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The association between dietary energy density and type 2 diabetes in Europe: results from the EPIC-InterAct Study

Title:	The association between dietary energy density and type 2 diabetes in Europe: results from the EPIC-InterAct Study
Authors:	van den Berg, Saskia W.; van der A, Daphne L.; Spijkerman, Annemieke M. W.; van Woudenbergh, Geertruida J.; Tijhuis, Mariken J.; Amiano, Pilar; Ardanaz, Eva; Beulens, Joline W. J.; Boeing, Heiner; Clavel-Chapelon, Françoise; Crowe, Francesca L.; de Lauzon-Guillain, Blandine; Fagherazzi, Guy; Franks, Paul W.; Freisling, Heinz; Gonzalez, Carlos; Grioni, Sara; Halkjaer, Jytte; Huerta, José María; Huybrechts, Inge; Kaaks, Rudolf; Khaw, Kay Tee; Masala, Giovanna; Nilsson, Peter M.; Overvad, Kim; Panico, Salvatore; Quirós, J. Ramón; Rolandsson, Olov; Sacerdote, Carlotta; Sánchez, María-José; Schulze, Matthias B.; Slimani, Nadia; Struijk, Ellen A.; Tjonneland, Anne; Tumino, Rosario; Sharp, Stephen J.; Langenberg, Claudia; Forouhi, Nita G.; Feskens, Edith J. M.; Riboli, Elio; Wareham, Nicholas J.
Contributors:	The InterAct Consortium; van den Berg,SW; van der A,DL; Spijkerman,AMW; Tijhuis,MJ Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands. van Woudenbergh,GJ; Feskens,EJM Division of Human Nutrition - Section Nutrition and Epidemiology, Wageningen University, Wageningen, The Netherlands. Amiano,P Instituto BIO-Donostia, Basque Government, Donostia, Spain. Amiano,P; Ardanaz,E; Huerta,JM; Sánchez,M Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública), Madrid, Spain. Amiano,P Public Health Division of Gipuzkoa, San Sebastian, Spain. Ardanaz,E Navarre Public Health Institute (ISPN), Pamplona, Spain. Beulens,JWJ; Struijk,EA Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, The Netherlands. Boeing,H Department of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbruecke, Germany. Clavel-Chapelon,F; Fagherazzi,G Nutrition, Hormones and Women’s Health, Institut National de la Santé et de la Recherche Médicale (INSERM) and Center for Research in Epidemiology and Population Health (CESP), Villejuif, France. Clavel-Chapelon,F; de Lauzon-Guillain,B; Fagherazzi,G University Paris Sud, Villejuif, France. Crowe,FL Cancer Epidemiology Unit, University of Oxford, Oxford, United Kingdom. de Lauzon- Guillain,B Institut National de la Santé et de la Recherche Médicale (INSERM) and Center for Research in Epidemiology and Population Health (CESP), Villejuif, France. Franks,PW Department of Clinical Sciences, Skane University Hospital, Lund University, Malmö, Sweden. Rolandsson,O Department of Public Health and Clinical Medicine, Umea University, Umea, Sweden. Freisling,H; Huybrechts,I International Agency for Research on Cancer, Lyon, France. Gonzalez,C Unit Nutrition, Environment and Cancer, Department of Epidemiology, Catalan Institute of Oncology, Barcelona, Spain. Grioni,S Nutritional Epidemiology Unit, Milan, Italy. Halkjaer,J; Tjonneland,A Danish Cancer Society Research Center, Copenhagen, Denmark. Huerta,JM Department of Epidemiology, Murcia Regional Health Authority, Murcia, Spain. Kaaks,R Division of Cancer Epidemiology, German Cancer Research Centre (DKFZ), Heidelberg, Germany. Khaw,KT Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom. Masala,G Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute, Florence, Italy. Nilsson,PM Department of Clinical Sciences Medicine, University Hospital Scania, Lund University, Malmö, Sweden. Overvad,K Department of Cardiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark. Overvad,K Department of Epidemiology, School of Public Health, Aarhus, Denmark. Panico,S Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy. Quirós,JR Asturias Health & Health Care Council, Oviedo, Spain. Sacerdote,C Human Genetic Foundation (HuGeF), Torino, Italy. Center for Cancer Prevention, Torino, Italy. Sánchez,MJ Andalusian School of Public Health, Granada, Spain. Schulze,MB Department of Molecular Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbruecke, Germany. Slimani,N Dietary Exposure Assessment Group (DEX), International Agency for Research on Cancer, Lyon, France. Tumino,R Cancer Registry and Histopathology Unit, Ragusa, Italy. Aire Onlus, Ragusa, Spain. Sharp,SJ; Langenberg,C; Forouhi,NG; Wareham,NJ MRC Epidemiology Unit, Cambridge, United Kingdom. Riboli,E Department of Epidemiology and Biostatistics, Imperial College London, London, UK.; The EPIC-InterAct Study received funding from the European Union (Integrated