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...
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MDPI AG
2022-03-01
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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. |
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language | English |
last_indexed | 2024-03-09T20:25:51Z |
publishDate | 2022-03-01 |
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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 |
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