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Heterogeneity of As...
Heterogeneity of Associations between Total and Types of Fish Intake and the Incidence of Type 2 Diabetes : Federated Meta-Analysis of 28 Prospective Studies Including 956,122 Participants
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- Pastorino, Silvia (author)
- Univ Cambridge, Inst Metab Sci, MRC Epidemiol Unit, Sch Clin Med, Cambridge Biomed Campus Cambridge, Cambridge CB2 0QQ, England; London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, Dept Populat Hlth, London WC1E 7HT, England
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- Bishop, Tom (author)
- Univ Cambridge, Inst Metab Sci, MRC Epidemiol Unit, Sch Clin Med, Cambridge Biomed Campus Cambridge, Cambridge CB2 0QQ, England
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- Sharp, Stephen J. (author)
- Univ Cambridge, Inst Metab Sci, MRC Epidemiol Unit, Sch Clin Med, Cambridge Biomed Campus Cambridge, Cambridge CB2 0QQ, England
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- Pearce, Matthew (author)
- Univ Cambridge, Inst Metab Sci, MRC Epidemiol Unit, Sch Clin Med, Cambridge Biomed Campus Cambridge, Cambridge CB2 0QQ, England
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- Akbaraly, Tasnime (author)
- Montpellier Univ, INSERM, U1198, F-34000 Montpellier, France; UCL, Dept Epidemiol & Publ Hlth, 1-19 Torrington Pl, London WC1E 7HB, England
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- Barbieri, Natalia B. (author)
- Univ Fed Rio Grande Sul UFRGS, Postgrad Program Epidemiol, Fac Med, BR-90040060 Porto Alegre, RS, Brazil
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- Bes-Rastrollo, Maira (author)
- Univ Navarra, Dept Prevent Med & Publ Hlth, Pamplona 31008, Spain; Inst Salud Carlos III, CIBERobn, Madrid 28029, Spain; Navarras Hlth Res Inst IdiSNA, Pamplona 31008, Spain
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- Beulens, Joline W. J. (author)
- Amsterdam VUMC, Dept Epidemiol & Data Sci, Amsterdam Publ Hlth, Amsterdam Cardiovasc Sci, Amsterdam UMC, NL-1081 HV Amsterdam, Netherlands; Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, NL-3584 CG Utrecht, Netherlands,Vanderbilt Univ, Div Epidemiol, Dept Med, Med Ctr, Vanderbilt Epidemiol Ctr,Vanderbilt Ingram Canc C, 2525 West End Ave, Nashville, TN 37203 USA
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- Chen, Zhengming (author)
- Univ Oxford, Nuffield Dept Populat Hlth, MRC, Populat Hlth Res Unit, Oxford OX3 7LF, England; Univ Oxford, Clin Trial Serv Unit, Nuffield Dept Populat Hlth, Oxford OX3 7LF, England.;Univ Oxford, Epidemiol Studies Unit, Nuffield Dept Populat Hlth, Oxford OX3 7LF, England
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- Du, Huaidong (author)
- Univ Oxford, Nuffield Dept Populat Hlth, MRC, Populat Hlth Res Unit, Oxford OX3 7LF, England; Univ Oxford, Clin Trial Serv Unit, Nuffield Dept Populat Hlth, Oxford OX3 7LF, England.;Univ Oxford, Epidemiol Studies Unit, Nuffield Dept Populat Hlth, Oxford OX3 7LF, England
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- Duncan, Bruce B. (author)
- Univ Fed Rio Grande Sul UFRGS, Postgrad Program Epidemiol, Fac Med, BR-90040060 Porto Alegre, RS, Brazil
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- Goto, Atsushi (author)
- Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo 1040045, Japan
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- Härkänen, Tommi (author)
- Finnish Inst Hlth & Welf THL, Dept Publ Hlth Solut, FI-00271 Helsinki, Finland
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- Hashemian, Maryam (author)
- Univ Tehran Med Sci, Digest Dis Res Ctr, Digest Dis Res Inst, Tehran 1411713135, Iran; Utica Coll, Sch Arts & Sci, Biol Dept, Utica, NY 13502 USA
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- Kromhout, Daan (author)
- Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol, NL-9713 GZ Groningen, Netherlands
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- Järvinen, Ritva (author)
- Univ Eastern Finland, Inst Publ Hlth & Nutr, FI-70211 Kuopio, Finland
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- Kivimaki, Mika (author)
- UCL, Dept Epidemiol & Publ Hlth, 1-19 Torrington Pl, London WC1E 7HB, England