project LSHM-CT-2006-037197 in the Framework Programme 6 of the European Community). DLvdA: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; AMWS: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; EA: Health Research Fund (FIS) of the Spanish Ministry of Health; Navarre Regional Government and CIBER Epidemiologı´a y Salud Pu´ blica (CIBERESP).; JWJB: Verification of diabetes cases in EPIC-NL was additionally funded by NL Agency grant IGE05012 and an Incentive Grant from the Board of the UMC Utrecht.; FLC: Cancer Research UK; PWF: Swedish Research Council, Novo Nordisk, Swedish Diabetes Association, Swedish Heart- Lung Foundation; JH: Danish Cancer Society; JMH: Health Research Fund of the Spanish Ministry of Health; Murcia Regional Government (Nu 6236); RK: German Cancer Aid, German Ministry of Research (BMBF); KTK: Medical Research Council UK, Cancer Research UK; PN: Swedish Research Council; KO: Danish Cancer Society; SP: Compagnia di San Paolo; JRQ: Asturias Regional Government; OR: The Vasterboten County Council; AT: Danish Cancer Society; RT: AIRE-ONLUS Ragusa, AVIS-Ragusa, Sicilian Regional Government; ER: ER was supported in this work by the Imperial College Biomedical Research Centre. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Information:	Public Library of Science
Publication Year:	2013
Collection:	Sistema Sanitario Público de Andalucía (SSPA): Repositorio
Subject Terms:	Estudios de casos y controles; Diabetes Mellitus Tipo 2; Dieta; Ingestión de energía; Europa; Humanos; Factores de riesgo; Medical Subject Headings::Analytical; Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies; Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus; Type 2; Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet; Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Energy Intake; Medical Subject Headings::Geographicals::Geographic Locations::Europe; Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans; Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors
Description:	Journal Article; Research Support, Non-U.S. Gov't; ; BACKGROUND Observational studies implicate higher dietary energy density (DED) as a potential risk factor for weight gain and obesity. It has been hypothesized that DED may also be associated with risk of type 2 diabetes (T2D), but limited evidence exists. Therefore, we investigated the association between DED and risk of T2D in a large prospective study with heterogeneity of dietary intake. METHODOLOGY/PRINCIPAL FINDINGS A case-cohort study was nested within the European Prospective Investigation into Cancer (EPIC) study of 340,234 participants contributing 3.99 million person years of follow-up, identifying 12,403 incident diabetes cases and a random subcohort of 16,835 individuals from 8 European countries. DED was calculated as energy (kcal) from foods (except beverages) divided by the weight (gram) of foods estimated from dietary questionnaires. Prentice-weighted Cox proportional hazard regression models were fitted by country. Risk estimates were pooled by random effects meta-analysis and heterogeneity was evaluated. Estimated mean (sd) DED was 1.5 (0.3) kcal/g among cases and subcohort members, varying across countries (range 1.4-1.7 kcal/g). After adjustment for age, sex, smoking, physical activity, alcohol intake, energy intake from beverages and misreporting of dietary intake, no association was observed between DED and T2D (HR 1.02 (95% CI: 0.93-1.13), which was consistent across countries (I(2) = 2.9%). CONCLUSIONS/SIGNIFICANCE In this large European case-cohort study no association between DED of solid and semi-solid foods and risk of T2D was observed. However, despite the fact that there currently is no conclusive evidence for an association between DED and T2DM risk, choosing low energy dense foods should be promoted as they support current WHO recommendations to prevent chronic diseases. ; Yes
Document Type:	article in journal/newspaper
File Description:	application/pdf
Language:	English
ISSN:	1932-6203
Relation:	van den Berg SW, van der A DL, Spijkerman AM, van Woudenbergh GJ, Tijhuis MJ, Amiano P, et al. The association between dietary energy density and type 2 diabetes in Europe: results from the EPIC-InterAct Study. PLoS ONE 2013; 8(5):e59947.; http://hdl.handle.net/10668/1493; PMC3655954
DOI:	10.1371/journal.pone.0059947
Availability:	http://hdl.handle.net/10668/1493; https://doi.org/10.1371/journal.pone.0059947
Rights:	open access
Accession Number:	edsbas.2301958D
Database:	BASE