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Dietary patterns and the incidence of type 2 diabetes.

Abstract

Major dietary patterns were studied for the ability to predict type 2 diabetes mellitus in a cohort of 4,304 Finnish men and women aged 40-69 years and free of diabetes at baseline in 1967-1972. Factor analysis was used to identify dietary patterns from dietary data that were collected using a 1-year dietary history interview. A total of 383 incident cases of type 2 diabetes occurred during a 23-year follow-up. Two major dietary patterns were identified. The pattern labeled "prudent" was characterized by higher consumption of fruits and vegetables, and the pattern labeled "conservative" was characterized by consumption of butter, potatoes, and whole milk. The relative risks (adjusted for nondietary confounders) between the extreme quartiles of the pattern scores were 0.72 (95% confidence interval: 0.53, 0.97; p(trend) = 0.03) for the prudent pattern and 1.49 (95% confidence interval: 1.11, 2.00; p(trend) = 0.01) for the conservative pattern. Thus, the prudent dietary pattern score was associated with a reduced risk and the conservative pattern score was associated with an increased risk of type 2 diabetes. In light of these results, it appears conceivable that the risk of developing type 2 diabetes can be reduced by changing dietary patterns.

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  • Authors+Show Affiliations

    ,

    National Public Health Institute, Helsinki, Finland. jukka.montonen@ktl.fi

    , , , , ,

    Source

    American journal of epidemiology 161:3 2005 Feb 01 pg 219-27

    MeSH

    Adult
    Aged
    Diabetes Mellitus, Type 2
    Diet Surveys
    Feeding Behavior
    Female
    Finland
    Humans
    Incidence
    Male
    Middle Aged
    Proportional Hazards Models
    Risk Factors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    15671254

    Citation

    Montonen, Jukka, et al. "Dietary Patterns and the Incidence of Type 2 Diabetes." American Journal of Epidemiology, vol. 161, no. 3, 2005, pp. 219-27.
    Montonen J, Knekt P, Härkänen T, et al. Dietary patterns and the incidence of type 2 diabetes. Am J Epidemiol. 2005;161(3):219-27.
    Montonen, J., Knekt, P., Härkänen, T., Järvinen, R., Heliövaara, M., Aromaa, A., & Reunanen, A. (2005). Dietary patterns and the incidence of type 2 diabetes. American Journal of Epidemiology, 161(3), pp. 219-27.
    Montonen J, et al. Dietary Patterns and the Incidence of Type 2 Diabetes. Am J Epidemiol. 2005 Feb 1;161(3):219-27. PubMed PMID: 15671254.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary patterns and the incidence of type 2 diabetes. AU - Montonen,Jukka, AU - Knekt,Paul, AU - Härkänen,Tommi, AU - Järvinen,Ritva, AU - Heliövaara,Markku, AU - Aromaa,Arpo, AU - Reunanen,Antti, PY - 2005/1/27/pubmed PY - 2005/3/18/medline PY - 2005/1/27/entrez SP - 219 EP - 27 JF - American journal of epidemiology JO - Am. J. Epidemiol. VL - 161 IS - 3 N2 - Major dietary patterns were studied for the ability to predict type 2 diabetes mellitus in a cohort of 4,304 Finnish men and women aged 40-69 years and free of diabetes at baseline in 1967-1972. Factor analysis was used to identify dietary patterns from dietary data that were collected using a 1-year dietary history interview. A total of 383 incident cases of type 2 diabetes occurred during a 23-year follow-up. Two major dietary patterns were identified. The pattern labeled "prudent" was characterized by higher consumption of fruits and vegetables, and the pattern labeled "conservative" was characterized by consumption of butter, potatoes, and whole milk. The relative risks (adjusted for nondietary confounders) between the extreme quartiles of the pattern scores were 0.72 (95% confidence interval: 0.53, 0.97; p(trend) = 0.03) for the prudent pattern and 1.49 (95% confidence interval: 1.11, 2.00; p(trend) = 0.01) for the conservative pattern. Thus, the prudent dietary pattern score was associated with a reduced risk and the conservative pattern score was associated with an increased risk of type 2 diabetes. In light of these results, it appears conceivable that the risk of developing type 2 diabetes can be reduced by changing dietary patterns. SN - 0002-9262 UR - https://www.unboundmedicine.com/medline/citation/15671254/full_citation L2 - https://academic.oup.com/aje/article-lookup/doi/10.1093/aje/kwi039 DB - PRIME DP - Unbound Medicine ER -