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- Knekt, Paul (author)
- Finnish Inst Hlth & Welf THL, Dept Publ Hlth Solut, FI-00271 Helsinki, Finland
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- Lin, Xu (author)
- Univ Chinese Acad Sci, Chinese Acad Sci, Inst Biol Sci, CAS Key Lab Nutr Metab & Food Safety,Shanghai Ins, Shanghai 200031, Peoples R China
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- Lund, Eiliv (author)
- UiT Arctic Univ Norway, Dept Community Med, Pb 5060, N-9037 Tromsö, Norway; Canc Registry Norway, N-0379 Oslo, Norway
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- Magliano, Dianna J. (author)
- Baker Heart & Diabet Inst, 75 Commercial Rd, Melbourne, Vic 3004, Australia
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- Malekzadeh, Reza (author)
- Univ Tehran Med Sci, Digest Dis Res Ctr, Digest Dis Res Inst, Tehran 1411713135, Iran
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- Martinez-Gonzalez, Miguel Ángel (author)
- Univ Navarra, Dept Prevent Med & Publ Hlth, Pamplona 31008, Spain; Inst Salud Carlos III, CIBERobn, Madrid 28029, Spain; Navarras Hlth Res Inst IdiSNA, Pamplona 31008, Spain; Harvard TH Chan Sch Publ Hlth, Dept Nutr, 665 Huntington Ave, Boston, MA 02115 USA
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- O'Donoghue, Grainne (author)
- Univ Coll Dublin, Sch Publ Hlth Physiotherapy & Sports Sci, Dublin DO4, Ireland
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- O'Gorman, Donal (author)
- Dublin City Univ, Sch Hlth & Human Performance, Natl Inst Cellular Biotechnol, Whitehall, Dublin DO9, Ireland
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- Poustchi, Hossein (author)
- Univ Tehran Med Sci, Digest Dis Res Ctr, Digest Dis Res Inst, Tehran 1411713135, Iran
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- Rylander, Charlotta (author)
- UiT Arctic Univ Norway, Dept Community Med, Pb 5060, N-9037 Tromsö, Norway
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- Sawada, Norie (author)
- Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo 1040045, Japan
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- Shaw, Jonathan E. (author)
- Baker Heart & Diabet Inst, 75 Commercial Rd, Melbourne, Vic 3004, Australia
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- Schmidt, Maria (author)
- Univ Fed Rio Grande Sul UFRGS, Postgrad Program Epidemiol, Fac Med, BR-90040060 Porto Alegre, RS, Brazil
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- Soedamah-Muthu, Sabita S. (author)
- Tilburg Univ, Ctr Res Psychol & Somat Disorders Corps, Dept Med & Clin Psychol, POB 90153, NL-5000 LE Tilburg, Netherlands; Univ Reading, Inst Food Nutr & Hlth, Reading RG6 6AR, Berks, England
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- Sun, Liang (author)
- Univ Chinese Acad Sci, Chinese Acad Sci, Inst Biol Sci, CAS Key Lab Nutr Metab & Food Safety,Shanghai Ins, Shanghai 200031, Peoples R China
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- Wen, Wanqing (author)
- Vanderbilt Univ, Div Epidemiol, Dept Med, Med Ctr, Vanderbilt Epidemiol Ctr,Vanderbilt Ingram Canc C, 2525 West End Ave, Nashville, TN 37203 USA
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- Wolk, Alicja (author)
- Karolinska Institutet,Uppsala universitet,Ortopedi,Karolinska Inst, Inst Environm Med, S-17177 Stockholm, Sweden
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- Shu, Xiao-Ou (author)
- Vanderbilt Univ, Div Epidemiol, Dept Med, Med Ctr, Vanderbilt Epidemiol Ctr,Vanderbilt Ingram Canc C, 2525 West End Ave, Nashville, TN 37203 USA
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- Zheng, Wei (author)
- Vanderbilt Univ, Div Epidemiol, Dept Med, Med Ctr, Vanderbilt Epidemiol Ctr,Vanderbilt Ingram Canc C, 2525 West End Ave, Nashville, TN 37203 USA
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- Wareham, Nicholas J. (author)
- Univ Cambridge, Inst Metab Sci, MRC Epidemiol Unit, Sch Clin Med, Cambridge Biomed Campus Cambridge, Cambridge CB2 0QQ, England
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- Forouhi, Nita G. (author)
- Univ Cambridge, Inst Metab Sci, MRC Epidemiol Unit, Sch Clin Med, Cambridge Biomed Campus Cambridge, Cambridge CB2 0QQ, England
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(creator_code:org_t)
- 2021-04-07
- 2021
- English.
