How Does Plant-Based Diet Quality Affect Mortality Risk in People with Diabetes or Prediabetes?

Dr. Matthew Nagra, ND
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Reference: https://pubmed.ncbi.nlm.nih.gov/38517343/
#diabetes #prediabetes #plantbaseddiet #nutrition
Full Transcript
Study Overview and Participants 0:00
Here's a new study looking at plant-based diets and the risk of death amongst those with diabetes or pre-diabetes. They included 4,621 people with Diabetes and 8,061 people With Pre-Diabetes from the American NHANES cohort. Their diets were assessed with two 24-hour diet recalls and were scored according to how plant based they were and which types of plant foods they focused on.
Healthy Plant-Based Diet and Lower Mortality 0:18
Over a median of 7.2 years of follow-up amongst Those who had higher Healthy Plant-Based Diet Index scores, so those who ate more healthy plant foods like fruits and vegetables, and less of the animal foods, had a 41% lower risk of dying during the study compared to those with low scores. And amongst those of pre-diabetes, higher scores were associated with a 31% risk. On the other hand, amongst those with diabetes, higher unhealthy plant-based diet index scores, so those who ate more of those less healthy plant foods,
Unhealthy Plant-Based Diet and Higher Mortality 0:48
had an 88% higher risk of dying during the study compared to low scores while there was a 63% high risk amongst with pre-diabetes. And this was after adjusting for confounding variables like smoking, alcohol, and BMI. As for individual food groups, fruits, vegetables, legumes, and seafood were associated with a lower risk in people with diabetes or pre-diabetes, while coffee and tea were also associated in pre diabetes and surprisingly so was refined grains.
Food Group Findings and Takeaway 1:18
However, the category of refined grain is quite broad so it's not clear if it was just certain types of products that were beneficial. Conversely, fruit juice was associated with a higher risk in people with diabetes. But overall, this research suggests that diet centered on healthy plant foods may lower the risk of mortality amongst those with Diabetes or Prediabetes.
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