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Generalizability of...
Generalizability of a Diabetes-Associated Country-Specific Exploratory Dietary Pattern Is Feasible Across European Populations
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- Jannasch, Franziska (author)
- German Center for Diabetes Research,NutriAct - Competence Cluster Nutrition Research Berlin-Potsdam,German Institute of Human Nutrition
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- Kröger, Janine (author)
- German Center for Diabetes Research,German Institute of Human Nutrition
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- Agnoli, Claudia (author)
- Istituto Nazionale dei Tumori
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- Barricarte, Aurelio (author)
- CIBER Epidemiology and Public Health (CIBERESP),Navarre Public Health Institute (ISPN),Health Research Institute of Navarra (IDISNA)
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- Boeing, Heiner (author)
- German Institute of Human Nutrition
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- Cayssials, Valerie (author)
- Bellvitge Biomedical Research Institute,L'Hospitalet de Llobregat, Barcelona
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- Colorado-Yohar, Sandra (author)
- University of Antioquia,Murcia Regional Health Council,CIBER Epidemiology and Public Health (CIBERESP)
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- Dahm, Christina C. (author)
- Aarhus University
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- Dow, Courtney (author)
- University of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP)
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- Fagherazzi, Guy (author)
- University of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP)
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- Franks, Paul W. (author)
- 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
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- Freisling, Heinz (author)
- International Agency for Research on Cancer, World Health Organization
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- Gunter, Marc J. (author)
- International Agency for Research on Cancer, World Health Organization
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- Kerrison, Nicola D. (author)
- University of Cambridge
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- Key, Timothy J. (author)
- University of Oxford
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- Khaw, Kay Tee (author)
- University of Cambridge,Addenbrooke's Hospital
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- Kühn, Tilman (author)
- German Cancer Research Centre
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- Kyro, Cecilie (author)
- Danish Cancer Society
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- Mancini, Francesca Romana (author)
- Centre for Research in Epidemiology and Population Health (CESP),University of Paris-Saclay
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- Mokoroa, Olatz (author)
- CIBER Epidemiology and Public Health (CIBERESP),Biodonostia Health Research Institute
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- Nilsson, Peter (author)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups
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- Overvad, Kim (author)
- Aarhus University,Aalborg University Hospital
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- Palli, Domenico (author)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Panico, Salvatore (author)
- University of Naples Federico II
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- García, Jose Ramón Quirós (author)
- Public Health Directorate
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- Rolandsson, Olov (author)
- Umeå universitet,Umeå University,Allmänmedicin
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- Sacerdote, Carlotta (author)
- Citta' della Salute e della Scienza Hospital-University of Turin,Human Genetics Foundation (HuGeF)
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- Sánchez, Mariá José (author)
- Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)
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- Sahrai, Mohammad Sediq (author)
- International Agency for Research on Cancer, World Health Organization
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- Schübel, Ruth (author)
- German Cancer Research Centre
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- Sluijs, Ivonne (author)
- University Medical Center Utrecht
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- Spijkerman, Annemieke M.W. (author)
- National Institute for Public Health and the Environment (RIVM)
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- Tjonneland, Anne (author)
- Danish Cancer Society
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- Tong, Tammy Y.N. (author)
- University of Oxford
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- Tumino, Rosario (author)
- Associazione Iblea per la Ricerca Epidemiologica,Civic and M.P Arezzo Hospital
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- Riboli, Elio (author)
- Imperial College London
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- Langenberg, Claudia (author)
- University of Cambridge
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- Sharp, Stephen J. (author)
- University of Cambridge
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- Forouhi, Nita G. (author)
- University of Cambridge
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- Schulze, Matthias B. (author)
- German Institute of Human Nutrition,University of Potsdam,German Center for Diabetes Research
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- Wareham, Nicholas J. (author)
- University of Cambridge
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- English 9 s.
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In: The Journal of nutrition. - : Elsevier BV. - 1541-6100 .- 0022-3166. ; 149:6, s. 1047-1055
- Related links:
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http://dx.doi.org/10... (free)
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https://academic.oup...
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- 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.
Subject headings
- 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)
Keyword
- diet-disease association
- dietary patterns
- meta-analysis
- principal component analysis
- replication
- type 2 diabetes mellitus
- dietary patterns
Publication and Content Type
- art (subject category)
- ref (subject category)
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Jannasch, Franzi ...
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Kröger, Janine
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Agnoli, Claudia
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Barricarte, Aure ...
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Boeing, Heiner
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Cayssials, Valer ...
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show more...
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Colorado-Yohar, ...
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Dahm, Christina ...
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Dow, Courtney
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Fagherazzi, Guy
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Franks, Paul W.
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Freisling, Heinz
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Gunter, Marc J.
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Kerrison, Nicola ...
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Key, Timothy J.
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Khaw, Kay Tee
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Kühn, Tilman
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Kyro, Cecilie
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Mancini, Frances ...
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Mokoroa, Olatz
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Nilsson, Peter
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Overvad, Kim
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Palli, Domenico
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Panico, Salvator ...
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García, Jose Ram ...
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Rolandsson, Olov
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Sacerdote, Carlo ...
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Sánchez, Mariá J ...
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Sahrai, Mohammad ...
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Schübel, Ruth
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Sluijs, Ivonne
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Spijkerman, Anne ...
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Tjonneland, Anne
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Tong, Tammy Y.N.
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Tumino, Rosario
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Riboli, Elio
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Langenberg, Clau ...
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Sharp, Stephen J ...
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Forouhi, Nita G.
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Schulze, Matthia ...
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Wareham, Nichola ...
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MEDICAL AND HEAL ...
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MEDICAL AND HEAL ...
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MEDICAL AND HEAL ...
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Lund University
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Umeå University