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Dietary patterns and risk for type 2 diabetes mellitus in U.S. men.
Ann Intern Med. 2002 Feb 05; 136(3):201-9.AIM

Abstract

BACKGROUND

The role of diet in the development of type 2 diabetes mellitus remains unsettled.

OBJECTIVE

To examine the association between major dietary patterns and risk for type 2 diabetes mellitus.

DESIGN

Prospective cohort study.

SETTING

United States.

PARTICIPANTS

42 504 male health professionals, 40 to 75 years of age, without diagnosed diabetes, cardiovascular disease, or cancer at baseline.

MEASUREMENTS

Using factor analysis based on data from food-frequency questionnaires, we identified and validated two major dietary patterns that we labeled "prudent" (characterized by higher consumption of vegetables, fruit, fish, poultry and whole grains) and "western" (characterized by higher consumption of red meat, processed meat, French fries, high-fat dairy products, refined grains, and sweets and desserts). Relative risks and 95% CIs were adjusted for potential confounders, including body mass index (BMI), physical activity, and cigarette smoking.

RESULTS

During 12 years of follow-up (466 508 person-years), we documented 1321 cases of type 2 diabetes. The prudent dietary pattern score was associated with a modestly lower risk for type 2 diabetes (relative risk for extreme quintiles, 0.84 [CI, 0.70 to 1.00]). In contrast, the western dietary pattern score was associated with an increased risk for type 2 diabetes (relative risk, 1.59 [CI, 1.32 to 1.93]; P < 0.001 for trend). A high score for the western dietary pattern combined with low physical activity (relative risk comparing extreme quintiles of dietary pattern score and physical activity, 1.96 [CI, 1.35 to 2.84]) or obesity (relative risk for BMI > or = 30 kg/m2 vs. <25 kg/m2, 11.2 [CI, 8.07 to 15.6]) was associated with a particularly high risk for type 2 diabetes.

CONCLUSION

Our findings suggest that a western dietary pattern is associated with a substantially increased risk for type 2 diabetes in men.

Authors+Show Affiliations

Harvard School of Public Health, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts 02115, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11827496

Citation

van Dam, Rob M., et al. "Dietary Patterns and Risk for Type 2 Diabetes Mellitus in U.S. Men." Annals of Internal Medicine, vol. 136, no. 3, 2002, pp. 201-9.
van Dam RM, Rimm EB, Willett WC, et al. Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. Ann Intern Med. 2002;136(3):201-9.
van Dam, R. M., Rimm, E. B., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002). Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. Annals of Internal Medicine, 136(3), 201-9.
van Dam RM, et al. Dietary Patterns and Risk for Type 2 Diabetes Mellitus in U.S. Men. Ann Intern Med. 2002 Feb 5;136(3):201-9. PubMed PMID: 11827496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. AU - van Dam,Rob M, AU - Rimm,Eric B, AU - Willett,Walter C, AU - Stampfer,Meir J, AU - Hu,Frank B, PY - 2002/2/6/pubmed PY - 2002/4/12/medline PY - 2002/2/6/entrez SP - 201 EP - 9 JF - Annals of internal medicine JO - Ann Intern Med VL - 136 IS - 3 N2 - BACKGROUND: The role of diet in the development of type 2 diabetes mellitus remains unsettled. OBJECTIVE: To examine the association between major dietary patterns and risk for type 2 diabetes mellitus. DESIGN: Prospective cohort study. SETTING: United States. PARTICIPANTS: 42 504 male health professionals, 40 to 75 years of age, without diagnosed diabetes, cardiovascular disease, or cancer at baseline. MEASUREMENTS: Using factor analysis based on data from food-frequency questionnaires, we identified and validated two major dietary patterns that we labeled "prudent" (characterized by higher consumption of vegetables, fruit, fish, poultry and whole grains) and "western" (characterized by higher consumption of red meat, processed meat, French fries, high-fat dairy products, refined grains, and sweets and desserts). Relative risks and 95% CIs were adjusted for potential confounders, including body mass index (BMI), physical activity, and cigarette smoking. RESULTS: During 12 years of follow-up (466 508 person-years), we documented 1321 cases of type 2 diabetes. The prudent dietary pattern score was associated with a modestly lower risk for type 2 diabetes (relative risk for extreme quintiles, 0.84 [CI, 0.70 to 1.00]). In contrast, the western dietary pattern score was associated with an increased risk for type 2 diabetes (relative risk, 1.59 [CI, 1.32 to 1.93]; P < 0.001 for trend). A high score for the western dietary pattern combined with low physical activity (relative risk comparing extreme quintiles of dietary pattern score and physical activity, 1.96 [CI, 1.35 to 2.84]) or obesity (relative risk for BMI > or = 30 kg/m2 vs. <25 kg/m2, 11.2 [CI, 8.07 to 15.6]) was associated with a particularly high risk for type 2 diabetes. CONCLUSION: Our findings suggest that a western dietary pattern is associated with a substantially increased risk for type 2 diabetes in men. SN - 1539-3704 UR - https://www.unboundmedicine.com/medline/citation/11827496/Dietary_patterns_and_risk_for_type_2_diabetes_mellitus_in_U_S__men_ L2 - https://www.acpjournals.org/doi/10.7326/0003-4819-136-3-200202050-00008?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -