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Fruit and vegetable consumption and diabetes mellitus incidence among U.S. adults.

Abstract

BACKGROUND

Adequate fruit and vegetable intake may lower the risk of several chronic diseases, but little is known about how it affects the risk of diabetes mellitus.

METHODS

We examined whether fruit and vegetable consumption was associated with diabetes incidence in a cohort of U. S. adults aged 25-74 years who were followed for about 20 years.

RESULTS

In the analytic sample of 9,665 participants, 1,018 developed diabetes mellitus. The mean daily intake of fruits and vegetables as well as the percentage of participants consuming five or more fruits and vegetables per day was lower among persons who developed diabetes than among persons who remained free of this disease (P < 0.001). After adjustments for age, race or ethnicity, cigarette smoking, systolic blood pressure, use of antihypertensive medication, serum cholesterol concentration, body mass index, recreational exercise, nonrecreational exercise, and alcohol consumption, the hazard ratio for participants consuming five or more servings of fruits and vegetables per day compared with those consuming none was 0.73 (95% confidence interval (CI), 0.54-0.98) for all participants, 0.54 (95% CI, 0.36-0.81) for women, and 1.09 (95% CI, 0.63-1.87) for men. Adding education to the model changed the hazard ratios to 0.79 (95% CI, 0.59-1.06) for all participants, 0.61 (95% CI, 0.42-0.88) for women, and 1.14 (95% CI, 0.67-1.93) for men.

CONCLUSIONS

Fruit and vegetable intake may be inversely associated with diabetes incidence particularly among women. Education may explain partly this association.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. esf2@cdc.gov

    Source

    Preventive medicine 32:1 2001 Jan pg 33-9

    MeSH

    Adult
    Aged
    Diabetes Mellitus
    Feeding Behavior
    Female
    Follow-Up Studies
    Fruit
    Humans
    Incidence
    Male
    Middle Aged
    Proportional Hazards Models
    Sex Distribution
    United States
    Vegetables

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    11162324

    Citation

    Ford, E S., and A H. Mokdad. "Fruit and Vegetable Consumption and Diabetes Mellitus Incidence Among U.S. Adults." Preventive Medicine, vol. 32, no. 1, 2001, pp. 33-9.
    Ford ES, Mokdad AH. Fruit and vegetable consumption and diabetes mellitus incidence among U.S. adults. Prev Med. 2001;32(1):33-9.
    Ford, E. S., & Mokdad, A. H. (2001). Fruit and vegetable consumption and diabetes mellitus incidence among U.S. adults. Preventive Medicine, 32(1), pp. 33-9.
    Ford ES, Mokdad AH. Fruit and Vegetable Consumption and Diabetes Mellitus Incidence Among U.S. Adults. Prev Med. 2001;32(1):33-9. PubMed PMID: 11162324.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Fruit and vegetable consumption and diabetes mellitus incidence among U.S. adults. AU - Ford,E S, AU - Mokdad,A H, PY - 2001/2/13/pubmed PY - 2001/4/21/medline PY - 2001/2/13/entrez SP - 33 EP - 9 JF - Preventive medicine JO - Prev Med VL - 32 IS - 1 N2 - BACKGROUND: Adequate fruit and vegetable intake may lower the risk of several chronic diseases, but little is known about how it affects the risk of diabetes mellitus. METHODS: We examined whether fruit and vegetable consumption was associated with diabetes incidence in a cohort of U. S. adults aged 25-74 years who were followed for about 20 years. RESULTS: In the analytic sample of 9,665 participants, 1,018 developed diabetes mellitus. The mean daily intake of fruits and vegetables as well as the percentage of participants consuming five or more fruits and vegetables per day was lower among persons who developed diabetes than among persons who remained free of this disease (P < 0.001). After adjustments for age, race or ethnicity, cigarette smoking, systolic blood pressure, use of antihypertensive medication, serum cholesterol concentration, body mass index, recreational exercise, nonrecreational exercise, and alcohol consumption, the hazard ratio for participants consuming five or more servings of fruits and vegetables per day compared with those consuming none was 0.73 (95% confidence interval (CI), 0.54-0.98) for all participants, 0.54 (95% CI, 0.36-0.81) for women, and 1.09 (95% CI, 0.63-1.87) for men. Adding education to the model changed the hazard ratios to 0.79 (95% CI, 0.59-1.06) for all participants, 0.61 (95% CI, 0.42-0.88) for women, and 1.14 (95% CI, 0.67-1.93) for men. CONCLUSIONS: Fruit and vegetable intake may be inversely associated with diabetes incidence particularly among women. Education may explain partly this association. SN - 0091-7435 UR - https://www.unboundmedicine.com/medline/citation/11162324/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(00)90772-2 DB - PRIME DP - Unbound Medicine ER -