Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies

Maghsoudi, Zahra; Ghiasvand, Reza; Salehi‐Abargouei, Amin

doi:10.1017/s1368980015001251

Cited by 60 publications

(57 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Meta-analyses assessing the role of intake of milk and dairy products on risk of type 2 diabetes have consistently found no or a slight beneficial effect of dairy intake on diabetes risk (12–15). This is consistent with a Mendelian randomisation study using genetic polymorphisms for the lactase gene, which showed that milk intake assessed by lactose tolerance was not associated with risk of type 2 diabetes or obesity (16).…”

Section: Obesity and Type 2 Diabetesmentioning

confidence: 99%

Milk and dairy products: good or bad for human health? An assessment of the totality of scientific evidence

Thorning

Raben

Tholstrup

et al. 2016

Food & Nutrition Research

349

236

View full text Add to dashboard Cite

BackgroundThere is scepticism about health effects of dairy products in the public, which is reflected in an increasing intake of plant-based drinks, for example, from soy, rice, almond, or oat.ObjectiveThis review aimed to assess the scientific evidence mainly from meta-analyses of observational studies and randomised controlled trials, on dairy intake and risk of obesity, type 2 diabetes, cardiovascular disease, osteoporosis, cancer, and all-cause mortality.ResultsThe most recent evidence suggested that intake of milk and dairy products was associated with reduced risk of childhood obesity. In adults, intake of dairy products was shown to improve body composition and facilitate weight loss during energy restriction. In addition, intake of milk and dairy products was associated with a neutral or reduced risk of type 2 diabetes and a reduced risk of cardiovascular disease, particularly stroke. Furthermore, the evidence suggested a beneficial effect of milk and dairy intake on bone mineral density but no association with risk of bone fracture. Among cancers, milk and dairy intake was inversely associated with colorectal cancer, bladder cancer, gastric cancer, and breast cancer, and not associated with risk of pancreatic cancer, ovarian cancer, or lung cancer, while the evidence for prostate cancer risk was inconsistent. Finally, consumption of milk and dairy products was not associated with all-cause mortality. Calcium-fortified plant-based drinks have been included as an alternative to dairy products in the nutrition recommendations in several countries. However, nutritionally, cow's milk and plant-based drinks are completely different foods, and an evidence-based conclusion on the health value of the plant-based drinks requires more studies in humans.ConclusionThe totality of available scientific evidence supports that intake of milk and dairy products contribute to meet nutrient recommendations, and may protect against the most prevalent chronic diseases, whereas very few adverse effects have been reported.

show abstract

Section: Obesity and Type 2 Diabetesmentioning

confidence: 99%

Milk and dairy products: good or bad for human health? An assessment of the totality of scientific evidence

Thorning

Raben

Tholstrup

et al. 2016

Food & Nutrition Research

349

236

View full text Add to dashboard Cite

show abstract

“…Clinical and epidemiological studies have suggested that these beneficial nutrients like calcium, potassium and vitamins, play important roles in the prevention and the inhibition of blood pressure elevation [51][52]. Thus, these foods with high content of calcium, potassium, and several vitamins may counteract the harmful effects of other unhealthy items loaded on western-style pattern, which may explain the result [53]. Secondly, the BMI has been adjusted as a potential confounder in included studies.…”

Section: Disscussionmentioning

confidence: 99%

Empirically Derived Dietary Patterns and Hypertension Likelihood: A Meta-Analysis

