Dietary Patterns and the Incidence of Type 2 Diabetes

Montonen, Jukka; Knekt, Paul; Härkänen, Tommi; Järvinen, Ritva; Heliövaara, Markku; Aromaa, Arpo; Reunanen, Antti

doi:10.1093/aje/kwi039

Cited by 220 publications

(195 citation statements)

References 43 publications

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“…Factor 3 positively correlated with income and education and negatively correlated with BMI, fasting, and 2-hr glucose. Two out of three dietary patterns identified by the current study were similar to previously reported patterns labeled as "Prudent" (factor 1) and "Western" (factor 3) patterns in Native Canadian (21), British (22), US (23) and Finnish studies (24). However, unlike the association of these dietary patterns with T2DM in other studies, our results did not show any association between factor 1 or factor 3 and T2DM prevalence.…”

Section: Discussionsupporting

confidence: 74%

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

et al. 2008

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Objective-The association of type 2 diabetes (T2DM) with the overall dietary pattern and its relation with ethnicity were examined.Methods-A cross-sectional study with 1257 participants with four ethnicities (Caucasian, Filipino, Native Hawaiian and Japanese) in the North Kohala region of Hawaii was conducted. Participants aged 18-95 years were surveyed for their ethnic and demographic backgrounds, dietary intakes and biochemical indexes of glucose intolerance between 1997 and 2000.Results-Three dietary patterns from the food frequency questionnaire were identified by factor analysis. Factor 1 was characterized by a healthy diet with a frequent intake of vegetables and fruits, and factor 2 was dominated by animal foods and local ethnic dishes. Factor 3 was characterized by a Western diet, which was dominated by French fries, fast-food hamburgers, pizza, and chips. Multivariate logistic regression model for the T2DM prevalence included ethnicity and 3 dietary factors after adjustment for age, sex, BMI, income, physical activity, smoking status and energy intake. Ethnicity was significantly associated with T2DM showing odds ratios (OR's) for Native Hawaiians and Filipinos compared to Caucasians are 1.83 (95% CI 1.12-3.00) and 1.92 (95% CI 1.12-3.29), respectively. Among the three dietary factors, factor 2 HSK prepared the draft of the manuscript; HSK and CW contributed to the conception and design of the study; AG and CW contributed to the generation, collection and assembly of data; SYP, AG and PSH contributed to analysis and interpretation of data; All coauthors contributed to the revision of the manuscript and approved the final version of the manuscript.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author ManuscriptAuthor Manuscript Author ManuscriptAuthor Manuscript was positively associated with T2DM (OR=1.30, 95% CI of 1.03-1.68), but the significance disappeared after adjustment for energy intake.Conclusions-The findings show that ethnicity is a stronger risk factor for T2DM than dietary patterns when energy intake is adjusted for. Reducing energy intake to prevent T2DM deserves more attention during health promotion for the multiethnic population of Hawaii.

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Section: Discussionsupporting

confidence: 74%

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

et al. 2008

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“…A pattern characterized by higher intake of fruits and vegetables (prudent pattern) was associated with a reduced risk of type II diabetes, whereas a pattern characterized by higher intake of foods typical of Western diets, including processed meat, French fry, sugarsweetened beverages, food with high glycemic load, was associated with an increased risk. 74,75 To combat the epidemic of overweight at a population level, it is important to develop strategies to increase habitual physical activity and to prevent overweight and obesity in collaboration with communities, families, schools, work sites, health-care professionals, media and policymakers.…”

Section: Discussionmentioning

confidence: 99%

Obesity and sexual dysfunction, male and female

et al. 2008

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Obesity has become a worldwide public health problem of epidemic proportions, as it may decrease life expectancy by 7 years at the age of 40 years: excess bodyweight is now the sixth most important risk factor contributing to the overall burden of disease worldwide. Overweight and obesity may increase the risk of erectile dysfunction (ED) by 30-90% as compared with normal weight subjects. On the other hand, subjects with ED tend to be heavier and with a greater waist than subjects without ED, and also are more likely to be hypertensive and hypercholesterolemic. The metabolic syndrome, characterized by a clustering of risk factors associated with insulin resistance and abdominal obesity, associates with ED. Moreover, women with the metabolic syndrome have an increased prevalence of sexual dysfunctions as compared with matched control women. Lifestyle changes aimed at reducing body weight and increasing physical activity induce amelioration of both erectile and endothelial functions in obese men. Moreover, preliminary evidence suggests that a Mediterranean-style diet might be effective in ameliorating sexual function in women with the metabolic syndrome. Lifestyle changes, mainly focussing on regular physical activity and a healthy diet, are effective and safe ways to reduce cardiovascular diseases and premature mortality in all population groups; they may also prevent and treat sexual dysfunctions in both sexes.

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“…In further analyses we studied the relative importance of the previously identified dietary patterns, the 'prudent' pattern (characterized by fruit and vegetables) and the 'conservative' pattern (characterized by butter, potatoes, red meat, and whole milk) (Montonen et al, 2004a). To identify dietary patterns, the principal component method with Varimax rotation in the factor analysis was applied (SAS/ STAT, 1989;Hu et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…Besides the studies focusing on individual foods or nutrients, other studies have recently followed a dietary pattern approach and have found certain dietary patterns to be associated with the incidence of diabetes (van Dam et al, 2002a;Montonen et al, 2004a) or biomarkers of diabetes development (Fung et al, 2001). The advantage of the dietary pattern approach is that interactions between potentially effective nutrients are automatically included in the effect estimate.…”

Section: Introductionmentioning

confidence: 99%

“…In this follow-up study the relationships between intakes of a wide range of different foods on diabetes incidence was investigated to establish their potential in predicting type II diabetes. The excess risk associated with a previously defined dietary pattern score (Montonen et al, 2004a) was also evaluated through controlling for the significant dietary variables.…”

Section: Introductionmentioning

confidence: 99%

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Food consumption and the incidence of type II diabetes mellitus

et al. 2005

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Objective: The consumption of different foods was studied for their ability to predict type II diabetes mellitus. Design: The study design was a cohort study, based on the Finnish Mobile Clinic Health Examination Survey. Setting: A total of 30 communities from different parts of Finland. Subjects: A total of 4304 men and women, 40-69 y of age and free of diabetes at baseline in 1967-1972 and followed up for incidence of diabetes medication during 23 y (383 incident cases). Results: Higher intakes of green vegetables, fruit and berries, oil and margarine, and poultry were found to predict a reduced risk of type II diabetes. The relative risks of developing type II diabetes between the extreme quartiles of the intakes were 0.69 (95% confidence interval (CI) ¼ 0.50-0.93; P for trend (P) ¼ 0.02) for green vegetables, 0.69 (CI ¼ 0.51-0.92; P ¼ 0.03) for fruit and berries, 0.71 (CI ¼ 0.52-0.98; P ¼ 0.01) for margarine and oil, and 0.71 (CI ¼ 0.54-0.94; P ¼ 0.01) for poultry. Conclusion:The results suggest that prevention of type II diabetes might be aided by consumption of certain foods that are rich in nutrients with hypothesized health benefits.

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Dietary Patterns and the Incidence of Type 2 Diabetes

Cited by 220 publications

References 43 publications

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

Obesity and sexual dysfunction, male and female

Food consumption and the incidence of type II diabetes mellitus

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