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01.04.2013 | Original Contribution

Dietary patterns and the risk of type 2 diabetes in overweight and obese individuals

verfasst von: Florianne Bauer, Joline W. J. Beulens, Daphne L. van der A, Cisca Wijmenga, Diederick E. Grobbee, Annemieke M. W. Spijkerman, Yvonne T. van der Schouw, N. Charlotte Onland-Moret

Erschienen in: European Journal of Nutrition | Ausgabe 3/2013

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Abstract

Purpose

Although overweight is an important determinant of diabetes risk, it remains unclear whether food choices can still influence the risk for type 2 diabetes in overweight persons. In this paper, we aim to clarify the role of dietary patterns in the development of type 2 diabetes in overweight and obese individuals.

Methods

We studied 20,835 overweight and obese participants in the Dutch part of the European Investigation into Cancer and Nutrition (EPIC-NL) study. Dietary intake was measured using a validated food frequency questionnaire, and dietary patterns were generated using factor analysis. Incident type 2 diabetes was verified against medical records. Cox proportional hazards models were used to assess the association between the dietary patterns (factor scores categorized in quartiles) and incident type 2 diabetes.

Results

Scoring on Pattern 1, characterized by fish, wine, chicken, raw vegetables and fruit juices, was not associated with type 2 diabetes risk after confounder adjustment. A high score on Pattern 2, characterized by soft drinks, fries and snacks, was associated with higher risk of type 2 diabetes (HR Q4 vs. Q1 (95 % CI): 1.70 (1.31; 2.20), p _trend ≤ 0.0001), particularly among less active individuals [less active: HR Q4 vs. Q1 (95 % CI): 2.14 (1.48; 3.09), p _trend = 0.00004, more active: HR Q4 vs. Q1 (95 % CI): 1.35 (0.93; 1.97), p _trend = 0.01; p _interaction = 0.02].

Conclusions

A high score on a pattern high in soft drinks, fries and snacks and low in fruit and vegetables was associated with higher risk of type 2 diabetes in overweight and obese subjects especially among physically less active individuals.

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Titel: Dietary patterns and the risk of type 2 diabetes in overweight and obese individuals
verfasst von: Florianne Bauer
Joline W. J. Beulens
Daphne L. van der A
Cisca Wijmenga
Diederick E. Grobbee
Annemieke M. W. Spijkerman
Yvonne T. van der Schouw
N. Charlotte Onland-Moret
Publikationsdatum: 01.04.2013
Verlag: Springer-Verlag
Erschienen in: European Journal of Nutrition / Ausgabe 3/2013
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-012-0423-4

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Dietary patterns and the risk of type 2 diabetes in overweight and obese individuals

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Purpose

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Results

Conclusions

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