Dietary Patterns and 10-year (2002-2012) Incidence of Type 2 Diabetes: Results from the ATTICA Cohort Study.
| Title: | Dietary Patterns and 10-year (2002-2012) Incidence of Type 2 Diabetes: Results from the ATTICA Cohort Study. |
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| Authors: | Koloverou E; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.; Panagiotakos DB; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.; Georgousopoulou EN; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.; Grekas A; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.; Christou A; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.; Chatzigeorgiou M; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.; Chrysohoou C; First Cardiology Clinic, School of Medicine, University of Athens, Greece.; Tousoulis D; First Cardiology Clinic, School of Medicine, University of Athens, Greece.; Stefanadis C; First Cardiology Clinic, School of Medicine, University of Athens, Greece.; Pitsavos C; First Cardiology Clinic, School of Medicine, University of Athens, Greece. |
| Corporate Authors: | ATTICA Study Group |
| Source: | The review of diabetic studies : RDS [Rev Diabet Stud] 2016 Winter; Vol. 13 (4), pp. 246-256. Date of Electronic Publication: 2017 Feb 10. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: JCF Corp and the Society for Biomedical Diabetes Research/Lab & Life Press Country of Publication: Singapore NLM ID: 101227575 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1614-0575 (Electronic) Linking ISSN: 16136071 NLM ISO Abbreviation: Rev Diabet Stud Subsets: MEDLINE |
| Imprint Name(s): | Publication: [Singapore] : JCF Corp and the Society for Biomedical Diabetes Research/Lab & Life Press; Original Publication: Duisburg, Germany : Society for Biomedical Diabetes Research, c2004- |
| MeSH Terms: | Diet, Healthy*/ethnology ; Feeding Behavior*/ethnology ; Patient Compliance*/ethnology ; Urban Health*/ethnology; Diabetes Mellitus, Type 2/*prevention & control; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/ethnology ; Diabetes Mellitus, Type 2/etiology ; Diet/adverse effects ; Diet/ethnology ; Greece/epidemiology ; Prediabetic State/epidemiology ; Prediabetic State/ethnology ; Prediabetic State/etiology ; Prediabetic State/prevention & control ; Adult ; Age Factors ; Cohort Studies ; Factor Analysis, Statistical ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Nutrition Surveys ; Prospective Studies ; Risk Factors |
| Abstract: | Aim: To identify dietary patterns among apparently healthy individuals and to determine their long-term effect on diabetes incidence.; Methods: During 2001-2002, 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 semi-quantitative, 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. |
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| Entry Date(s): | Date Created: 20170411 Date Completed: 20171010 Latest Revision: 20210503 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC5734225 |
| DOI: | 10.1900/RDS.2016.13.246 |
| PMID: | 28394951 |
| Database: | MEDLINE |
Journal Article