The amount and type of dairy product intake and incident type 2 diabetes: results from the EPIC-InterAct Study

被引:179
作者
Sluijs, Ivonne [2 ]
Forouhi, Nita G. [1 ]
Beulens, Joline W. J. [2 ]
van der Schouw, Yvonne T. [2 ]
Agnoli, Claudia [3 ]
Arriola, Larraitz [4 ]
Balkau, Beverley [5 ]
Barricarte, Aurelio [6 ]
Boeing, Heiner [7 ]
Bueno-de-Mesquita, H. Bas [8 ,9 ]
Clavel-Chapelon, Francoise [5 ]
Crowe, Francesca L. [10 ]
de Lauzon-Guillain, Blandine [5 ]
Drogan, Dagmar [7 ]
Franks, Paul W. [11 ,12 ]
Gavrila, Diana [13 ]
Gonzalez, Carlos [14 ]
Halkjaer, Jytte [15 ]
Kaaks, Rudolf [16 ]
Moskal, Aurelie [17 ]
Nilsson, Peter [12 ]
Overvad, Kim [18 ]
Palli, Domenico [19 ]
Panico, Salvatore [20 ]
Quiros, Jose R. [21 ]
Ricceri, Fulvio [22 ]
Rinaldi, Sabina [17 ]
Rolandsson, Olov [11 ]
Sacerdote, Carlotta [23 ]
Sanchez, Maria-Jose [24 ]
Slimani, Nadia [17 ]
Spijkerman, Annemieke M. W. [8 ]
Teucher, Birgit [16 ]
Tjonneland, Anne [15 ]
Tormo, Maria-Jose [13 ]
Tumino, Rosario [25 ,26 ]
van der A, Daphne L. [8 ]
Sharp, Stephen J.
Langenberg, Claudia
Feskens, Edith J. M. [27 ]
Riboli, Elio [28 ]
Wareham, Nicholas J.
机构
[1] Addenbrookes Hosp, Inst Metab Sci, MRC Epidemiol Unit, Cambridge CB2 0QQ, England
[2] Univ Med Ctr Utrecht, Utrecht, Netherlands
[3] Nutr Epidemiol Unit, Milan, Italy
[4] Publ Hlth Div Gipuzkoa, San Sebastian, Spain
[5] INSERM, Villejuif, France
[6] Epidemiol Prevent & Promot Hlth Serv, Pamplona, Spain
[7] German Inst Human Nutr, Potsdam, Germany
[8] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands
[9] Univ Med Ctr Utrecht, Dept Gastroenterol & Hepatol, Utrecht, Netherlands
[10] Univ Oxford, Oxford, England
[11] Umea Univ, Umea, Sweden
[12] Lund Univ, Malmo, Sweden
[13] Murcia Reg Hlth Author, Murcia, Spain
[14] Catalan Inst Oncol, Barcelona, Spain
[15] Danish Canc Soc, Copenhagen, Denmark
[16] German Canc Res Ctr, D-6900 Heidelberg, Germany
[17] Int Agcy Res Canc, F-69372 Lyon, France
[18] Sch Publ Hlth, Aarhus, Denmark
[19] Canc Res & Prevent Inst, Florence, Italy
[20] Univ Naples Federico II, Dept Clin & Expt Med, Naples, Italy
[21] Asturias Hlth & Hlth Care Council, Oviedo, Spain
[22] Human Genet Fdn HuGeF, Turin, Italy
[23] Ctr Canc Prevent, Turin, Italy
[24] Andalusian Sch Publ Hlth, Granada, Spain
[25] Canc Registry, Ragusa, Italy
[26] Histopathol Unit, Ragusa, Italy
[27] Univ Wageningen, Wageningen, Netherlands
[28] Univ London Imperial Coll Sci Technol & Med, London, England
基金
瑞典研究理事会;
关键词
INSULIN-RESISTANCE SYNDROME; METABOLIC RISK-FACTORS; MILK-FAT; MYOCARDIAL-INFARCTION; DIETARY CALCIUM; VITAMIN-D; CONSUMPTION; CANCER; MAGNESIUM; DESIGN;
D O I
10.3945/ajcn.111.021907
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Dairy product intake may be inversely associated with risk of type 2 diabetes, but the evidence is inconclusive for total dairy products and sparse for types of dairy products. Objective: The objective was to investigate the prospective association of total dairy products and different dairy subtypes with incidence of diabetes in populations with marked variation of intake of these food groups. Design: A nested case-cohort within 8 European countries of the European Prospective Investigation into Cancer and Nutrition Study (n = 340,234; 3.99 million person-years of follow-up) included a random subcohort (n = 16,835) and incident diabetes cases (n = 12,403). Baseline dairy product intake was assessed by using dietary questionnaires. Country-specific Prentice-weighted Cox regression HRs were calculated and pooled by using a random-effects meta-analysis. Results: Intake of total dairy products was not associated with diabetes (HR for the comparison of the highest with the lowest quintile of total dairy products: 1.01; 95% CI: 0.83, 1.34; P-trend = 0.92) in an analysis adjusted for age, sex, BMI, diabetes risk factors, education, and dietary factors. Of the dairy subtypes, cheese intake tended to have an inverse association with diabetes (HR: 0.88; 95% CI: 0.76, 1.02; P-trend = 0.01), and a higher combined intake of fermented dairy products (cheese, yogurt, and thick fermented milk) was inversely associated with diabetes (HR: 0.88; 95% CI: 0.78, 0.99; P-trend = 0.02) in adjusted analyses that compared extreme quintiles: Conclusions: This. large prospective study found no association between total dairy product intake and diabetes risk. An inverse association of cheese intake and combined. fermented dairy product intake with diabetes is suggested, which merits further study. Ant J Clin Nutr 2012;96:382-90.
引用
收藏
页码:382 / 390
页数:9
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