Generalizability of a Diabetes-Associated Country-Specific Exploratory Dietary Pattern Is Feasible Across European Populations

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Generalizability of a Diabetes-Associated Country-Specific Exploratory Dietary Pattern Is Feasible Across European Populations

Jannasch, Franziska (författare): German Institute of Human Nutrition,German Center for Diabetes Research,NutriAct - Competence Cluster Nutrition Research Berlin-Potsdam

Kröger, Janine (författare): German Institute of Human Nutrition,German Center for Diabetes Research

Agnoli, Claudia (författare): Istituto Nazionale dei Tumori

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Barricarte, Aurelio (författare): CIBER Epidemiology and Public Health (CIBERESP),Navarre Public Health Institute (ISPN),Health Research Institute of Navarra (IDISNA)

Boeing, Heiner (författare): German Institute of Human Nutrition

Cayssials, Valerie (författare): L'Hospitalet de Llobregat, Barcelona,Bellvitge Biomedical Research Institute

Colorado-Yohar, Sandra (författare): Murcia Regional Health Council,University of Antioquia,CIBER Epidemiology and Public Health (CIBERESP)

Dahm, Christina C. (författare): Aarhus University

Dow, Courtney (författare): University of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP)

Fagherazzi, Guy (författare): University of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP)

Franks, Paul W. (författare): Umeå universitet,Umeå University,Lund University,Lunds universitet,Genetisk och molekylär epidemiologi,Forskargrupper vid Lunds universitet,Genetic and Molecular Epidemiology,Lund University Research Groups,Avdelningen för medicin,Department of Clinical Sciences, Lund University, Malmö, Sweden

Freisling, Heinz (författare): International Agency for Research on Cancer, World Health Organization

Gunter, Marc J. (författare): International Agency for Research on Cancer, World Health Organization

Kerrison, Nicola D. (författare): University of Cambridge

Key, Timothy J. (författare): University of Oxford

Khaw, Kay Tee (författare): Addenbrooke's Hospital,University of Cambridge

Kühn, Tilman (författare): German Cancer Research Centre

Kyro, Cecilie (författare): Danish Cancer Society

Mancini, Francesca Romana (författare): University of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP)

Mokoroa, Olatz (författare): Biodonostia Health Research Institute,CIBER Epidemiology and Public Health (CIBERESP)

Nilsson, Peter (författare): Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups

Overvad, Kim (författare): Aarhus University,Aalborg University Hospital

Palli, Domenico (författare): Institute for Cancer Research, Prevention and Clinical Network (ISPRO)

Panico, Salvatore (författare): University of Naples Federico II

García, Jose Ramón Quirós (författare): Public Health Directorate

Rolandsson, Olov (författare): Umeå universitet,Umeå University,Allmänmedicin

Sacerdote, Carlotta (författare): Citta' della Salute e della Scienza Hospital-University of Turin,Human Genetics Foundation (HuGeF)

Sánchez, Mariá José (författare): Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)

Sahrai, Mohammad Sediq (författare): International Agency for Research on Cancer, World Health Organization

Schübel, Ruth (författare): German Cancer Research Centre

Sluijs, Ivonne (författare): University Medical Center Utrecht

Spijkerman, Annemieke M.W. (författare): National Institute for Public Health and the Environment (RIVM)

Tjonneland, Anne (författare): Danish Cancer Society

Tong, Tammy Y.N. (författare): University of Oxford

Tumino, Rosario (författare): L’ Associazione Iblea per la Ricerca Epidemiologica (A.I.R.E.),Civic and M.P Arezzo Hospital

Riboli, Elio (författare): Imperial College London

Langenberg, Claudia (författare): University of Cambridge

Sharp, Stephen J. (författare): University of Cambridge

Forouhi, Nita G. (författare): University of Cambridge

Schulze, Matthias B. (författare): German Institute of Human Nutrition,University of Potsdam,German Center for Diabetes Research

Wareham, Nicholas J. (författare): University of Cambridge

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(creator_code:org_t)

