Dietary fibre and incidence of type 2 diabetes in eight European countries : the EPIC-InterAct Study and a meta-analysis of prospective studies

Autor: Valeria Pala, Aurelio Barricarte, Nita G. Forouhi, Joline W.J. Beulens, Kim Overvad, Matthias B. Schulze, Claudia Langenberg, Dagfinn Aune, Teresa Norat, Daphne L. van der A, José María Huerta Castaño, Andrea Wendt, Timothy J. Key, Beverley Balkau, Tilman Kühn, María José Sánchez, Edith J. M. Feskens, Domenico Palli, Geertruida J. van Woudenbergh, Martin Lajous, Anne Tjønneland, Pilar Amiano, Inge Huybrechts, Anneleen Kuijsten, Brian Buijsse, Cecilie Kyrø, Rosario Tumino, Peter M. Nilsson, Elio Riboli, Guy Fagherazzi, Annemieke M.W. Spijkerman, Olov Rolandsson, Stephen J. Sharp, Genevieve Buckland, Salvatore Panico, Marju Orho-Melander, Carlotta Sacerdote, Nicholas J. Wareham, Maria Luisa Redondo, Heiner Boeing, Nadia Slimani, Paul W. Franks, Ivonne Sluijs
Přispěvatelé: Overvad, Kim, Epidemiology and Data Science, EMGO - Lifestyle, overweight and diabetes, Panico, Salvatore
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Dietary Fiber
Male
Nutrition and Disease
Urban Population
Endocrinology
Diabetes and Metabolism
Type 2 diabetes
Socioeconomic Factor
Body Mass Index
Cohort Studies
Endocrinology
Voeding en Ziekte
Vegetables
1114 Paediatrics And Reproductive Medicine
Prospective Studies
Prospective cohort study
Non-U.S. Gov't
Incidence
Research Support
Non-U.S. Gov't
Dietary fibre
Middle Aged
3. Good health
European Prospective Investigation into Cancer and Nutrition
Europe
Diabetes and Metabolism
1117 Public Health And Health Services
Meta-analysis
EPIC-InterAct
Female
Cohort study
Human
Adult
medicine.medical_specialty
Case-cohort
Lower risk
Research Support
Endocrinology & Metabolism
Diabetes mellitus
Internal medicine
medicine
Internal Medicine
Journal Article
Humans
Life Style
VLAG
Aged
business.industry
Proportional hazards model
Body Weight
1103 Clinical Sciences
medicine.disease
Diet
Prospective Studie
Diabetes Mellitus
Type 2
Socioeconomic Factors
Fruit
Cohort Studie
business
Edible Grain
Zdroj: Diabetologia 58 (2015) 7
InterAct consortium (Kim Overvad; member) 2015, ' Dietary fibre and incidence of type 2 diabetes in eight European countries : the EPIC-InterAct Study and a meta-analysis of prospective studies ', Diabetologia, vol. 58, no. 7, pp. 1394-408 . https://doi.org/10.1007/s00125-015-3585-9
Diabetologia, 58(7), 1394-1408. Springer Verlag
Diabetologia, 58(7), 1394. Springer Verlag
Diabetologia, 58(7), 1394-1408
The InterAct Consortium 2015, ' Dietary fibre and incidence of type 2 diabetes in eight European countries : the EPIC-InterAct Study and a meta-analysis of prospective studies ', Diabetologia, vol. 58, no. 7, pp. 1394-1408 . https://doi.org/10.1007/s00125-015-3585-9
Diabetologia
ISSN: 0012-186X
Popis: Aims/hypothesis Intake of dietary fibre has been associated with a reduced risk of type 2 diabetes, but few European studies have been published on this. We evaluated the association between intake of dietary fibre and type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study and in a meta-analysis of prospective studies. Methods During 10.8 years of follow-up, 11,559 participants with type 2 diabetes were identified and a subcohort of 15,258 participants was selected for the case-cohort study. Country-specific HRs were estimated using Prentice-weighted Cox proportional hazards models and were pooled using a random effects meta-analysis. Eighteen other cohort studies were identified for the meta-analysis. Results In the EPIC-InterAct Study, dietary fibre intake was associated with a lower risk of diabetes (HRQ4 vs Q1 0.82; 95% CI 0.69, 0.97) after adjustment for lifestyle and dietary factors. Similar inverse associations were observed for the intake of cereal fibre and vegetable fibre, but not fruit fibre. The associations were attenuated and no longer statistically significant after adjustment for BMI. In the meta-analysis (19 cohorts), the summary RRs per 10 g/day increase in intake were 0.91 (95% CI 0.87, 0.96) for total fibre, 0.75 (95% CI 0.65, 0.86) for cereal fibre, 0.95 (95% CI 0.87, 1.03) for fruit fibre and 0.93 (95% CI 0.82, 1.05) for vegetable fibre. Conclusions/interpretation The overall evidence indicates that the intake of total and cereal fibre is inversely related to the risk of type 2 diabetes. The results of the EPIC-InterAct Study suggest that the association may be partially explained by body weight. Electronic supplementary material The online version of this article (doi:10.1007/s00125-015-3585-9) contains peer-reviewed but unedited supplementary material, which is available to authorised users.
Databáze: OpenAIRE
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