Dietary patterns and type 2 diabetes among Ghanaian migrants in Europe and their compatriots in Ghana: the RODAM study

被引:23
作者
Galbete, Cecilia [1 ]
Nicolaou, Mary [2 ]
Meeks, Karlijn [2 ]
Klipstein-Grobusch, Kerstin [3 ,4 ]
Aikins, Ama de-Graft [5 ]
Addo, Juliet [6 ]
Amoah, Stephen K. [7 ,8 ]
Smeeth, Liam [6 ]
Owusu-Dabo, Ellis [9 ]
Spranger, Joachim [8 ,10 ]
Agyemang, Charles [2 ]
Mockenhaupt, Frank P. [7 ,8 ]
Beune, Erik [2 ]
Stronks, Karien [2 ]
Schulze, Matthias B. [1 ]
Danquah, Ina [1 ,8 ,11 ]
机构
[1] German Inst Human Nutr Potsdam Rehbruecke DIfE, Dept Mol Epidemiol, Nuthetal, Germany
[2] Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Acad Med Ctr, Dept Publ Hlth, Amsterdam, Netherlands
[3] Univ Utrecht, Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Julius Global Hlth, Utrecht, Netherlands
[4] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, Div Epidemiol & Biostat, Johannesburg, South Africa
[5] Univ Ghana, Reg Inst Populat Studies, Legon, Ghana
[6] London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, Dept Non Communicable Dis Epidemiol, London, England
[7] Humboldt Univ, Freie Univ Berlin, Charite Univ Med Berlin, Inst Trop Med & Int Hlth, Berlin, Germany
[8] Berlin Inst Hlth, Berlin, Germany
[9] Kwame Nkrumah Univ Sci & Technol, Sch Publ Hlth, Dept Global & Int Hlth, Kumasi, Ghana
[10] Humboldt Univ, Freie Univ Berlin, Charite Univ Med Berlin, Dept Endocrinol & Metab Dis, Berlin, Germany
[11] Humboldt Univ, Freie Univ Berlin, Charite Univ Med Berlin, Inst Social Med Epidemiol & Hlth Econ, Berlin, Germany
来源
NUTRITION & DIABETES | 2018年 / 8卷
基金
欧盟第七框架计划;
关键词
MEAT CONSUMPTION; PREVALENCE; METAANALYSIS; PREVENTION; MANAGEMENT; RISK;
D O I
10.1038/s41387-018-0029-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/objectives We aimed to study the associations of dietary patterns (DPs) with type 2 diabetes (T2D) among Ghanaian adults. Subjects/methods In the multi-centre, cross-sectional RODAM (Research on Obesity and Diabetes among African Migrants) study (n = 4543), three overall DPs ("mixed", "rice, pasta, meat and fish," and "roots, tubers and plantain") and two site-specific DPs per study site (rural Ghana, urban Ghana and Europe) were identified by principal component analysis. The DPs-T2D associations were calculated by logistic regression models. Results Higher adherence to the "rice, pasta, meat and fish" DP (characterized by legumes, rice/pasta, meat, fish, cakes/sweets, condiments) was associated with decreased odds of T2D, adjusted for socio-demographic factors, total energy intake and adiposity measures (odds ratio (OR) per 1 SD = 0.80; 95% confidence interval (CI) = 0.70-0.92). Similar DPs and T2D associations were discernible in urban Ghana and Europe. In the total study population, neither the "mixed" DP (whole grain cereals, sweet spreads, dairy products, potatoes, vegetables, poultry, coffee/tea, sodas/juices, olive oil) nor the "roots, tubers and plantain" DP (refined cereals, fruits, nuts/seeds, roots/tubers/plantain, fermented maize products, legumes, palm oil, condiments) was associated with T2D. Yet, after the exclusion of individuals with self-reported T2D, the "roots, tubers and plantain" DP was inversely associated with T2D (ORper 1 SD = 0.88; 95% CI = 0.69-1.12). Conclusion In this Ghanaian population, DPs characterized by the intake of legumes, fish, meat and confectionery were inversely associated with T2D. The effect of a traditional-oriented diet (typical staples, vegetables and legumes) remains unclear.
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页数:12
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