Elsevier BV, 2019
2019
Engelska 9 s.
Ingår i: The Journal of nutrition. - : Elsevier BV. - 1541-6100 .- 0022-3166. ; 149:6, s. 1047-1055

Relaterad länk:: http://dx.doi.org/10... (free); visa fler...; https://academic.oup...; https://doi.org/10.1...; https://umu.diva-por... (primary) (Raw object); https://lup.lub.lu.s...; https://doi.org/10.1...; https://urn.kb.se/re...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

BACKGROUND: Population-specificity of exploratory dietary patterns limits their generalizability in investigations with type 2 diabetes incidence. OBJECTIVE: The aim of this study was to derive country-specific exploratory dietary patterns, investigate their association with type 2 diabetes incidence, and replicate diabetes-associated dietary patterns in other countries. METHODS: Dietary intake data were used, assessed by country-specific questionnaires at baseline of 11,183 incident diabetes cases and 14,694 subcohort members (mean age 52.9 y) from 8 countries, nested within the European Prospective Investigation into Cancer and Nutrition study (mean follow-up time 6.9 y). Exploratory dietary patterns were derived by principal component analysis. HRs for incident type 2 diabetes were calculated by Prentice-weighted Cox proportional hazard regression models. Diabetes-associated dietary patterns were simplified or replicated to be applicable in other countries. A meta-analysis across all countries evaluated the generalizability of the diabetes-association. RESULTS: Two dietary patterns per country/UK-center, of which overall 3 dietary patterns were diabetes-associated, were identified. A risk-lowering French dietary pattern was not confirmed across other countries: pooled HRFrance per 1 SD: 1.00; 95% CI: 0.90, 1.10. Risk-increasing dietary patterns, derived in Spain and UK-Norfolk, were confirmed, but only the latter statistically significantly: HRSpain: 1.09; 95% CI: 0.97, 1.22 and HRUK-Norfolk: 1.12; 95% CI: 1.04, 1.20. Respectively, this dietary pattern was characterized by relatively high intakes of potatoes, processed meat, vegetable oils, sugar, cake and cookies, and tea. CONCLUSIONS: Only few country/center-specific dietary patterns (3 of 18) were statistically significantly associated with diabetes incidence in this multicountry European study population. One pattern, whose association with diabetes was confirmed across other countries, showed overlaps in the food groups potatoes and processed meat with identified diabetes-associated dietary patterns from other studies. The study demonstrates that replication of associations of exploratory patterns with health outcomes is feasible and a necessary step to overcome population-specificity in associations from such analyses.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Nyckelord

diet-disease association
dietary patterns
meta-analysis
principal component analysis
replication
type 2 diabetes mellitus
dietary patterns

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Av författaren/redakt...: Jannasch, Franzi ...; Kröger, Janine; Agnoli, Claudia; Barricarte, Aure ...; Boeing, Heiner; Cayssials, Valer ...; visa fler...; Colorado-Yohar, ...; Dahm, Christina ...; Dow, Courtney; Fagherazzi, Guy; Franks, Paul W.; Freisling, Heinz; Gunter, Marc J.; Kerrison, Nicola ...; Key, Timothy J.; Khaw, Kay Tee; Kühn, Tilman; Kyro, Cecilie; Mancini, Frances ...; Mokoroa, Olatz; Nilsson, Peter; Overvad, Kim; Palli, Domenico; Panico, Salvator ...; García, Jose Ram ...; Rolandsson, Olov; Sacerdote, Carlo ...; Sánchez, Mariá J ...; Sahrai, Mohammad ...; Schübel, Ruth; Sluijs, Ivonne; Spijkerman, Anne ...; Tjonneland, Anne; Tong, Tammy Y.N.; Tumino, Rosario; Riboli, Elio; Langenberg, Clau ...; Sharp, Stephen J ...; Forouhi, Nita G.; Schulze, Matthia ...; Wareham, Nichola ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Endokrinologi oc ...

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Av lärosätet: Lunds universitet; Umeå universitet

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