title: Associations between dietary patterns and skin microcirculation in healthy subjects.
abstract: OBJECTIVE
  Microvascular dysfunction is suggested to be a marker of common pathophysiological mechanisms in the development of insulin resistance, cardiovascular diseases, and type 2 diabetes mellitus. Given the established relationship of diet with the macrovascular disease, the aim of this study was to investigate for the first time the possible associations between dietary patterns and microcirculation.
  
  
  RESULTS
  Two hundred ninety-one healthy men and women selected from the Supplementation en Vitamines et Mineraux Antioxydants 2' cohort were assessed for anthropometric, nutritional, biochemical, and microcirculation parameters using finger skin capillaroscopy. Dietary intake was assessed cross-sectionally using a food frequency questionnaire, and principal component analysis was used to identify dietary patterns from 40 food groups. Six dietary patterns were identified. A dietary pattern characterized by increased consumption of vegetable oils, poultry, and fish and seafood was positively associated with both functional and anatomic capillary density after adjusting for confounders (β=0.13, P=0.05 and β=0.20, P=0.00, respectively). A second dietary pattern with increased consumption of sweets was inversely associated with functional and anatomic capillary density in all multivariate models (β=-0.14, P=0.03 and β=-0.17, P=0.01). There were no associations between any of the derived dietary patterns and capillary recruitment.
  
  
  CONCLUSIONS
  In healthy subjects, a dietary pattern characterized by an increased consumption of vegetable oils, poultry, and fish and seafood and low consumption of sweets was associated with better microvascular function. Further prospective studies are needed to confirm the present association.
authors.affiliation: From the Department of Nutrition and Dietetics, Laboratory of Nutrition and Clinical Dietetics, Harokopio University, Athens, Greece (K.K.); First Department of Propaedeutic and Internal Medicine, Cardiovascular Research Laboratory, Athens University Medical School, Laikon Hospital, Athens, Greece (A.P.); Unité de Recherche En épidémiologie Nutritionnelle (UREN), Sorbonne-Paris-Cité, UMR Université Paris 13/Inserm U557/Inra U1125/Cnam, Bobigny, France (E.K.-G., L.K.F., P.G., S.H.); Department of Nutrition, Ambroise Paré Hospital (AP-HP), Boulogne-Billancourt, France (C.C., S.C.); University of Versailles Saint Quentin en Yvelines, France (S.C.); Diagnosis and Therapeutic Center, Hôtel-Dieu Hospital, AP-HP, Paris Descartes University, Paris, France (J.B.); and INSERM U1018, Centre for Research in Epidemiology and Population Health, Villejuif, France (B.I.L., S.C.).
authors.forename: Kalliopi
authors.initials: K
authors.lastname: Karatzi
authors.forename: Athanase
authors.initials: A
authors.lastname: Protogerou
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Kesse-Guyot
authors.forename: Leopold K
authors.initials: LK
authors.lastname: Fezeu
authors.forename: Claire
authors.initials: C
authors.lastname: Carette
authors.forename: Jacques
authors.initials: J
authors.lastname: Blacher
authors.forename: Bernard I
authors.initials: BI
authors.lastname: Levy
authors.forename: Pilar
authors.initials: P
authors.lastname: Galan
authors.forename: Serge
authors.initials: S
authors.lastname: Hercberg
authors.forename: Sebastien
authors.initials: S
authors.lastname: Czernichow
mesh_terms: D000368:Aged; D000375:Aging; D000818:Animals; D003430:Cross-Sectional Studies; D004040:Dietary Carbohydrates; D005247:Feeding Behavior; D005260:Female; D005602:France; D064368:Healthy Volunteers; D006801:Humans; D053208:Kaplan-Meier Estimate; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008833:Microcirculation; D020678:Microscopic Angioscopy; D008875:Middle Aged; D015999:Multivariate Analysis; D015596:Nutrition Assessment; D009752:Nutritional Status; D016017:Odds Ratio; D010938:Plant Oils; D011200:Poultry; D025341:Principal Component Analysis; D017747:Seafood; D012867:Skin / Q000098:blood supply*; D011795:Surveys and Questionnaires
chemical_list: D004040:Dietary Carbohydrates; D010938:Plant Oils
keywords: diet; microcirculation