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Intake of different types of dairy and its prospective association with risk of type 2 diabetes: The Rotterdam Study.
Nutr Metab Cardiovasc Dis. 2016 11; 26(11):987-995.NM

Abstract

BACKGROUND AND AIMS

The prevalence of type 2 diabetes (T2DM) is increasing. Several studies have suggested a beneficial effect of several major dairy nutrients on insulin production and sensitivity. Conversely, harmful effects have been suggested as well. This study aimed to investigate the impact of the full-range of dairy products and its association with incidence T2DM in Dutch adults aged ≥55 years participating in the Rotterdam Study.

METHODS AND RESULTS

Dairy intake was assessed with a validated FFQ, including total, skimmed, semi-skimmed, full-fat, fermented, and non-fermented dairy, and subclasses of these product groups. Verified prevalent and incident diabetes were documented. Cox proportional hazards regression and spline regression were used to analyse data, adjusting for age, sex, alcohol, smoking, education, physical activity, body mass index, intake of total energy, energy-adjusted meat, and energy-adjusted fish intake. Median total dairy intake was 398 g/day (IQR 259-559 g/day). Through 9.5 ± 4.1 years of follow-up, 393 cases of incident T2DM were reported. Cox and spline regression did not point towards associations of total dairy consumption, dairy consumption based on fat content, non-fermented or fermented dairy consumption, or individual dairy product consumption with incident T2DM. The HR for total dairy intake and T2DM was 0.93 (95% CI: 0.70-1.23) in the upper quartile (P-for trend 0.76).

CONCLUSIONS

This prospective cohort study did not point towards an association between dairy consumption and T2DM.

Authors+Show Affiliations

Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands. Electronic address: elske.brouwer-brolsma@wur.nl.Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.FrieslandCampina, Amersfoort, The Netherlands.FrieslandCampina, Amersfoort, The Netherlands.Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands; Netherlands Consortium for Healthy Ageing, Netherlands Genomics Initiative, The Hague, The Netherlands.Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands; Netherlands Consortium for Healthy Ageing, Netherlands Genomics Initiative, The Hague, The Netherlands.Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands; Netherlands Consortium for Healthy Ageing, Netherlands Genomics Initiative, The Hague, The Netherlands.Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.

Pub Type(s)

Comparative Study
Journal Article
Observational Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27692560

Citation

Brouwer-Brolsma, E M., et al. "Intake of Different Types of Dairy and Its Prospective Association With Risk of Type 2 Diabetes: the Rotterdam Study." Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, vol. 26, no. 11, 2016, pp. 987-995.
Brouwer-Brolsma EM, van Woudenbergh GJ, Oude Elferink SJ, et al. Intake of different types of dairy and its prospective association with risk of type 2 diabetes: The Rotterdam Study. Nutr Metab Cardiovasc Dis. 2016;26(11):987-995.
Brouwer-Brolsma, E. M., van Woudenbergh, G. J., Oude Elferink, S. J., Singh-Povel, C. M., Hofman, A., Dehghan, A., Franco, O. H., & Feskens, E. J. (2016). Intake of different types of dairy and its prospective association with risk of type 2 diabetes: The Rotterdam Study. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 26(11), 987-995. https://doi.org/10.1016/j.numecd.2016.08.003
Brouwer-Brolsma EM, et al. Intake of Different Types of Dairy and Its Prospective Association With Risk of Type 2 Diabetes: the Rotterdam Study. Nutr Metab Cardiovasc Dis. 2016;26(11):987-995. PubMed PMID: 27692560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intake of different types of dairy and its prospective association with risk of type 2 diabetes: The Rotterdam Study. AU - Brouwer-Brolsma,E M, AU - van Woudenbergh,G J, AU - Oude Elferink,S J W H, AU - Singh-Povel,C M, AU - Hofman,A, AU - Dehghan,A, AU - Franco,O H, AU - Feskens,E J M, Y1 - 2016/08/10/ PY - 2016/03/02/received PY - 2016/07/22/revised PY - 2016/08/03/accepted PY - 2016/10/26/pubmed PY - 2017/8/2/medline PY - 2016/10/4/entrez KW - Cheese KW - Dairy KW - Milk KW - Prospective study KW - Type 2 diabetes KW - Yogurt SP - 987 EP - 995 JF - Nutrition, metabolism, and cardiovascular diseases : NMCD JO - Nutr Metab Cardiovasc Dis VL - 26 IS - 11 N2 - BACKGROUND AND AIMS: The prevalence of type 2 diabetes (T2DM) is increasing. Several studies have suggested a beneficial effect of several major dairy nutrients on insulin production and sensitivity. Conversely, harmful effects have been suggested as well. This study aimed to investigate the impact of the full-range of dairy products and its association with incidence T2DM in Dutch adults aged ≥55 years participating in the Rotterdam Study. METHODS AND RESULTS: Dairy intake was assessed with a validated FFQ, including total, skimmed, semi-skimmed, full-fat, fermented, and non-fermented dairy, and subclasses of these product groups. Verified prevalent and incident diabetes were documented. Cox proportional hazards regression and spline regression were used to analyse data, adjusting for age, sex, alcohol, smoking, education, physical activity, body mass index, intake of total energy, energy-adjusted meat, and energy-adjusted fish intake. Median total dairy intake was 398 g/day (IQR 259-559 g/day). Through 9.5 ± 4.1 years of follow-up, 393 cases of incident T2DM were reported. Cox and spline regression did not point towards associations of total dairy consumption, dairy consumption based on fat content, non-fermented or fermented dairy consumption, or individual dairy product consumption with incident T2DM. The HR for total dairy intake and T2DM was 0.93 (95% CI: 0.70-1.23) in the upper quartile (P-for trend 0.76). CONCLUSIONS: This prospective cohort study did not point towards an association between dairy consumption and T2DM. SN - 1590-3729 UR - https://www.unboundmedicine.com/medline/citation/27692560/Intake_of_different_types_of_dairy_and_its_prospective_association_with_risk_of_type_2_diabetes:_The_Rotterdam_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0939-4753(16)30136-3 DB - PRIME DP - Unbound Medicine ER -