Adherence to predefined dietary patterns and incident type 2 diabetes in European populations: EPIC-InterAct Study

被引：63

作者：

Kroeger, Janine ^{[1
]}

Schulze, Matthias B. ^{[1
]}

Romaguera, Dora ^{[2
,3
]}

Guevara, Marcela ^{[4
,5
]}

Buijsse, Brian ^{[6
]}

Boeing, Heiner ^{[1
]}

Beulens, Joline W. J. ^{[7
]}

Feskens, Edith J. M. ^{[8
]}

Amiano, Pilar ^{[9
,10
,11
]}

Ardanaz, Eva ^{[4
,11
]}

Agnoli, Claudia ^{[12
]}

Buckland, Genevieve ^{[13
]}

Clavel-Chapelon, Francoise ^{[14
,15
]}

Dahm, Christina C. ^{[16
]}

Fagherazzi, Guy ^{[14
,15
]}

Franks, Paul W. ^{[17
,18
]}

Kaaks, Rudolf ^{[19
]}

Key, Timothy J. ^{[20
]}

Khaw, Kay Tee ^{[21
]}

Lajous, Martin ^{[14
,15
,22
]}

Mattiello, Amalia ^{[23
]}

Menendez Garcia, Virginia ^{[24
]}

Navarro, Carmen ^{[11
,25
,26
]}

Nilsson, Peter M. ^{[17
]}

Overvad, Kim ^{[16
,27
]}

Palli, Domenico ^{[28
]}

Ricceri, Fulvio ^{[29
,30
]}

Rolandsson, Olov ^{[18
]}

Sanchez, Maria-Jose ^{[11
,31
]}

Slimani, Nadia ^{[32
]}

Spijkerman, Annemieke M. W. ^{[33
]}

Tjonneland, Anne ^{[34
]}

Tumino, Rosario ^{[35
,36
,37
]}

van der A, Daphne L. ^{[33
]}

Langenberg, Claudia ^{[38
]}

Sharp, Stephen J. ^{[38
]}

Forouhi, Nita G. ^{[38
]}

Riboli, Elio ^{[2
]}

Wareham, Nicholas J. ^{[38
]}

机构：

[1] German Inst Human Nutr Potsdam Rehbrucke, Dept Mol Epidemiol, D-14558 Nuthetal, Germany

[2] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Dept Epidemiol & Biostat, London SW7 2AZ, England

[3] CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid, Spain

[4] Navarre Publ Hlth Inst, Pamplona, Spain

[5] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[6] German Inst Human Nutr Potsdam Rehbrucke, Dept Epidemiol, D-14558 Nuthetal, Germany

[7] Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands

[8] Wageningen Univ, Div Human Nutr, Sect Nutr & Epidemiol, NL-6700 AP Wageningen, Netherlands

[9] Publ Hlth Div Gipuzkoa, San Sebastian, Spain

[10] Basque Govt, Inst BIO Donostia, San Sebastian, Spain

[11] CIBERESP, Madrid, Spain

[12] Fdn IRCCS, Ist Nazl Tumori, Milan, Italy

[13] Catalan Inst Oncol ICO IDIBELL, Canc Epidemiol Res Programme, Unit Nutr Environm & Canc, Barcelona, Spain

[14] INSERM, Ctr Res Epidemiol & Populat Hlth CESP, Villejuif, France

[15] Univ Paris 11, Villejuif, France

[16] Aarhus Univ, Dept Publ Hlth, Epidemiol Sect, DK-8000 Aarhus C, Denmark

[17] Lund Univ, Dept Clin Sci, Malmo, Sweden

[18] Umea Univ, Dept Publ Hlth & Clin Med, S-90187 Umea, Sweden

[19] German Canc Res Ctr, Heidelberg, Germany

[20] Univ Oxford, Canc Epidemiol Unit, Oxford, England

[21] Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge CB2 1TN, England

[22] Natl Inst Publ Hlth Mexico, Ctr Res Populat Hlth, Cuernavaca, Morelos, Mexico

[23] Univ Naples Federico II, Dipartimento Med Clin & Chirurg, Naples, Italy

[24] Publ Hlth Directorate, Asturias, Spain

[25] Murcia Reg Hlth Council, Dept Epidemiol, Murcia, Spain

[26] Univ Murcia, Dept Hlth & Social Sci, E-30001 Murcia, Spain

[27] Aarhus Univ Hosp, Aalborg Hosp, Cardiovasc Res Ctr, Dept Cardiol, Aalborg, Denmark

[28] Canc Res & Prevent Inst ISPO, Mol & Nutr Epidemiol Unit, Florence, Italy

[29] Human Genet Fdn HuGeF, Turin, Italy

[30] AO Ordine Mauriziano Torino, Turin, Italy

[31] Andalusian Sch Publ Hlth, Granada, Spain

[32] Int Agcy Res Canc, F-69372 Lyon, France

[33] Natl Inst Publ Hlth & Environm RIVM, Bilthoven, Netherlands

[34] Danish Canc Soc, Res Ctr, Copenhagen, Denmark

[35] Civile MP Arezzo Hosp, Canc Registry, Ragusa, Italy

[36] Civile MP Arezzo Hosp, Histopathol Unit, Ragusa, Italy

[37] Assoc Iblea Ric Epidemiol Onlus, Ragusa, Italy

[38] MRC, Epidemiol Unit, Cambridge, England

来源：

DIABETOLOGIA | 2014年 / 57卷 / 02期

基金：

英国医学研究理事会; 瑞典研究理事会; 荷兰研究理事会;

关键词：

Alternative Healthy Eating Index; Case-cohort; Dietary Approaches to Stop Hypertension; Dietary patterns; Reduced rank regression; Type; 2; diabetes; FATTY-ACIDS; MEDITERRANEAN DIET; INSULIN-RESISTANCE; PHYSICAL-ACTIVITY; QUALITY INDEX; RISK-FACTORS; DASH DIET; CANCER; QUESTIONNAIRE; DISEASE;

D O I：

10.1007/s00125-013-3092-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Few studies have investigated the relationship between predefined dietary patterns and type 2 diabetes incidence; little is known about the generalisability of these associations. We aimed to assess the association between predefined dietary patterns and type 2 diabetes risk in European populations. From among a case-cohort of 12,403 incident diabetes cases and 16,154 subcohort members nested within the prospective European Prospective Investigation into Cancer and Nutrition study, we used data on 9,682 cases and 12,595 subcohort participants from seven countries. Habitual dietary intake was assessed at baseline with country-specific dietary questionnaires. Two diet-quality scores (alternative Healthy Eating Index [aHEI], Dietary Approaches to Stop Hypertension [DASH] score) and three reduced rank regression (RRR)-derived dietary-pattern scores were constructed. Country-specific HRs were calculated and combined using a random-effects meta-analysis. After multivariable adjustment, including body size, the aHEI and DASH scores were not significantly associated with diabetes, although for the aHEI there was a tendency towards an inverse association in countries with higher mean age. We observed inverse associations of the three RRR-derived dietary-pattern scores with diabetes: HRs (95% CIs) for a 1-SD difference were 0.91 (0.86, 0.96), 0.92 (0.84, 1.01) and 0.87 (0.82, 0.92). Random-effects meta-analyses revealed heterogeneity between countries that was explainable by differences in the age of participants or the distribution of dietary intake. Adherence to specific RRR-derived dietary patterns, commonly characterised by high intake of fruits or vegetables and low intake of processed meat, sugar-sweetened beverages and refined grains, may lower type 2 diabetes risk.

引用

页码：321 / 333

页数：13

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