Wang

Shen

Liu

2016

Kidney Blood Press Res

View full text Add to dashboard Cite

Background/Aims: Dietary patterns, which represent whole-diet and a complex integration of food and nutrient, have been reported to play an important role in the development of hypertension. However, the results have yielded conflicting findings. Herein, we performed this meta-analysis to evaluate the associations between different dietary patterns and the likelihood of hypertension. Methods: MEDLINE and EBSCO were searched to identify relevant articles published until the end of March 2016. A random-effects model was used to account for possible heterogeneity between studies.A total of twenty-seven studies met the inclusion criteria and were included in this meta-analysis. Results: There was evidence of a decreased likelihood for hypertension in the highest compared with the lowest categories of healthy pattern (odds ratio (OR)=0.81; 95% confidence interval(CI): 0.67-0.97; P=0.02). An increased likelihood of hypertension was shown for the highest compared with the lowest category of heavy drinking pattern (OR=1.62; 95% CI: 1.16-2.26; P=0.004), whereas no statistically significant association with western-style and light-moderate drinking pattern were observed(OR=1.04, 95% CI: 0.83-1.31; OR=1.20, 95% CI:0.94- 1.53; P>0.05). Conclusions: Our results of this systematic review and meta-analysis suggest that dietary pattern may be associated with the likelihood of hypertension.

show abstract

“…Although there is no standard definition of a "healthful pattern", it shows that fruits and vegetables were part of all healthful patterns detected in these studies. Interestingly, a very recent meta-analysis of 10 prospective studies concluded that a reduced risk of 14% may be achieved when adopting a healthful pattern consisting of fruits, vegetables, and whole grains [15]. These results further confirm the existence of a healthful, antidiabetic vegetarian-based diet.…”

Section: Discussionmentioning

confidence: 68%

“…Irrespective of the method applied, the results of studies on the relation of diet to risk of diabetes are inconsistent. A meta-analysis of 10 prospective studies, in which Caucasians, Africans, Hispanics, and Chinese were equally represented, concluded that "healthful" patterns, consisting of fruits, vegetables, and whole grain products, may reduce diabetes risk by 14%, whereas "unhealthful" patterns, including high contents of red and processed meat, high-fat dairy, and refined grains, may increase the risk by 30% [15]. However, a very recent casecontrol study did not find a significant association between healthful dietary patterns and diabetes risk [16].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns and 10-year (2002-2012) Incidence of Type 2 Diabetes: Results from the ATTICA Cohort Study

et al. 2016

View full text Add to dashboard Cite

AIM:To identify dietary patterns among apparently healthy individuals and to determine their long-term effect on diabetes incidence. METHODS: During 2001During -2002, a random sample of 3,042 men and women (18-89 years old), living in greater Athens, was randomly selected to participate in the study. During 2011-2012, the 10-year follow-up was performed in 2,583 participants (15% drop-out rate). After excluding participants with diabetes at baseline and those for whom no information on diabetes status was available at follow-up, the working sample consisted of 1,485 participants. Dietary habits were assessed by means of a validated semiquantitative, food frequency questionnaire. Factor analysis was performed to extract dietary patterns from 18 food groups. RESULTS: Diabetes diagnosis at follow-up was made in 191 participants, yielding an incidence rate of 12.9%. Six factors (i.e. dietary patterns) were identified that explained 54% of the variation in consumption. After adjusting for major confounders, and stratification by age-group, logistic regression revealed that the most healthful pattern consisted of the consumption of fruits, vegetables, legumes, bread, rusk, and pasta which reduced the 10-year diabetes risk by 40%, among participants aged 45-55 years. The association reached marginal statistical significance (95% CI: 0.34, 1.07), while no significant association was observed for the other age-groups. When the analysis was additionally adjusted for carbohydrate percentage, statistical significance was lost completely, suggesting a possibly mediating effect of this macronutrient. CONCLUSIONS: The results confirm the potentially protective effect of a plant-based dietary pattern in the primary prevention of diabetes, in particular among middle-aged people. Carbohydrate content may be a specific factor in this relationship; other micronutrients found in plant-based food groups may also play a role.

show abstract

Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies

Cited by 60 publications

References 39 publications

Milk and dairy products: good or bad for human health? An assessment of the totality of scientific evidence

Milk and dairy products: good or bad for human health? An assessment of the totality of scientific evidence

Empirically Derived Dietary Patterns and Hypertension Likelihood: A Meta-Analysis

Dietary Patterns and 10-year (2002-2012) Incidence of Type 2 Diabetes: Results from the ATTICA Cohort Study

Contact Info

Product

Resources

About