title: Dietary intake of subjects with diabetes is inadequate in Switzerland: the CoLaus study.
abstract: OBJECTIVE
  To characterize the dietary intake of subjects aged 40-80 years according to self-reported diabetes and presence of an anti-diabetic diet.
  
  
  METHODS
  Cross-sectional study conducted between 2009 and 2012 on 4289 participants (2274 women) living in Lausanne.
  
  
  RESULTS
  Of the 299 (7 %) participants with self-reported diabetes, only 151 (51 %) reported an anti-diabetic diet. Compared to participants not reporting diabetes, participants with self-reported diabetes (with or without a diet) had a higher consumption of artificial sweeteners (0.3 ± 0.7 vs. 0.4 ± 0.8 and 0.8 ± 1.0 times/day) and a lower consumption of honey/jam (mean ± standard deviation: 0.5 ± 0.5 vs. 0.4 ± 0.4 and 0.4 ± 0.4 times/day) or sugar (0.6 ± 0.9 vs. 0.4 ± 0.7 and 0.2 ± 0.5 times/day) for participants not reporting diabetes, participants with self-reported diabetes not on a diet and on a diet, respectively. Compared to participants not on a diet, participants on a diet had a higher consumption of vegetables (1.8 ± 1.3 vs. 1.4 ± 1.0 portions/day), while no differences were found regarding all other food groups and nutrients. Participants with self-reported diabetes on a diet had a higher consumption of meat (5.6 ± 3.6 vs. 4.8 ± 2.9 portions/week) and a lower consumption of simple carbohydrates (21.0 ± 7.9 vs. 23.5 ± 8.4 % total energy intake) than participants not reporting diabetes.
  
  
  CONCLUSIONS
  People with diabetes eat less simple carbohydrates, but do not comply with current advice on fish, nuts, fruits and vegetables. Improvement of the dietary intake in persons with diabetes in Switzerland is needed.
authors.affiliation: Department of Internal Medicine, BH10-642, Internal Medicine, Lausanne University Hospital (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland. pedro.marquesvidal@gmail.com.
authors.forename: Pedro
authors.initials: P
authors.lastname: Marques-Vidal
authors.affiliation: Department of Internal Medicine, BH10-642, Internal Medicine, Lausanne University Hospital (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.
authors.forename: Peter
authors.initials: P
authors.lastname: Vollenweider
authors.affiliation: Department of Internal Medicine, BH10-642, Internal Medicine, Lausanne University Hospital (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Grange
authors.affiliation: Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, 1010, Lausanne, Switzerland.|Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Idris
authors.initials: I
authors.lastname: Guessous
authors.affiliation: Department of Internal Medicine, BH10-642, Internal Medicine, Lausanne University Hospital (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.
authors.forename: Gérard
authors.initials: G
authors.lastname: Waeber
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D004032:Diet; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D005638:Fruit; D006801:Humans; D016015:Logistic Models; D008297:Male; D008460:Meat; D008875:Middle Aged; D015596:Nutrition Assessment; D009754:Nuts; D010349:Patient Compliance; D017747:Seafood; D013557:Switzerland; D014675:Vegetables
chemical_list: D004040:Dietary Carbohydrates
keywords: Artificial sweeteners; Cross-sectional study; Diabetes; Dietary composition; Dietary management; Sugar; Switzerland