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In: Nutrients. - : MDPI. - 2072-6643. ; 13:4
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Abstract
Subject headings
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- The association between fish consumption and new-onset type 2 diabetes is inconsistent and differs according to geographical location. We examined the association between the total and types of fish consumption and type 2 diabetes using individual participant data from 28 prospective cohort studies from the Americas (6), Europe (15), the Western Pacific (6), and the Eastern Mediterranean (1) comprising 956,122 participants and 48,084 cases of incident type 2 diabetes. Incidence rate ratios (IRRs) for associations of total fish, shellfish, fatty, lean, fried, freshwater, and saltwater fish intake and type 2 diabetes were derived for each study, adjusting for a consistent set of confounders and combined across studies using random-effects meta-analysis. We stratified all analyses by sex due to observed interaction (p = 0.002) on the association between fish and type 2 diabetes. In women, for each 100 g/week higher intake the IRRs (95% CIs) of type 2 diabetes were 1.02 (1.01–1.03, I2 = 61%) for total fish, 1.04 (1.01–1.07, I2 = 46%) for fatty fish, and 1.02 (1.00–1.04, I2 = 33%) for lean fish. In men, all associations were null. In women, we observed variation by geographical location: IRRs for total fish were 1.03 (1.02–1.04, I2 = 0%) in the Americas and null in other regions. In conclusion, we found evidence of a neutral association between total fish intake and type 2 diabetes in men, but there was a modest positive association among women with heterogeneity across studies, which was partly explained by geographical location and types of fish intake. Future research should investigate the role of cooking methods, accompanying foods and environmental pollutants, but meanwhile, existing dietary regional, national, or international guidelines should continue to guide fish consumption within overall healthy dietary patterns.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
Keyword
- type 2 diabetes
- fish
- federated meta-analysis
- prospective studies
Publication and Content Type
- ref (subject category)
- art (subject category)
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Nutrients
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- By the author/editor
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Pastorino, Silvi ...
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Bishop, Tom
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Sharp, Stephen J ...
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Pearce, Matthew
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Akbaraly, Tasnim ...
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Barbieri, Natali ...
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show more...
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Bes-Rastrollo, M ...
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Beulens, Joline ...
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Chen, Zhengming
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Du, Huaidong
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Duncan, Bruce B.
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Goto, Atsushi
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Härkänen, Tommi
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Hashemian, Marya ...
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Kromhout, Daan
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Järvinen, Ritva
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Kivimaki, Mika
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Knekt, Paul
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Lin, Xu
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Lund, Eiliv
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Magliano, Dianna ...
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Malekzadeh, Reza
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Martinez-Gonzale ...
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O'Donoghue, Grai ...
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O'Gorman, Donal
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Poustchi, Hossei ...
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Rylander, Charlo ...
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Sawada, Norie
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Shaw, Jonathan E ...
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Schmidt, Maria
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Soedamah-Muthu, ...
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Sun, Liang
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Wen, Wanqing
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Wolk, Alicja
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Shu, Xiao-Ou
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Zheng, Wei
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Wareham, Nichola ...
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Forouhi, Nita G.
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nutrition and Di ...
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Nutrients
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Uppsala University
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Karolinska Institutet