Food consumption and the incidence of type II diabetes mellitus

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

doi:10.1038/sj.ejcn.1602094

Cited by 207 publications

(196 citation statements)

References 57 publications

(78 reference statements)

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“…Processed meat Nine cohort studies [15,[17][18][19][20][21][22][23]27] investigated the association between processed meat intake and type 2 diabetes risk and included 9,999 cases among 380,606 participants. The summary RR for high vs low intake was 1.41 (95% CI 1.25-1.60) (Fig.…”

Section: Dose-responsementioning

confidence: 99%

“…There was no indication of publication bias with Begg-Mazumdar's test (p=0.92), or with Egger's test (p=0.69). Dose-response One study with only two categories of intake was excluded [23], thus eight studies [15,[17][18][19][20][21][22]27] were included in the dose-response analysis. The summary RR per 50 g/day was 1.57 (95% CI 1.28-1.93) (Fig.…”

Section: Dose-responsementioning

confidence: 99%

“…Meat intake was associated with: an increased prevalence of diabetes in men and women; and an increased diabetes-associated mortality in men, but not in women. Several subsequent publications have reported an increased risk of diabetes or type 2 diabetes with a high intake of processed meat [17][18][19][20][21][22][23], red meat [17-19, 22, 24, 25] and total meat [15,17,23], but the results have not been consistent [20,21,26,27]. To clarify this association we conducted a systematic review and meta-analysis of cohort studies of meat intake and type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies

2009

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Aims/hypothesis Diet is thought to play an important role in the aetiology of type 2 diabetes. Previous studies have found positive associations between meat consumption and the risk of type 2 diabetes, but the results have been inconsistent. We conducted a systematic review and meta-analysis of cohort studies of meat consumption and type 2 diabetes risk. Methods We searched several databases for cohort studies on meat consumption and type 2 diabetes risk, up to December 2008. Summary relative risks were estimated by use of a random-effects model. Results We identified 12 cohort studies. The estimated summary RR and 95% confidence interval of type 2 diabetes comparing high vs low intake was 1.17 (95% CI 0.92-1.48) for total meat, 1.21 (95% CI 1.07-1.38) for red meat and 1.41 (95% CI 1.25-1.60) for processed meat. There was heterogeneity amongst the studies of total, red and processed meat which, to some degree, was explained by the study characteristics. Conclusions/interpretation These results suggest that meat consumption increases the risk of type 2 diabetes. However, the possibility that residual confounding could explain this association cannot be excluded.

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Section: Dose-responsementioning

confidence: 99%

Section: Dose-responsementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies

2009

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“…More recently, several studies have been conducted in European countries confirming the association between meat consumption and risk of type 2 diabetes in European populations [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Association between dietary meat consumption and incident type 2 diabetes: the EPIC-InterAct study

et al. 2012

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Aims/hypothesis A diet rich in meat has been reported to contribute to the risk of type 2 diabetes. The present study aims to investigate the association between meat consumption and incident type 2 diabetes in the EPIC-InterAct study, a large prospective case-cohort study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods During 11.7 years of follow-up, 12,403 incident cases of type 2 diabetes were identified among 340,234 adults from eight European countries. A centre-stratified random subsample of 16,835 individuals was selected in order to perform a case-cohort design. Prentice-weighted Cox regression analyses were used to estimate HR and 95% CI for incident diabetes according to meat consumption. Results Overall, multivariate analyses showed significant positive associations with incident type 2 diabetes for increasing consumption of total meat (50 g increments: HR 1.08; 95% CI 1.05, 1.12), red meat (HR 1.08; 95% CI 1.03, 1.13) and processed meat (HR 1.12; 95% CI 1.05, 1.19), and a borderline positive association with meat iron intake. Effect modifications by sex and class of BMI were observed. In men, the results of the overall analyses were confirmed. In women, the association with total and red meat persisted, although attenuated, while an association with poultry consumption also emerged (HR 1.20; 95% CI 1.07, 1.34). These associations were not evident among obese participants. Conclusions/interpretation This prospective study confirms a positive association between high consumption of total and red meat and incident type 2 diabetes in a large cohort of European adults.

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“…Since the guidelines were released in 2003 the evidence has remained strong for an association with CVD (2) , while results from prospective studies have suggested that the associations seen with cancer in case-control studies may be due to bias in dietary measurements (3) . There are fewer reports of vegetables and fruit as risk factors for type 2 diabetes, but prospective studies show potential benefits from fruit and vegetables (4,5) , which may be partly due to carotenoids, many of which are strong antioxidants (6) . Further studies are required to clarify the benefits of fruit and vegetables, especially with regard to cancer.…”

mentioning

confidence: 99%

Evaluation of an FFQ for assessment of antioxidant intake using plasma biomarkers in an ethnically diverse population

Hodge

Simpson

Fridman

et al. 2009

Public Health Nutr.

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Objective: To evaluate FFQ estimates of dietary intake of individual antioxidants, fruit and vegetables in comparison to plasma concentrations of each antioxidant, and to determine which individual foods are associated with plasma antioxidant concentrations. Design: Dietary (a-carotene, b-carotene, b-cryptoxanthin, lutein/zeaxanthin, lycopene, retinol, and vitamin E) intakes over 12 months were estimated from a 121-item FFQ. Correlation coefficients, corrected for within-person variability in diet and plasma antioxidants, were used to examine associations between antioxidant concentrations in diet and plasma. Setting: Melbourne Collaborative Cohort Study (MCCS). Subjects: Men and women (n 3110) who were randomly selected from the MCCS. Participants were aged 36-72 years and were born in Australia, Greece, Italy or the UK. Results: Correlation coefficients for the carotenoids ranged from 0?28 for lycopene to 0?46 for b-cryptoxanthin. There was no association between dietary and plasma retinol or dietary vitamin E with plasma a-and g-tocopherol. Individual plasma carotenoid concentrations were associated with intakes of fruit and vegetables. Conclusions: Our data suggest that the FFQ provides useful information on intakes of each of the carotenoids: a-carotene, b-carotene, b-cryptoxanthin, lycopene and lutein/zeaxanthin. There was no association between diet and plasma markers of retinol or vitamin E; this may reflect the importance of factors other than intake in modifying circulating levels of these nutrients.

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Food consumption and the incidence of type II diabetes mellitus

Cited by 207 publications

References 57 publications

Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies

Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies

Association between dietary meat consumption and incident type 2 diabetes: the EPIC-InterAct study

Evaluation of an FFQ for assessment of antioxidant intake using plasma biomarkers in an ethnically diverse population

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