and its relationship with metabolic and inflammatory state in patients with type 2 diabetes mellitus
topic type 2 diabetes mellitus
diet
polyphenols
omega-3
inflammation
url https://www.mdpi.com/2072-6643/14/5/1083
work_keys_str_mv AT marcinkosmalski dietaryintakeofpolyphenolsorpolyunsaturatedfattyacidsanditsrelationshipwithmetabolicandinflammatorystateinpatientswithtype2diabetesmellitus
AT annapekalawojciechowska dietaryintakeofpolyphenolsorpolyunsaturatedfattyacidsanditsrelationshipwithmetabolicandinflammatorystateinpatientswithtype2diabetesmellitus
AT agnieszkasut dietaryintakeofpolyphenolsorpolyunsaturatedfattyacidsanditsrelationshipwithmetabolicandinflammatorystateinpatientswithtype2diabetesmellitus
AT tadeuszpietras dietaryintakeofpolyphenolsorpolyunsaturatedfattyacidsanditsrelationshipwithmetabolicandinflammatorystateinpatientswithtype2diabetesmellitus
AT bogusławaluzak dietaryintakeofpolyphenolsorpolyunsaturatedfattyacidsanditsrelationshipwithmetabolicandinflammatorystateinpatientswithtype2diabetesmellitus