Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study

Type 2 diabetes mellitus is a common condition whose incidence is increasing worldwide, and for which obesity and diet are important risk factors. The aim of this study was to assess the association of three diet quality scores with diabetes risk and how much of the association was mediated through...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Allison M. Hodge, Md Nazmul Karim, James R. Hébert, Nitin Shivappa, Barbora de Courten
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	type 2 diabetes obesity inflammation diet insulin resistance Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/b9277bd29c6144a2897bb8226b306a26
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b9277bd29c6144a2897bb8226b306a26
record_format	dspace
spelling	oai:doaj.org-article:b9277bd29c6144a2897bb8226b306a262021-11-25T18:37:14ZAssociation between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study10.3390/nu131141622072-6643https://doaj.org/article/b9277bd29c6144a2897bb8226b306a262021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4162https://doaj.org/toc/2072-6643Type 2 diabetes mellitus is a common condition whose incidence is increasing worldwide, and for which obesity and diet are important risk factors. The aim of this study was to assess the association of three diet quality scores with diabetes risk and how much of the association was mediated through body size. The Melbourne Collaborative Cohort Study recruited 41,513 men and women aged 40–69 years during 1990–1994. At baseline, data were collected on lifestyle and diet, anthropometric measures were performed. Incident diabetes was assessed by self-report at follow-up surveys in 1994–1998 and 2003–2007. The associations between the dietary inflammatory index (DII<sup>®</sup>), Mediterranean Diet Score (MDS) and the Alternative Healthy Eating Index—2010 and incident diabetes were assessed using Poisson regression, adjusting for age, sex, physical activity, smoking, alcohol consumption, socio-economic status (area based) and family history of diabetes. Data from 39,185 participants were included in the analysis and 1989 cases of diabetes were identified. Both DII and AHEI-2010 were associated with diabetes incidence, but MDS was not. In the top quintile of DII (most pro-inflammatory) vs. the least inflammatory quintile IRR was 1.49 95% CI (1.30, 1.72), <i>p</i> trend across quintiles <0.001. For AHEI-2010 the IRR was 0.67 (0.58, 0.78), <i>p</i> trend <0.001 for the healthiest vs. the least healthy quintile. Mediation analysis indicated that body size (body mass index/waist to hip ratio) mediated 35–48% of the association with incident diabetes for the AHEI and DII. Healthier diets may reduce risk of diabetes both by reducing weight gain and other mechanisms such as reducing inflammation.Allison M. HodgeMd Nazmul KarimJames R. HébertNitin ShivappaBarbora de CourtenMDPI AGarticletype 2 diabetesobesityinflammationdietinsulin resistanceNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4162, p 4162 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 2 diabetes obesity inflammation diet insulin resistance Nutrition. Foods and food supply TX341-641
spellingShingle	type 2 diabetes obesity inflammation diet insulin resistance Nutrition. Foods and food supply TX341-641 Allison M. Hodge Md Nazmul Karim James R. Hébert Nitin Shivappa Barbora de Courten Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study
description	Type 2 diabetes mellitus is a common condition whose incidence is increasing worldwide, and for which obesity and diet are important risk factors. The aim of this study was to assess the association of three diet quality scores with diabetes risk and how much of the association was mediated through body size. The Melbourne Collaborative Cohort Study recruited 41,513 men and women aged 40–69 years during 1990–1994. At baseline, data were collected on lifestyle and diet, anthropometric measures were performed. Incident diabetes was assessed by self-report at follow-up surveys in 1994–1998 and 2003–2007. The associations between the dietary inflammatory index (DII<sup>®</sup>), Mediterranean Diet Score (MDS) and the Alternative Healthy Eating Index—2010 and incident diabetes were assessed using Poisson regression, adjusting for age, sex, physical activity, smoking, alcohol consumption, socio-economic status (area based) and family history of diabetes. Data from 39,185 participants were included in the analysis and 1989 cases of diabetes were identified. Both DII and AHEI-2010 were associated with diabetes incidence, but MDS was not. In the top quintile of DII (most pro-inflammatory) vs. the least inflammatory quintile IRR was 1.49 95% CI (1.30, 1.72), <i>p</i> trend across quintiles <0.001. For AHEI-2010 the IRR was 0.67 (0.58, 0.78), <i>p</i> trend <0.001 for the healthiest vs. the least healthy quintile. Mediation analysis indicated that body size (body mass index/waist to hip ratio) mediated 35–48% of the association with incident diabetes for the AHEI and DII. Healthier diets may reduce risk of diabetes both by reducing weight gain and other mechanisms such as reducing inflammation.
format	article
author	Allison M. Hodge Md Nazmul Karim James R. Hébert Nitin Shivappa Barbora de Courten
author_facet	Allison M. Hodge Md Nazmul Karim James R. Hébert Nitin Shivappa Barbora de Courten
author_sort	Allison M. Hodge
title	Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study
title_short	Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study
title_full	Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study
title_fullStr	Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study
title_full_unstemmed	Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study
title_sort	association between diet quality indices and incidence of type 2 diabetes in the melbourne collaborative cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b9277bd29c6144a2897bb8226b306a26
work_keys_str_mv	AT allisonmhodge associationbetweendietqualityindicesandincidenceoftype2diabetesinthemelbournecollaborativecohortstudy AT mdnazmulkarim associationbetweendietqualityindicesandincidenceoftype2diabetesinthemelbournecollaborativecohortstudy AT jamesrhebert associationbetweendietqualityindicesandincidenceoftype2diabetesinthemelbournecollaborativecohortstudy AT nitinshivappa associationbetweendietqualityindicesandincidenceoftype2diabetesinthemelbournecollaborativecohortstudy AT barboradecourten associationbetweendietqualityindicesandincidenceoftype2diabetesinthemelbournecollaborativecohortstudy
_version_	1718410917067096064

Association between Diet Quality Indices and Incidence of Type 2 Diabetes in the Melbourne Collaborative Cohort Study

Ejemplares similares