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      Composite dietary antioxidant index was negatively associated with the prevalence of diabetes independent of cardiovascular diseases

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          Abstract

          Aim

          The association between composite dietary antioxidant index (CDAI) and diabetes remains unknown. Our study was to investigate the association of CDAI with diabetes.

          Methods

          A total of 11,956 participants were enrolled from the National Health and Nutrition Examination Surveys (NHANES). The CDAI was calculated from the intake of six dietary antioxidants. Multivariable logistic regressions were performed to explore the associations between CDAI and the prevalence of diabetes and glycemic index. Non-linear associations were explored using restricted cubic splines.

          Results

          In the multivariate logistic regression model, the odds ratio (95% confidence interval) of CDAI associating with obesity was 0.98 (0.97-1.00; p = 0.033). Compared with the lowest quartile, the highest quartile was related to 0.84-fold risk of diabetes (0.71–0.99; p = 0.035). However, CDAI was not independently associated with fasting glucose and hemoglobin A1c.

          Conclusion

          CDAI was negatively associated with diabetes and the relationship was independent of other traditional risk factors.

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          Most cited references23

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          Trends in Dietary Supplement Use Among US Adults From 1999-2012.

          Elizabeth Kantor, Colin D Rehm, Mengmeng Du … (2016)
          Dietary supplements are commonly used by US adults; yet, little is known about recent trends in supplement use.
          Article 0 comments Cited 224 times – based on 0 reviews     Review now
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            The Essential Element Manganese, Oxidative Stress, and Metabolic Diseases: Links and Interactions

            Longman Li, Xiaobo Yang (2018)
            Manganese (Mn) is an essential element that is involved in the synthesis and activation of many enzymes and in the regulation of the metabolism of glucose and lipids in humans. In addition, Mn is one of the required components for Mn superoxide dismutase (MnSOD) that is mainly responsible for scavenging reactive oxygen species (ROS) in mitochondrial oxidative stress. Both Mn deficiency and intoxication are associated with adverse metabolic and neuropsychiatric effects. Over the past few decades, the prevalence of metabolic diseases, including type 2 diabetes mellitus (T2MD), obesity, insulin resistance, atherosclerosis, hyperlipidemia, nonalcoholic fatty liver disease (NAFLD), and hepatic steatosis, has increased dramatically. Previous studies have found that ROS generation, oxidative stress, and inflammation are critical for the pathogenesis of metabolic diseases. In addition, deficiency in dietary Mn as well as excessive Mn exposure could increase ROS generation and result in further oxidative stress. However, the relationship between Mn and metabolic diseases is not clear. In this review, we provide insights into the role Mn plays in the prevention and development of metabolic diseases.
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              The burden and risks of emerging complications of diabetes mellitus

              Dunya Tomic, Jonathan Shaw, Dianna Magliano (2022)
              The traditional complications of diabetes mellitus are well known and continue to pose a considerable burden on millions of people living with diabetes mellitus. However, advances in the management of diabetes mellitus and, consequently, longer life expectancies, have resulted in the emergence of evidence of the existence of a different set of lesser-acknowledged diabetes mellitus complications. With declining mortality from vascular disease, which once accounted for more than 50% of deaths amongst people with diabetes mellitus, cancer and dementia now comprise the leading causes of death in people with diabetes mellitus in some countries or regions. Additionally, studies have demonstrated notable links between diabetes mellitus and a broad range of comorbidities, including cognitive decline, functional disability, affective disorders, obstructive sleep apnoea and liver disease, and have refined our understanding of the association between diabetes mellitus and infection. However, no published review currently synthesizes this evidence to provide an in-depth discussion of the burden and risks of these emerging complications. This Review summarizes information from systematic reviews and major cohort studies regarding emerging complications of type 1 and type 2 diabetes mellitus to identify and quantify associations, highlight gaps and discrepancies in the evidence, and consider implications for the future management of diabetes mellitus.
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                Author and article information

                Contributors
                Xiaojie Chen: cxj1236@163.com
                Journal
                Journal ID (nlm-ta): Diabetol Metab Syndr
                Journal ID (iso-abbrev): Diabetol Metab Syndr
                Title: Diabetology & Metabolic Syndrome
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1758-5996
                Publication date (Electronic): 8 September 2023
                Publication date PMC-release: 8 September 2023
                Publication date Collection: 2023
                Volume: 15
                Electronic Location Identifier: 183
                Affiliations
                [1 ]GRID grid.412633.1, ISNI 0000 0004 1799 0733, Department Cardiology, , The First Affiliated Hospital of Zhengzhou University, ; Zhengzhou, China
                [2 ]Department of Cardiology, The People’s Hospital of Jiawang District of Xuzhou, XuZhou, China
                Article
                Publisher ID: 1150
                DOI: 10.1186/s13098-023-01150-6
                PMC ID: 10486118
                PubMed ID: 37684665
                SO-VID: b0fcacbe-7ad5-437f-8f3b-8897e7fe2947
                Copyright © © BioMed Central Ltd., part of Springer Nature 2023
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 26 April 2023
                Date accepted : 10 August 2023
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © BioMed Central Ltd., part of Springer Nature 2023

                ScienceOpen disciplines: Nutrition & Dietetics
                Keywords: composite dietary antioxidant index,diabetes,antioxidant,nhanes,cross-sectional study
                Data availability:
                ScienceOpen disciplines: Nutrition & Dietetics
                Keywords: composite dietary antioxidant index, diabetes, antioxidant, nhanes, cross-sectional study

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