Year: 2024
Type: editorial
Abstract: Increasing recognition of the dire impact of poor nutrition on global cardiometabolic health has created new urgency to identify optimal diets to address these burdens.Among various outcomes, type 2 diabetes is particularly diet sensitive, serving as an obvious marker for a population's nutritional health.Yet, the optimal diet for prevention and management of diabetes remains controversial and has changed over time.For decades, recommendations focused on total calories and major macronutrients.In the 1990s, these emphasized lowering total fat, saturated fat, and cholesterol; reducing protein to preserve kidney function; encouraging water-soluble fiber; and being relatively liberal in allowing sugar (1).In the early 2000s, guidelines for diabetes prevention shifted toward low-calorie, low-fat diets for weight loss and increasing dietary fiber and whole grains (2).In the last 10 years, emerging science has again shifted nutritional guidance for diabetes prevention, this time away from macronutrient targets and toward overall food-based patterns.The Centers for Disease Control and Prevention, for instance, recommends greater intake of nonstarchy vegetables, fruits, whole grains, low-fat dairy, and lean-protein foods like fish, poultry, and eggs, and lower intake of packaged snacks, packaged meat, chips, granola bars, sweets, fast foods, sugary drinks, alcohol, and industrial trans fat (3).However, the relevance of this "generally healthy" diet pattern, which is adapted from the Dietary Guidelines for Americans,
Source: Diabetes Care
DOI: 10.2337/dci24-0011
Author: Dariush Mozaffarian
Institution: Tufts University
Language: English
Topic: Nutritional Studies and Diet
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4394947439