Dietary acid load and risk of type 2 diabetes mellitus: a case–control study

E Hatami, K Abbasi, A Salehi-Sahlabadi… - Clinical Nutrition …, 2022 - Elsevier
E Hatami, K Abbasi, A Salehi-Sahlabadi, S Beigrezaei, A Bahrami, R Ghiasvand
Clinical Nutrition ESPEN, 2022Elsevier
Aim The present study aimed to investigate the association between dietary acid load and
the risk of type 2 diabetes (T2D) in Iranian adults. Methods This was a case–control study
including 125 newly diagnosed T2D patients as cases and 190 healthy individuals as
controls. A 168-item semi-quantitative food frequency questionnaire was applied to collect
the participant's dietary intake information. Potential renal acid load (PRAL), net
endogenous acid production (NEAP), protein/potassium ratio, animal protein/potassium …
Aim
The present study aimed to investigate the association between dietary acid load and the risk of type 2 diabetes (T2D) in Iranian adults.
Methods
This was a case–control study including 125 newly diagnosed T2D patients as cases and 190 healthy individuals as controls. A 168-item semi-quantitative food frequency questionnaire was applied to collect the participant's dietary intake information. Potential renal acid load (PRAL), net endogenous acid production (NEAP), protein/potassium ratio, animal protein/potassium ratio, and plant protein/potassium ratio were derived from the nutrient intake.
Results
We found that higher PRAL and NEAP scores are positively associated with the chance of T2D in the unadjusted model. Such that, when multiple potential confounders were taken into account, participants in the highest tertile of PRAL (OR: 4.37; 95% CI: 1.35–14.18) and NEAP score (OR: 2.24; 95% CI: 1.01–7.03) had a greater risk of T2D. No significant association was found between other indices including total protein/potassium ratio, animal protein/potassium ratio, and plant protein/potassium ratio, and T2D risk.
Conclusion
The present findings suggest that high dietary acid load could be associated with the risk of T2D disease.
Elsevier
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