research published in Diabetologia (the journal of the European Association for
the Study of Diabetes [EASD]) suggests that lifestyle advice for people with
diabetes should be no different from that for the general public, although
those with diabetes may benefit more from that same advice. The research is by
Dr Diewertje Sluik, Department of Epidemiology, German Institute of Human
Nutrition Potsdam-Rehbruecke, Nuthetal, Germany, and colleagues.
In this new
study, the researchers investigated whether the associations between lifestyle
factors and mortality risk differ between individuals with and without
European Prospective Investigation into Cancer and Nutrition (EPIC), a cohort
was formed of 6 384 persons with diabetes and 258 911 EPIC participants without
known diabetes. Computer modelling was used to explore the relationship (in
both those with and without diabetes) of mortality with the following risk
factors: body-mass index, waist/height ratio, 26 food groups, alcohol
consumption, leisure-time physical activity, smoking.
Healthy diet good for all
the researchers found that overall mortality was 62% higher in people with
diabetes compared with those without. Intake of fruit, vegetables, nuts, seeds,
pasta, poultry and vegetable oil was related to a lower mortality risk, and
intake of butter and margarine was related to an increased mortality risk.
While the strength of the association was different in those with diabetes
versus those without, the associations were in the same direction in each case.
No differences between people with and without diabetes were detected for the
other lifestyle factors including adiposity, alcohol consumption, physical
activity, and smoking.
say: "It appears that the intake of some food groups is more beneficial
(fruits, legumes, nuts, seeds, pasta, poultry, vegetable oil) or more
detrimental (soft drinks, butter, margarine, cake, cookies) with respect to
mortality risk in people with diabetes. This may indicate that individuals with
diabetes may benefit more from a healthy diet than people without diabetes.
However, since the directions of association were generally the same,
recommendations for a healthy diet should be similar for people with or without