Consumption of fatty foods and incident type 2 diabetes in populations from eight European countries

医学 2型糖尿病 危险系数 体质指数 队列研究 欧洲癌症与营养前瞻性调查 前瞻性队列研究 环境卫生 队列 低风险 反式脂肪 比例危险模型 糖尿病 人口学 食品科学 饱和脂肪 内科学 置信区间 内分泌学 生物 胆固醇 社会学
作者
Brian Buijsse,Heiner Boeing,Dagmar Drogan,Matthias B. Schulze,E. J. M. Feskens,Pilar Amiano,Aurelio Barricarte,F. Clavel-Chapelon,Blandine de Lauzon‐Guillain,Guy Fagherazzi,Ana Fonseca-Nunes,Paul W. Franks,José María Huerta,Marianne Uhre Jakobsen,Rudolf Kaaks,Timothy J. Key,Kay Tee Khaw,Giovanna Masala,Aurélie Moskal,Peter M. Nilsson,Kim Overvad,Valeria Pala,Salvatore Panico,María Luisa Redondo,Fulvio Ricceri,Olov Rolandsson,María‐José Sánchez,Ivonne Sluijs,Annemieke M.W. Spijkerman,Anne Tjønneland,Rosario Tumino,D L van der A,Yvonne T. van der Schouw,Claudia Langenberg,Stephen J. Sharp,Nita G. Forouhi,Elio Riboli,Nicholas J. Wareham
出处
期刊:European Journal of Clinical Nutrition [Springer Nature]
卷期号:69 (4): 455-461 被引量:34
标识
DOI:10.1038/ejcn.2014.249
摘要

Diets high in saturated and trans fat and low in unsaturated fat may increase type 2 diabetes (T2D) risk, but studies on foods high in fat per unit weight are sparse. We assessed whether the intake of vegetable oil, butter, margarine, nuts and seeds and cakes and cookies is related to incident T2D.A case-cohort study was conducted, nested within eight countries of the European Prospective Investigation into Cancer (EPIC), with 12,403 incident T2D cases and a subcohort of 16,835 people, identified from a cohort of 340,234 people. Diet was assessed at baseline (1991-1999) by country-specific questionnaires. Country-specific hazard ratios (HRs) across four categories of fatty foods (nonconsumers and tertiles among consumers) were combined with random-effects meta-analysis.After adjustment not including body mass index (BMI), nonconsumers of butter, nuts and seeds and cakes and cookies were at higher T2D risk compared with the middle tertile of consumption. Among consumers, cakes and cookies were inversely related to T2D (HRs across increasing tertiles 1.14, 1.00 and 0.92, respectively; P-trend <0.0001). All these associations attenuated upon adjustment for BMI, except the higher risk of nonconsumers of cakes and cookies (HR 1.57). Higher consumption of margarine became positively associated after BMI adjustment (HRs across increasing consumption tertiles: 0.93, 1.00 and 1.12; P-trend 0.03). Within consumers, vegetable oil, butter and nuts and seeds were unrelated to T2D.Fatty foods were generally not associated with T2D, apart from weak positive association for margarine. The higher risk among nonconsumers of cakes and cookies needs further explanation.

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