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Dietary sodium intake related with cysteine and methionine in type 2 diabetic patients

dc.contributor.authorValente, A.
dc.contributor.authorBicho, M.
dc.contributor.authorDuarte, R.
dc.contributor.authorRaposo, J.F.
dc.contributor.authorCosta, H.S.
dc.date.accessioned2015-02-10T15:39:19Z
dc.date.available2015-02-10T15:39:19Z
dc.date.issued2014-05
dc.description.abstractINTRODUCTION: In Portugal there are over a million diabetics. Most type 2 diabetic patients have salt sensitive hypertension but other cardiovascular risk factors can also be related with a high intake of dietary salt. AIM: To evaluate dietary sodium intake and its relation with homocysteine metabolism and oxidative state in type 2 diabetic patients with and without angiopathy. METHODS: A population-based case-control study in 300 Portuguese adults was performed. The study population was divided into three groups: group I - 75 type 2 diabetics with angiopathy, group II - 75 type 2 diabetics without angiopathy, group III - 150 controls. Plasma levels of homocysteine, cysteine and malondialdehyde were measured by HPLC. Dietary sodium and methionine intakes were assessed by a food frequency questionnaire. Statistical analysis was performed by linear regression model. RESULTS: The prevalence of dietary sodium intake above the recommended limit (2.0 g/day) was very high in all study groups (group I: 93,3% vs. group II: 93,3% vs. group III: 83,2%). Sodium intake was inversely associated with plasma cysteine levels (β = -0.299; t = -2.673; p = 0,009) in type 2 diabetic patients with angiopathy and positively related with methionine intake in diabetic and non-diabetic patients. CONCLUSION: All participants with high dietary sodium intake should initiate a sodium restriction diet that must be maintained at least during five weeks to lower the blood pressure to 130/85 mmHg. Since cysteine has been proposed to have an antihypertensive effect, diabetics with high dietary sodium intake, low plasma cysteine and hyperhomocysteinaemia have an increased risk of having another cardiovascular event. Adopting a balanced diet containing cysteine-rich proteins may be a beneficial lifestyle choice to prevent it.por
dc.description.sponsorshipThis study was funded by project ref. PIC/IC/82957/2007 from Fundação para a Ciência e a Tecnologia. Ana Valente is grateful for the research grant from the project ref. PIC/IC/82957/2007.por
dc.identifier.urihttp://hdl.handle.net/10400.18/2842
dc.language.isoengpor
dc.peerreviewedyespor
dc.relationHábitos alimentares, hiperhomocisteinémia e doença cardiovascular em diabéticos tipo 2 (PIC/IC/82957/2007)por
dc.subjectNutrição Aplicadapor
dc.subjectEstilos de Vida e Impacto na Saúdepor
dc.subjectDiabetes do tipo 2por
dc.subjectSodiumpor
dc.subjectCysteinepor
dc.subjectMethioninepor
dc.titleDietary sodium intake related with cysteine and methionine in type 2 diabetic patientspor
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceMadrid, Espanhapor
oaire.citation.title82nd European Atherosclerosis Society Congress, 31 Maio - 3 Junho 2014por
rcaap.rightsrestrictedAccesspor
rcaap.typeconferenceObjectpor

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