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Dietary patterns, meat intake, and the risk of type 2 diabetes in women.
Arch Intern Med. 2004 Nov 08; 164(20):2235-40.AI

Abstract

BACKGROUND

Although obesity is the most important risk factor for type 2 diabetes, evidence is emerging that certain foods and dietary factors may be associated with diabetes. To examine the association between major dietary patterns and risk of type 2 diabetes mellitus in a cohort of women.

METHODS

We prospectively assessed the associations between major dietary patterns and risk of type 2 diabetes in women. Dietary information was collected in 1984, 1986, 1990, and 1994 from 69,554 women aged 38 to 63 years without a history of diabetes, cardiovascular disease, or cancer in 1984. We conducted factor analysis and identified 2 major dietary patterns: "prudent" and "Western." We then calculated pattern scores for each participant and examined prospectively the associations between dietary pattern scores and type 2 diabetes risks.

RESULTS

The prudent pattern was characterized by higher intakes of fruits, vegetables, legumes, fish, poultry, and whole grains, while the Western pattern included higher intakes of red and processed meats, sweets and desserts, french fries, and refined grains. During 14 years of follow-up, we identified 2699 incident cases of type 2 diabetes. After adjusting for potential confounders, we observed a relative risk for diabetes of 1.49 (95% confidence interval [CI], 1.26-1.76, P for trend, <.001) when comparing the highest to lowest quintiles of the Western pattern. Positive associations were also observed between type 2 diabetes and red meat and other processed meats. The relative risk for diabetes for every 1-serving increase in intake is 1.26 (95% CI, 1.21-1.42) for red meat, 1.38 (95% CI, 1.23-1.56) for total processed meats, 1.73 (95% CI, 1.39-2.16) for bacon, 1.49 (95% CI, 1.04-2.11) for hot dogs, and 1.43 (95% CI, 1.22-1.69) for processed meats.

CONCLUSION

The Western pattern, especially a diet higher in processed meats, may increase the risk of type 2 diabetes in women.

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Authors+Show Affiliations

Fung TT
Department of Nutrition, Simmons College, Boston, Mass. 02115, USA. fung@simmons.edu
Schulze M
No affiliation info available
Manson JE
No affiliation info available
Willett WC
No affiliation info available
Hu FB
No affiliation info available

MeSH

AdultAge DistributionCohort StudiesConfidence IntervalsDiabetes Mellitus, Type 2DietDietary FiberDietary ProteinsFeeding BehaviorFemaleFollow-Up StudiesHumansIncidenceMeat ProductsMiddle AgedProbabilityProspective StudiesRisk Assessment

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

15534160

Citation

Fung, Teresa T., et al. "Dietary Patterns, Meat Intake, and the Risk of Type 2 Diabetes in Women." Archives of Internal Medicine, vol. 164, no. 20, 2004, pp. 2235-40.
Fung TT, Schulze M, Manson JE, et al. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med. 2004;164(20):2235-40.
Fung, T. T., Schulze, M., Manson, J. E., Willett, W. C., & Hu, F. B. (2004). Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Archives of Internal Medicine, 164(20), 2235-40.
Fung TT, et al. Dietary Patterns, Meat Intake, and the Risk of Type 2 Diabetes in Women. Arch Intern Med. 2004 Nov 8;164(20):2235-40. PubMed PMID: 15534160.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns, meat intake, and the risk of type 2 diabetes in women. AU - Fung,Teresa T, AU - Schulze,Matthias, AU - Manson,JoAnn E, AU - Willett,Walter C, AU - Hu,Frank B, PY - 2004/11/10/pubmed PY - 2004/12/16/medline PY - 2004/11/10/entrez SP - 2235 EP - 40 JF - Archives of internal medicine JO - Arch Intern Med VL - 164 IS - 20 N2 - BACKGROUND: Although obesity is the most important risk factor for type 2 diabetes, evidence is emerging that certain foods and dietary factors may be associated with diabetes. To examine the association between major dietary patterns and risk of type 2 diabetes mellitus in a cohort of women. METHODS: We prospectively assessed the associations between major dietary patterns and risk of type 2 diabetes in women. Dietary information was collected in 1984, 1986, 1990, and 1994 from 69,554 women aged 38 to 63 years without a history of diabetes, cardiovascular disease, or cancer in 1984. We conducted factor analysis and identified 2 major dietary patterns: "prudent" and "Western." We then calculated pattern scores for each participant and examined prospectively the associations between dietary pattern scores and type 2 diabetes risks. RESULTS: The prudent pattern was characterized by higher intakes of fruits, vegetables, legumes, fish, poultry, and whole grains, while the Western pattern included higher intakes of red and processed meats, sweets and desserts, french fries, and refined grains. During 14 years of follow-up, we identified 2699 incident cases of type 2 diabetes. After adjusting for potential confounders, we observed a relative risk for diabetes of 1.49 (95% confidence interval [CI], 1.26-1.76, P for trend, <.001) when comparing the highest to lowest quintiles of the Western pattern. Positive associations were also observed between type 2 diabetes and red meat and other processed meats. The relative risk for diabetes for every 1-serving increase in intake is 1.26 (95% CI, 1.21-1.42) for red meat, 1.38 (95% CI, 1.23-1.56) for total processed meats, 1.73 (95% CI, 1.39-2.16) for bacon, 1.49 (95% CI, 1.04-2.11) for hot dogs, and 1.43 (95% CI, 1.22-1.69) for processed meats. CONCLUSION: The Western pattern, especially a diet higher in processed meats, may increase the risk of type 2 diabetes in women. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/15534160/Dietary_patterns_meat_intake_and_the_risk_of_type_2_diabetes_in_women_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/10.1001/archinte.164.20.2235 DB - PRIME DP - Unbound Medicine ER -