Recent research published in the Journal of Diabetes and Metabolic Disorders shed light on the importance of the Global Diet Quality Score (GDQS) in reducing abdominal volume index (AVI), atherogenic index of plasma (AIP), and body roundness index (BRI) in diabetes patients.
The major complication of type 2 diabetes is cardiovascular risk, which increases disability and mortality. The study aimed to evaluate the relationship between global diet quality and cardiovascular risk factors in patients with T2DM.
Researchers conducted a cross-sectional study in Tehran, Iran, on 283 patients with diabetes. The diet quality of the patients was assessed using the Global Diet Quality Score (GDQS). The assessment of dietary intake was also done using a reliable and valid semi-quantitative food questionnaire. Further, the calculation of cardiovascular risk factor indicators (Lipid accumulation of plasma (LAP), Castelli risk index-1 (CRI-I) and 2 (CRI-II), cholesterol index (CI), and atherogenic index of plasma (AIP)), and anthropometric indices (a body roundness index (BRI), body shape index (ABSI), and abdominal volume index (AVI)) was performed by researchers, along with the assessment of emotional distress aspect of patients using PAID scale. Binary logistic regression models were used to evaluate the association of GDQS with anthropometric indices, CVD risk factors, and the PAID scale.
Results revealed that individuals with the highest GDQS were less likely to have BRI and AVI after adjusting for potential cofounders. Additionally, individuals with more adherence to GDQS had a reduced AIP, indicating overall cardiovascular health. However, GDQS did not show any relationship with emotional distress in diabetic patients.
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Key highlights
- Diabetic patients who closely follow the Global Diet Quality Score (GDQS) have reduced odds of having high values of BRI (Body Roundness Index), AVI (Abdominal Volume Index), and AIP (Atherogenic Index of Plasma), which are indicators of cardiovascular and metabolic risk.
- The study highlights the importance of dietary quality as a modifiable factor in reducing the risk of metabolic complications among individuals with diabetes.
- Further large-scale cohort studies are recommended across different regions of Iran to explore how GDQS impacts diverse diabetic populations, considering variations in lifestyle, socioeconomic status, and diet patterns.
Source
Keshavarz, F., Nasli-Esfahani, E., Zeinalabedini, M. et al. The association between the global diet quality index and novel cardiovascular risk factors and problem areas in diabetes scale (PAID) among patients with type 2 diabetes mellitus. J Diabetes Metab Disord 24, 174 (2025). https://doi.org/10.1007/s40200-025-01688-4
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The study highlights importance of the Global Diet Quality Score in reducing abdominal volume index, atherogenic index of plasma, and body roundness index in diabetes patients
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