Dietary Factors Determining Diabetes and Impaired Glucose Tolerance: A 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study

Feskens, Edith J. M.; Virtanen, Suvi Μ.; Rásänen, Leena; Tuomilehto, Jaakko; Stengård, Jari H.; Pekkanen, Juha; Nissinen, Aulikki; Kromhout, Daan

doi:10.2337/diacare.18.8.1104

Cited by 437 publications

(304 citation statements)

References 0 publications

Supporting

Mentioning

269

Contrasting

Unclassified

Order By: Relevance

“…Although the controversy in earlier data concerning marine fatty acids and glucose metabolism (Salomaa et al, 1990;Feskens et al, 1991Feskens et al, , 1995Borkman et al, 1993;Adler et al, 1994;Vessby et al, 1994aVessby et al, , b, 2001Pan et al, 1995;Marshall et al, 1997;Baur et al, 1998;Gustafsson et al, 1998;Bjerregaard et al, 2000;Ekblond et al, 2000;Mori et al, 2000;Hu et al, 2001;Salmeró n et al, 2001;Dewailly et al, 2001a, b;van Dam et al, 2002;Wang et al, 2003;Harding et al, 2004;Thorsdottir et al, 2004) may be partly explained by different doses and durations of supplementation in intervention studies, and by different background diets between the study populations, inclusion of subjects with different PPARG Pro12Ala genotypes could also influence the outcome of the study. That PPARG genotype may affect the associations of dietary fat composition with insulin concentrations (Luan et al, 2001) and serum triacylglycerol response to fish oil supplementation (Lindi et al, 2003) was suggested previously.…”

Section: Discussionmentioning

confidence: 99%

“…Especially, long-chain nÀ3 polyunsaturated fatty acids have been found to be associated with enhanced glucose metabolism (Feskens et al, 1991;Adler et al, 1994;Feskens et al, 1995;Baur et al, 1998;Ekblond et al, 2000;Hu et al, 2001;Salmeró n et al, 2001;Thorsdottir et al, 2004) and to lower serum free fatty acid (FFA) concentrations (Gustafsson et al, 1998), although there are also contradictory results (Salomaa et al, 1990;Borkman et al, 1993;Vessby et al, 1994aVessby et al, , b, 2001Pan et al, 1995;Marshall et al, 1997;Bjerregaard et al, 2000;Mori et al, 2000;Dewailly et al, 2001a, b;van Dam et al, 2002;Wang et al, 2003;Harding et al, 2004). It is not known whether some of the discrepancies in previous results could be attributed to differences in the genetic background of the subjects.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Pro12Ala polymorphism of the PPAR-γ2 gene affects associations of fish intake and marine n−3 fatty acids with glucose metabolism

Ylonen

Salminen

Lyssenko³

et al. 2007

Eur J Clin Nutr

View full text Add to dashboard Cite

Background/Objectives: Data on associations between marine nÀ3 fatty acids and glucose metabolism are inconsistent. Therefore, we explored effects of the Pro12Ala polymorphism in peroxisome proliferator-activated receptor (PPAR)-g2 gene on associations of fish intake and dietary and plasma eicosapentaenoic and docosahexaenoic acid with glucose metabolism. The design comprises of the cross-sectional analysis. Subjects/Methods: The Pro12Ala variant in the PPAR-g2 (PPARG) gene was genotyped in 571 non-diabetic relatives of subjects with type II diabetes. The dietary intake was measured by a 3-day food record, and the plasma cholesterol ester fatty acid composition was analysed with gas chromatography. Associations of dietary and plasma variables with insulin resistance and fasting and 2-h glucose and free fatty acid concentrations were analysed with multiple linear regression analysis. Results: In men, there was a significant interaction between PPARG polymorphism and plasma docosahexaenoic acid on fasting free fatty acid concentration (P ¼ 0.036), and genotype-stratified models showed an inverse association in Pro homozygotes only (P ¼ 0.028). In women, the proportion of plasma eicosapentaenoic acid was higher in Ala-allele carriers compared to Pro homozygotes (1.67 vs 1.44% respectively, P ¼ 0.006). A significant interaction between PPARG polymorphism and fish intake on 2-h glucose was found in women (P ¼ 0.021), and genotype-stratified models suggested an inverse association in Ala-allele carriers only (P ¼ 0.039). Conclusions: The findings suggest that PPARG polymorphism might affect the plasma proportion of eicosapentaenoic acid and modulate the associations of fish intake and marine nÀ3 fatty acids with glucose metabolism and fasting free fatty acids.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Pro12Ala polymorphism of the PPAR-γ2 gene affects associations of fish intake and marine n−3 fatty acids with glucose metabolism

Ylonen

Salminen

Lyssenko³

et al. 2007

Eur J Clin Nutr

View full text Add to dashboard Cite

show abstract

“…A low-risk diet was defined as a diet low in trans fat, glycemic load, high in cereal fiber and polyunsaturated to saturated fat ratio. This latest study adds to the body of literature linking the role of diet as a risk factor for the development of diabetes (Jenkins et al, 1988;Salmeron et al, 1997;Munoz et al, 1979;Feskens et al, 1991Feskens et al, , 1995Williams et al, 1999).…”

