Meat and fish intake and type 2 diabetes: Dose–response meta-analysis of prospective cohort studies

Yang, Xiu; Li, Yuqian; Wang, Chongjian; Mao, Zhenxing; Zhou, Wen; Zhang, Lulu; Fan, Mingxia; Cui, Songyang; Li, Linlin

doi:10.1016/j.diabet.2020.03.004

Cited by 44 publications

(27 citation statements)

References 66 publications

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“…There was no association between egg consumption and type 2 diabetes risk comparing the highest versus lowest intake in meta-analysis, but modestly increased risk was observed for more than three eggs per week only among U.S. populations (21). Another meta-analysis study shows no evidence of an increased risk of type 2 diabetes with intake of fish, shellfish, and poultry (22,23). Additional studies are needed to clarify to what extent individual animal products may partially affect the risk of diabetes.…”

Section: Discussionmentioning

confidence: 94%

A Shift Toward a Plant-Centered Diet From Young to Middle Adulthood and Subsequent Risk of Type 2 Diabetes and Weight Gain: The Coronary Artery Risk Development in Young Adults (CARDIA) Study

et al. 2020

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To examine the associations between change in plant-centered diet quality and type 2 diabetes risk and change in body size. RESEARCH DESIGN AND METHODSA prospective study conducted in the U.S. enrolled adults ages 18-30 years in 1985-1986 (examination year [Y0]) and followed them through 2015-2016. We analyzed the associations between change in plant-centered diet quality over 20 years (Y0-Y20) and diabetes (Y20-30; n 5 2,534) and change (Y0-Y20 and Y20-30) in BMI, waist circumference (WC), and weight (n > 2,434). Plant-centered diet quality was measured using the A Priori Diet Quality Score (APDQS); a higher score favors nutritionally rich plant foods. Cox regression models were used to assess diabetes risk, and linear regression models were used to examine change in body size. RESULTSDuring a mean follow-up of 9.3 (6 1.7) years, 206 case subjects with incident diabetes were observed. In multivariable analysis, participants with the largest increase in APDQS over 20 years had a 48% (95% CI 0.31-0.85; P trend < 0.001) lower risk of diabetes over the subsequent 10 years compared with participants whose score remained stable. Each 1-SD increment in APDQS over 20 years was associated with lower gains in BMI (20.39 kg/m 2 ; SE 0.14; P 5 0.004), WC (20.90 cm; SE 0.27; P < 0.001) and weight (21.14 kg; SE 0.33; P < 0.001) during the same period, but not with subsequent changes. CONCLUSIONSYoung adults who increased plant-centered diet quality had a lower diabetes risk and gained less weight by middle adulthood.

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Section: Discussionmentioning

confidence: 94%

A Shift Toward a Plant-Centered Diet From Young to Middle Adulthood and Subsequent Risk of Type 2 Diabetes and Weight Gain: The Coronary Artery Risk Development in Young Adults (CARDIA) Study

et al. 2020

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“…These findings add to the potential role of specific dietary components in weight loss maintenance interventions and may provide a roadmap as to where to focus dietary education and behavioral strategies during weight loss maintenance. Red/processed meat and sugar-sweetened beverage consumption, in particular, have been associated with multiple chronic diseases that affect BC survivors [54][55][56][57]; reducing consumption of these foods should be an integral part of any nutrition counseling focused towards breast cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Rural breast cancer survivors are able to maintain diet quality improvements during a weight loss maintenance intervention

et al. 2020

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Purpose Obesity and poor diet quality (DQ) are associated with increased risk of morbidity/mortality among breast cancer survivors. This study explored DQ changes during a weight loss maintenance intervention in a cohort of rural female breast cancer survivors (n = 131) who lost ≥ 5% body weight in a weight loss intervention. Previous analyses demonstrated significant DQ improvements during weight loss. Methods DQ was calculated using the alternate Healthy Eating Index (aHEI)-2010. Differences in scores across time for the cohort and between those that maintained weight loss within 5% (low regainers) and those that regained > 5% (high regainers) were analyzed by linear mixed models. Results Significant improvements in aHEI total score were observed from baseline (M = 52.3 ± 11) to 6 months (M = 60.7 ± 8; p < 0.001); these improvements were sustained from 6 to 18 months (M = 58.4 ± 11; p = 0.16). Total aHEI-2010 score at 18 months was higher in low regainers, compared with high regainers (60.7 vs. 56.0, p = 0.03), with healthier component scores for red meat (p = 0.01) and fruit (p = 0.04), and a trend for a healthier score for sugar-sweetened beverages (p = 0.08). Conclusions Overall DQ improvements made during a weight loss intervention for rural breast cancer survivors were sustained during a weight loss maintenance intervention; this intervention was effective in helping low regainers maintain healthier scores in fruit, red meat, and sugar-sweetened beverage components. Implications for Cancer Survivors Maintaining higher DQ may help breast cancer survivors maintain weight loss, thereby reducing risk of breast cancer recurrence and premature death from comorbidities.

