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dc.contributor.authorBeretta, Mileni Vantipt_BR
dc.contributor.authorBernaud, Fernanda Sarmento Rollapt_BR
dc.contributor.authorNascimento, Cigléa dopt_BR
dc.contributor.authorSteemburgo, Thaispt_BR
dc.contributor.authorRodrigues, Ticiana da Costapt_BR
dc.contributor.authorCostenaro, Fabiolapt_BR
dc.date.accessioned2019-06-11T02:30:40Zpt_BR
dc.date.issued2018pt_BR
dc.identifier.issn2359-4292pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/195626pt_BR
dc.description.abstractObjective: The present investigation sought to evaluate the potential association between dietary fiber intake and blood pressure (BP) in adult patients with type 1 diabetes (T1D). Subjects and methods: A cross-sectional study was carried out in 111 outpatients with T1D from Porto Alegre, Brazil. Patients were predominantly male (56%) and white (88%), with a mean age of 40 ± 10 years, diabetes duration of 18 ± 9 years, BMI 24.8 ± 3.85 kg/m2, and HbA1c 9.0 ± 2.0%. After clinical and laboratory evaluation, dietary intake was evaluated by 3-day weighed-diet records, whose reliability was confirmed by 24-h urinary nitrogen output. Patients were stratified into two groups according to adequacy of fiber intake in relation to American Diabetes Association (ADA) recommendations: below recommended daily intake (< 14g fiber/1000 kcal) or at/above recommended intake (≥ 14g/1000 kcal). Results: Patients in the higher fiber intake group exhibited significantly lower systolic (SBP) (115.9 ± 12.2 vs 125.1 ± 25.0 mmHg, p = 0.016) and diastolic blood pressure (DBP) (72.9 ± 9.2 vs 78.5 ± 9.3 mmHg, p = 0.009), higher energy intake (2164.0 ± 626.0 vs 1632.8 ± 502.0 kcal, p < 0.001), and lower BMI (24.4 ± 3.5 vs 26.2 ± 4.8, p = 0.044). Linear regression modelling, adjusted for age, energy intake, sodium intake, and BMI, indicated that higher fiber intake was associated with lower SBP and DBP levels. No significant between-group differences were observed with regard to duration of diabetes, glycemic control, insulin dosage, or presence of hypertension, nephropathy, or retinopathy. Conclusion: We conclude that fiber consumption meeting or exceeding current ADA recommendations is associated with lower SBP and DBP in patients with T1D.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofArchives of endocrinology and metabolism. São Paulo. Vol. 62, no. 1 (Feb. 2018), p. 40-47.pt_BR
dc.rightsOpen Accessen
dc.subjectHipertensãopt_BR
dc.subjectDiabetes mellitus tipo 1pt_BR
dc.subjectPressão arterialpt_BR
dc.subjectFibras na dietapt_BR
dc.titleHigher fiber intake is associated with lower blood pressure levels in patients with type 1 diabetespt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001064659pt_BR
dc.type.originNacionalpt_BR


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