Section: Discussionmentioning

confidence: 89%

“…In particular, among Hong Kong Chinese, the prevalence appears to be rising (Cockram et al, 1993;Janus et al, 2000), the latest figures for 1995 for men and women being 2.0 and 1.4% for those aged 25 -34 to 21.7 and 29.3% at age 65 -74 y. Dietary factors have been shown to contribute to the development of glucose intolerance. Thus foods with high glycemic index (Jenkins et al, 1988;Salmeron et al, 1997), low dietary fibre (Salmeron et al, 1997;Munoz et al, 1979), carbohydrate-rich foods, excessive energy intake (Feskens et al, 1991), and high fat intake (particularly saturated fats; Feskens et al, 1995) may predispose to glucose intolerance. On the other hand, high intakes of fish, potato, vegetable, legume and vitamin C are inversely associated with the development of diabetes mellitus (Feskens et al, 1995;Williams et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

“…Thus foods with high glycemic index (Jenkins et al, 1988;Salmeron et al, 1997), low dietary fibre (Salmeron et al, 1997;Munoz et al, 1979), carbohydrate-rich foods, excessive energy intake (Feskens et al, 1991), and high fat intake (particularly saturated fats; Feskens et al, 1995) may predispose to glucose intolerance. On the other hand, high intakes of fish, potato, vegetable, legume and vitamin C are inversely associated with the development of diabetes mellitus (Feskens et al, 1995;Williams et al, 1999). The traditional Chinese diet, with low fat content, plentiful vegetables (Woo et al, 2001) and rice based (which has a lower glycemic index than potatoes; Foster-Powell & Miller, 1995), would be expected to reduce the likelihood of development of glucose intolerance.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diet and glucose tolerance in a Chinese population

Woo

Sham

et al. 2003

Eur J Clin Nutr

View full text Add to dashboard Cite

Background: Associations between dietary factors and glucose tolerance observed in Caucasian populations may not be applicable to Chinese populations, since the traditional Chinese diet contains plentiful vegetables and is rice-based (which has a lower glycemic index than potatoes). To address this question, the dietary patterns in 988 Hong Kong Chinese subjects with normal and impaired glucose tolerance, and diabetes, were examined in a cross sectional survey to determine if there is any association between diet and glucose tolerance. Method: A stratified random population sample of 988 subjects (488 male, 500 female) was recruited. A food frequency questionnaire was used to determine dietary intake, and glucose tolerance was examined using the glucose tolerance test and the WHO criteria used to classify subjects into the three glucose tolerance categories. Results: Using the standardized world population of Segi, the prevalence rate for DM was 6.6% for men and 5.7% for women; and for IGT 10.3% for men and 15.4% for women aged 30 -64 y. Abnormal glucose tolerance is associated with female gender, older age, lower educational attainment and higher body mass index (BMI). No clear pattern of association with dietary factors was observed after adjusting for confounding factors. However, if subjects with BMI ! 25 kg=m 2 were excluded, an increase in mean consumption of rice=noodles=pasta per week was observed in the DM group, after adjusting for total energy intake and other confounding factors. No association between dietary variety, which has been linked with body fatness, and glucose tolerance, was observed. Conclusion: Dietary habit may not be a strong risk factor for the development of glucose intolerance in Chinese populations, given the favorable features of the Chinese diet. The high consumption of rice in the DM subjects who are of normal BMI suggests that further studies examining glycemic indices of Chinese food items may be beneficial. Obesity still remains the most important predisposing factor.

show abstract

Prospective Study of Dietary Carbohydrates, Glycemic Index, Glycemic Load, and Incidence of Type 2 Diabetes Mellitus in Middle-aged Chinese Women

Villegas¹,

Liu²,

Gao³

et al. 2007

Arch Intern Med

367

350

View full text Add to dashboard Cite

Background: Much uncertainty exists about the role of dietary glycemic index and glycemic load in the development of type 2 diabetes mellitus, especially in populations that traditionally subsist on a diet high in carbohydrates. Methods: We observed a cohort of 64 227 Chinese women with no history of diabetes or other chronic disease at baseline for 4.6 years. In-person interviews were conducted to collect data on dietary habits, physical activity, and other relevant information using a validated questionnaire. Incident diabetes cases were identified via in-person follow-up. Associations between dietary carbohydrate intake, glycemic index, and glycemic load and diabetes incidence were evaluated using multivariable Cox proportional hazards models. Results: We identified 1608 incident cases of type 2 diabetes mellitus in 297 755 person-years of follow-up. Dietary carbohydrate intake and consumption of rice were positively associated with risk of developing type 2 diabetes mellitus. The multivariable-adjusted estimates of relative risk comparing the highest vs the lowest quintiles of intake were 1.28 (95% confidence interval, 1.09-1.50) for carbohydrates and 1.78 (95% confidence interval, 1.48-2.15) for rice. The relative risk for increasing quintiles of intake was 1.00, 1.04, 1.02, 1.09, and 1.21 (95% confidence interval, 1.03-1.43) for dietary glycemic index and 1.00, 1.06, 0.97, 1.23, and 1.34 (95% confidence interval, 1.13-1.58) for dietary glycemic load. Conclusion: High intake of foods with a high glycemic index and glycemic load, especially rice, the main carbohydrate-contributing food in this population, may increase the risk of type 2 diabetes mellitus in Chinese women.

show abstract

Dietary Factors Determining Diabetes and Impaired Glucose Tolerance: A 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study

Cited by 437 publications

References 0 publications

The Pro12Ala polymorphism of the PPAR-γ2 gene affects associations of fish intake and marine n−3 fatty acids with glucose metabolism

The Pro12Ala polymorphism of the PPAR-γ2 gene affects associations of fish intake and marine n−3 fatty acids with glucose metabolism

Diet and glucose tolerance in a Chinese population

Prospective Study of Dietary Carbohydrates, Glycemic Index, Glycemic Load, and Incidence of Type 2 Diabetes Mellitus in Middle-aged Chinese Women

Contact Info

Product

Resources

About