Polyphenol exposure and risk of type 2 diabetes: dose-response meta-analyses and systematic review of prospective cohort studies

被引:108
作者
Rienks, Johanna [1 ]
Barbaresko, Janett [1 ]
Oluwagbemigun, Kolade [1 ]
Schmid, Matthias [2 ]
Noethlings, Ute [1 ]
机构
[1] Univ Bonn, Dept Nutr & Food Sci, Nutr Epidemiol, North Rhine Westphalia, Germany
[2] Univ Hosp Bonn, Dept Med Biometry Informat & Epidemiol, Sigmund Freud Str 25, D-53127 Bonn, Germany
关键词
polyphenols; flavonoids; cohort; observational; epidemiology; dose-response meta-analysis; diabetes; POTENTIALLY ANTICARCINOGENIC FLAVONOIDS; DIETARY FLAVONOIDS; ISOFLAVONE INTAKE; CHRONIC DISEASE; FOOD SOURCES; CONSUMPTION; VEGETABLES; MELLITUS; FRUITS; ASSOCIATIONS;
D O I
10.1093/ajcn/nqy083
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: Type 2 diabetes is characterized by impaired glucose metabolism. Bioactive compounds in fruits and vegetables such as polyphenols have been suggested to influence glucose metabolism. Objective: The aim of the current study was to systematically review the literature and conduct dose-responsemeta-analyses to summarize evidence of polyphenol exposure in association with incident type 2 diabetes. Design: Prospective epidemiologic studies published before January 2018 were searched through 2 databases. Log-transformed multivariable adjusted hazard and odds ratios were combined in a random-effects model. Meta-analyses comparing extreme quantiles of polyphenol exposure were further explored with the use of linear and nonlinear dose-response meta-analyses. Results: Eighteen studies investigated the association between polyphenols (51 different compounds in total) and type 2 diabetes. A comparison of extreme quantiles revealed inverse associations for intakes of polyphenols (HR: 0.56; 95% CI: 0.34, 0.93), flavonoids (HR: 0.88; 95% CI: 0.81, 0.96), flavonols (HR: 0.92; 95% CI: 0.85, 0.98), flavan-3-ols (HR: 0.89; 95% CI: 0.81, 0.99), catechins (HR: 0.86; 95% CI: 0.75, 0.97), anthocyanidins (HR: 0.86; 95% CI: 0.81, 0.91), isoflavones (HR: 0.92; 95% CI: 0.86, 0.97), daidzein (HR: 0.89; 95% CI: 0.83, 0.95), genistein (HR: 0.92; 95% CI: 0.86, 0.99), and stilbenes (HR: 0.44; 95% CI: 0.26, 0.72), and biomarkers of daidzein (HR: 0.81; 95% CI: 0.66, 0.99) and genistein (HR: 0.79; 95% CI: 0.62, 0.99). In the dose-response meta-analysis, nonlinear associations were observed for intakes of polyphenols, flavonoids, flavanones, anthocyanidins, anthocyanins, and biomarkers of genistein. A linear dose-response association was observed for phenolic acids. Conclusions: This study adds to the evidence showing that diets rich in polyphenols, and particularly flavonoids, play a role in the prevention of type 2 diabetes. For most associations evidence for nonlinearity was found, suggesting a recommendable amount of intake associated with the lowest risk of type 2 diabetes. Therefore, future studies are warranted in which nonlinear associations are further explored.
引用
收藏
页码:49 / 61
页数:13
相关论文
共 54 条
[1]  
[Anonymous], R LANG ENV STAT COMP
[2]   Whole grain and refined grain consumption and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies [J].
Aune, Dagfinn ;
Norat, Teresa ;
Romundstad, Pal ;
Vatten, Lars J. .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2013, 28 (11) :845-858
[3]   Multivariate Dose-Response Meta-Analysis: The dosresmeta R Package [J].
Crippa, Alessio ;
Orsini, Nicola .
JOURNAL OF STATISTICAL SOFTWARE, 2016, 72 (CS1)
[4]   Dietary phenolics: chemistry, bioavailability and effects on health [J].
Crozier, Alan ;
Jaganath, Indu B. ;
Clifford, Michael N. .
NATURAL PRODUCT REPORTS, 2009, 26 (08) :1001-1043
[5]   METAANALYSIS IN CLINICAL-TRIALS [J].
DERSIMONIAN, R ;
LAIRD, N .
CONTROLLED CLINICAL TRIALS, 1986, 7 (03) :177-188
[6]   Consumption of soy foods and isoflavones and risk of type 2 diabetes: a pooled analysis of three US cohorts [J].
Ding, M. ;
Pan, A. ;
Manson, J. E. ;
Willett, W. C. ;
Malik, V. ;
Rosner, B. ;
Giovannucci, E. ;
Hu, F. B. ;
Sun, Q. .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2016, 70 (12) :1381-1387
[7]   Urinary isoflavonoids and risk of type 2 diabetes: a prospective investigation in US women [J].
Ding, Ming ;
Franke, Adrian A. ;
Rosner, Bernard A. ;
Giovannucci, Edward ;
van Dam, Rob M. ;
Tworoger, Shelley S. ;
Hu, Frank B. ;
Sun, Qi .
BRITISH JOURNAL OF NUTRITION, 2015, 114 (10) :1694-1701
[8]   Caffeinated and Decaffeinated Coffee Consumption and Risk of Type 2 Diabetes: A Systematic Review and a Dose-Response Meta-analysis [J].
Ding, Ming ;
Bhupathiraju, Shilpa N. ;
Chen, Mu ;
van Dam, Rob M. ;
Hu, Frank B. .
DIABETES CARE, 2014, 37 (02) :569-586
[9]   Bias in meta-analysis detected by a simple, graphical test [J].
Egger, M ;
Smith, GD ;
Schneider, M ;
Minder, C .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7109) :629-634
[10]   METHODS FOR TREND ESTIMATION FROM SUMMARIZED DOSE-RESPONSE DATA, WITH APPLICATIONS TO METAANALYSIS [J].
GREENLAND, S ;
LONGNECKER, MP .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1992, 135 (11) :1301-1309