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  • Jannasch, FranziskaGerman Center for Diabetes Research,NutriAct - Competence Cluster Nutrition Research Berlin-Potsdam,German Institute of Human Nutrition (author)

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

  • Article/chapterEnglish2019

Publisher, publication year, extent ...

  • Elsevier BV,2019
  • 9 s.

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:24683dc0-eca8-4a4c-94c7-5fcb7aec1f8c
  • https://lup.lub.lu.se/record/24683dc0-eca8-4a4c-94c7-5fcb7aec1f8cURI
  • https://doi.org/10.1093/jn/nxz031DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-160601URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • 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 and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Kröger, JanineGerman Center for Diabetes Research,German Institute of Human Nutrition (author)
  • Agnoli, ClaudiaIstituto Nazionale dei Tumori (author)
  • Barricarte, AurelioCIBER Epidemiology and Public Health (CIBERESP),Navarre Public Health Institute (ISPN),Health Research Institute of Navarra (IDISNA) (author)
  • Boeing, HeinerGerman Institute of Human Nutrition (author)
  • Cayssials, ValerieBellvitge Biomedical Research Institute,L'Hospitalet de Llobregat, Barcelona (author)
  • Colorado-Yohar, SandraUniversity of Antioquia,Murcia Regional Health Council,CIBER Epidemiology and Public Health (CIBERESP) (author)
  • Dahm, Christina C.Aarhus University (author)
  • Dow, CourtneyUniversity of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP) (author)
  • Fagherazzi, GuyUniversity of Paris-Saclay,Centre for Research in Epidemiology and Population Health (CESP) (author)
  • Franks, Paul W.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(Swepub:umu)pafr0003 (author)
  • Freisling, HeinzInternational Agency for Research on Cancer, World Health Organization (author)
  • Gunter, Marc J.International Agency for Research on Cancer, World Health Organization (author)
  • Kerrison, Nicola D.University of Cambridge (author)
  • Key, Timothy J.University of Oxford (author)
  • Khaw, Kay TeeUniversity of Cambridge,Addenbrooke's Hospital (author)
  • Kühn, TilmanGerman Cancer Research Centre (author)
  • Kyro, CecilieDanish Cancer Society (author)
  • Mancini, Francesca RomanaCentre for Research in Epidemiology and Population Health (CESP),University of Paris-Saclay (author)
  • Mokoroa, OlatzCIBER Epidemiology and Public Health (CIBERESP),Biodonostia Health Research Institute (author)
  • Nilsson, PeterLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups(Swepub:lu)medf-pni (author)
  • Overvad, KimAarhus University,Aalborg University Hospital (author)
  • Palli, DomenicoInstitute for Cancer Research, Prevention and Clinical Network (ISPRO) (author)
  • Panico, SalvatoreUniversity of Naples Federico II (author)
  • García, Jose Ramón QuirósPublic Health Directorate (author)
  • Rolandsson, OlovUmeå universitet,Umeå University,Allmänmedicin(Swepub:umu)olro0005 (author)
  • Sacerdote, CarlottaCitta' della Salute e della Scienza Hospital-University of Turin,Human Genetics Foundation (HuGeF) (author)
  • Sánchez, Mariá JoséAndalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP) (author)
  • Sahrai, Mohammad SediqInternational Agency for Research on Cancer, World Health Organization (author)
  • Schübel, RuthGerman Cancer Research Centre (author)
  • Sluijs, IvonneUniversity Medical Center Utrecht (author)
  • Spijkerman, Annemieke M.W.National Institute for Public Health and the Environment (RIVM) (author)
  • Tjonneland, AnneDanish Cancer Society (author)
  • Tong, Tammy Y.N.University of Oxford (author)
  • Tumino, RosarioAssociazione Iblea per la Ricerca Epidemiologica,Civic and M.P Arezzo Hospital (author)
  • Riboli, ElioImperial College London (author)
  • Langenberg, ClaudiaUniversity of Cambridge (author)
  • Sharp, Stephen J.University of Cambridge (author)
  • Forouhi, Nita G.University of Cambridge (author)
  • Schulze, Matthias B.German Institute of Human Nutrition,University of Potsdam,German Center for Diabetes Research (author)
  • Wareham, Nicholas J.University of Cambridge (author)
  • German Center for Diabetes ResearchNutriAct - Competence Cluster Nutrition Research Berlin-Potsdam (creator_code:org_t)

Related titles

  • In:The Journal of nutrition: Elsevier BV149:6, s. 1047-10551541-61000022-3166

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