The relationship between dietary phytochemical index and novel anthropometric indices and the severity of diabetic foot ulcers in adults with type 2 diabetes: a cross-sectional study.

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM BMC Endocrine Disorders Pub Date : 2024-10-25 DOI:10.1186/s12902-024-01734-x
Moharam Jalalzadeh, Ensieh Nasli-Esfahani, Mohsen Montazer, Faezeh Geravand, Parisa Nezhad Hajian, Mohammad Heidari-Seyedmahalle, Leila Azadbakht
{"title":"The relationship between dietary phytochemical index and novel anthropometric indices and the severity of diabetic foot ulcers in adults with type 2 diabetes: a cross-sectional study.","authors":"Moharam Jalalzadeh, Ensieh Nasli-Esfahani, Mohsen Montazer, Faezeh Geravand, Parisa Nezhad Hajian, Mohammad Heidari-Seyedmahalle, Leila Azadbakht","doi":"10.1186/s12902-024-01734-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Research on the relationship between dietary phytochemical intake and the anthropometric indices as well as the diabetic foot ulcers (DFUs) remains inconsistent. We aimed to investigate the associations of dietary phytochemical index (DPI) with the novel anthropometric indices and the severity of DFUs.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 339 adults with type 2 diabetes. Dietary intake was assessed using three 24-hour dietary recalls. To quantify the phytochemical content of the diet, the DPI estimation was done through an equation proposed by McCarty. The International Working Group on the Diabetic Foot (IWGDF) criteria and Wagner classification system were applied to assess DFUs. New anthropometric indices including a body shape index (ABSI), body roundness index (BRI) and abdominal volume index (AVI) were calculated based on formulas. We employed analysis of variance (ANOVA), analysis of covariance (ANCOVA) and logistic regression to explore associations between DPI and the anthropometric indices and DFU variables.</p><p><strong>Results: </strong>Our results revealed no significant association between DPI and the foot ulcer indices, following adjusting for the possible covariates. Furthermore, we also examined the relationship between diabetic neuropathy, as measured by monofilament score, and the DPI. Similarly, we did not find any substantial relationship between the DPI and monofilament score (OR: 1.18; 95% CI: 0.66-2.09; P<sub>trend</sub> = 0.56), as well as biochemical indices. Our analysis did not reveal any significant associations between the DPI and ABSI (OR: 0.70; 95% CI: 0.35-1.38; P<sub>trend</sub> = 0.30), BRI (OR: 0.80; 95% CI: 0.33-1.95; P<sub>trend</sub> = 0.59), and AVI (OR: 1.99; 95% CI: 0.92-4.33; P<sub>trend</sub> = 0.08).</p><p><strong>Conclusions: </strong>Our study revealed no significant links between the DPI and foot ulcer indices, neuropathy measures, and anthropometric indices. These findings imply that factors beyond dietary phytochemical intake may exert greater influence on the development of foot ulcers in diabetes.</p>","PeriodicalId":9152,"journal":{"name":"BMC Endocrine Disorders","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504297/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Endocrine Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12902-024-01734-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Research on the relationship between dietary phytochemical intake and the anthropometric indices as well as the diabetic foot ulcers (DFUs) remains inconsistent. We aimed to investigate the associations of dietary phytochemical index (DPI) with the novel anthropometric indices and the severity of DFUs.

Methods: This cross-sectional study was conducted on 339 adults with type 2 diabetes. Dietary intake was assessed using three 24-hour dietary recalls. To quantify the phytochemical content of the diet, the DPI estimation was done through an equation proposed by McCarty. The International Working Group on the Diabetic Foot (IWGDF) criteria and Wagner classification system were applied to assess DFUs. New anthropometric indices including a body shape index (ABSI), body roundness index (BRI) and abdominal volume index (AVI) were calculated based on formulas. We employed analysis of variance (ANOVA), analysis of covariance (ANCOVA) and logistic regression to explore associations between DPI and the anthropometric indices and DFU variables.

Results: Our results revealed no significant association between DPI and the foot ulcer indices, following adjusting for the possible covariates. Furthermore, we also examined the relationship between diabetic neuropathy, as measured by monofilament score, and the DPI. Similarly, we did not find any substantial relationship between the DPI and monofilament score (OR: 1.18; 95% CI: 0.66-2.09; Ptrend = 0.56), as well as biochemical indices. Our analysis did not reveal any significant associations between the DPI and ABSI (OR: 0.70; 95% CI: 0.35-1.38; Ptrend = 0.30), BRI (OR: 0.80; 95% CI: 0.33-1.95; Ptrend = 0.59), and AVI (OR: 1.99; 95% CI: 0.92-4.33; Ptrend = 0.08).

Conclusions: Our study revealed no significant links between the DPI and foot ulcer indices, neuropathy measures, and anthropometric indices. These findings imply that factors beyond dietary phytochemical intake may exert greater influence on the development of foot ulcers in diabetes.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
膳食植物化学物指数和新型人体测量指数与 2 型糖尿病成人糖尿病足溃疡严重程度之间的关系:一项横断面研究。
背景:有关膳食植物化学物摄入量与人体测量指数以及糖尿病足溃疡(DFUs)之间关系的研究仍不一致。我们的目的是调查膳食植物化学物指数(DPI)与新的人体测量指数和糖尿病足溃疡严重程度之间的关系:这项横断面研究的对象是 339 名 2 型糖尿病成人患者。方法:这项横断面研究的对象是 339 名 2 型糖尿病成人患者,通过 3 次 24 小时饮食回顾来评估饮食摄入量。为了量化膳食中的植物化学物质含量,通过麦卡蒂提出的方程对 DPI 进行了估算。国际糖尿病足工作组(IWGDF)标准和瓦格纳分类系统被用于评估 DFU。根据公式计算了新的人体测量指数,包括体形指数(ABSI)、体圆度指数(BRI)和腹部体积指数(AVI)。我们采用方差分析(ANOVA)、协方差分析(ANCOVA)和逻辑回归来探讨 DPI 与人体测量指数和 DFU 变量之间的关系:结果:在对可能的协变量进行调整后,我们发现 DPI 与足部溃疡指数之间没有明显的关联。此外,我们还研究了以单丝评分衡量的糖尿病神经病变与 DPI 之间的关系。同样,我们也没有发现 DPI 和单丝评分(OR:1.18;95% CI:0.66-2.09;Ptrend = 0.56)以及生化指标之间有任何实质性的关系。我们的分析未发现 DPI 与 ABSI(OR:0.70;95% CI:0.35-1.38;Ptrend = 0.30)、BRI(OR:0.80;95% CI:0.33-1.95;Ptrend = 0.59)和 AVI(OR:1.99;95% CI:0.92-4.33;Ptrend = 0.08)之间有任何明显联系:我们的研究表明,DPI 与足部溃疡指数、神经病变指数和人体测量指数之间没有明显联系。这些研究结果表明,膳食植物化学物质摄入量以外的因素可能对糖尿病足溃疡的发生有更大的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
期刊最新文献
Relationship of different metabolic obesity phenotypes with reflux esophagitis: a propensity score matching analysis. Assessing the validity of METS-IR for predicting the future onset of diabetes: an analysis using time-dependent receiver operating characteristics. BCAA was more closely associated with visceral fat area than subcutaneous fat area in patients of type 2 diabetes mellitus: a cross-sectional study. Investigation of homocysteine level after bariatric metabolic surgery, effect on vitamin B12 and folate levels. Increased risk of vascular complications in patients with type 2 diabetes and fatty liver disease.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1