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“…If the combined interaction parameter was statistically significant ( p < 0.05), analyses were stratified (for sex and for BMI: BMI < 25 kg/m 2 and BMI ≥ 25 kg/m 2 ). Since the heterogeneity of the association between fish intake and type 2 diabetes across different geographical areas was reported in previous meta-analyses [ 4 , 5 , 6 , 7 , 8 , 9 , 10 ], we further presented the results by the following geographical regions according to WHO classification [ 28 ]: the Americas, including North and South America; Europe; the Eastern Mediterranean; and the Western Pacific, including China, Japan and Australia. There were no studies from the African and South-East Asia Regions.…”

Section: Methodsmentioning

confidence: 99%

“…However, the evidence on the benefits of fish intake for the prevention of type 2 diabetes is inconclusive. Systematic reviews and meta-analyses [ 4 , 5 , 6 , 7 , 8 , 9 , 10 ] have concluded that the association of fish consumption with diabetes risk differs by geographical location. Studies from North America reported an increased risk [ 11 , 12 ] of type 2 diabetes with fish consumption, while studies from Asia have reported both inverse [ 13 , 14 ] and positive [ 15 , 16 ] associations; studies from Europe show either no risk [ 17 , 18 ] or increased risk [ 19 ], with an overall null summary estimate.…”

Section: Introductionmentioning

confidence: 99%

Heterogeneity of Associations between Total and Types of Fish Intake and the Incidence of Type 2 Diabetes: Federated Meta-Analysis of 28 Prospective Studies Including 956,122 Participants

et al. 2021

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The association between fish consumption and new-onset type 2 diabetes is inconsistent and differs according to geographical location. We examined the association between the total and types of fish consumption and type 2 diabetes using individual participant data from 28 prospective cohort studies from the Americas (6), Europe (15), the Western Pacific (6), and the Eastern Mediterranean (1) comprising 956,122 participants and 48,084 cases of incident type 2 diabetes. Incidence rate ratios (IRRs) for associations of total fish, shellfish, fatty, lean, fried, freshwater, and saltwater fish intake and type 2 diabetes were derived for each study, adjusting for a consistent set of confounders and combined across studies using random-effects meta-analysis. We stratified all analyses by sex due to observed interaction (p = 0.002) on the association between fish and type 2 diabetes. In women, for each 100 g/week higher intake the IRRs (95% CIs) of type 2 diabetes were 1.02 (1.01–1.03, I2 = 61%) for total fish, 1.04 (1.01–1.07, I2 = 46%) for fatty fish, and 1.02 (1.00–1.04, I2 = 33%) for lean fish. In men, all associations were null. In women, we observed variation by geographical location: IRRs for total fish were 1.03 (1.02–1.04, I2 = 0%) in the Americas and null in other regions. In conclusion, we found evidence of a neutral association between total fish intake and type 2 diabetes in men, but there was a modest positive association among women with heterogeneity across studies, which was partly explained by geographical location and types of fish intake. Future research should investigate the role of cooking methods, accompanying foods and environmental pollutants, but meanwhile, existing dietary regional, national, or international guidelines should continue to guide fish consumption within overall healthy dietary patterns.

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Meat and fish intake and type 2 diabetes: Dose–response meta-analysis of prospective cohort studies

Cited by 44 publications

References 66 publications

A Shift Toward a Plant-Centered Diet From Young to Middle Adulthood and Subsequent Risk of Type 2 Diabetes and Weight Gain: The Coronary Artery Risk Development in Young Adults (CARDIA) Study

A Shift Toward a Plant-Centered Diet From Young to Middle Adulthood and Subsequent Risk of Type 2 Diabetes and Weight Gain: The Coronary Artery Risk Development in Young Adults (CARDIA) Study

Rural breast cancer survivors are able to maintain diet quality improvements during a weight loss maintenance intervention

Heterogeneity of Associations between Total and Types of Fish Intake and the Incidence of Type 2 Diabetes: Federated Meta-Analysis of 28 Prospective Studies Including 956,122 Participants

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