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White Rice Intake and Incident Diabetes: A Study of 132,373 Participants in 21 Countries

Diabetes care, 2020-11, Vol.43 (11), p.2643-2650 [Peer Reviewed Journal]

2020 by the American Diabetes Association. ;Copyright American Diabetes Association Nov 1, 2020 ;2020 by the American Diabetes Association 2020 ;ISSN: 0149-5992 ;EISSN: 1935-5548 ;DOI: 10.2337/dc19-2335 ;PMID: 32873587

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Title:
White Rice Intake and Incident Diabetes: A Study of 132,373 Participants in 21 Countries
Author: Bhavadharini, Balaji ; Mohan, Viswanathan ; Dehghan, Mahshid ; Rangarajan, Sumathy ; Swaminathan, Sumathi ; Rosengren, Annika ; Wielgosz, Andreas ; Avezum, Alvaro ; Lopez-Jaramillo, Patricio ; Lanas, Fernando ; Dans, Antonio L ; Yeates, Karen ; Poirier, Paul ; Chifamba, Jephat ; Alhabib, Khalid F ; Mohammadifard, Noushin ; Zatońska, Katarzyna ; Khatib, Rasha ; Vural Keskinler, Mirac ; Wei, Li ; Wang, Chuangshi ; Liu, Xiaoyun ; Iqbal, Romaina ; Yusuf, Rita ; Wentzel-Viljoen, Edelweiss ; Yusufali, Afzalhussein ; Diaz, Rafael ; Keat, Ng Kien ; Lakshmi, P V M ; Ismail, Noorhassim ; Gupta, Rajeev ; Palileo-Villanueva, Lia M ; Sheridan, Patrick ; Mente, Andrew ; Yusuf, Salim
Subjects: Adult ; Africa - epidemiology ; Aged ; Asia - epidemiology ; Canada - epidemiology ; Clinical Care/Education/Nutrition/Psychosocial Research ; Clinical Medicine ; Consumption ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - epidemiology ; Diet ; Eating ; Epidemiology ; Europe - epidemiology ; Female ; Follow-Up Studies ; Health risks ; Humans ; Incidence ; Klinisk medicin ; Male ; Middle Aged ; Oryza - adverse effects ; Prevalence ; Proportional Hazards Models ; Prospective Studies ; Research design ; Rice ; Risk ; Risk Factors ; Rural Population ; South America - epidemiology
Is Part Of: Diabetes care, 2020-11, Vol.43 (11), p.2643-2650
Description: Previous prospective studies on the association of white rice intake with incident diabetes have shown contradictory results but were conducted in single countries and predominantly in Asia. We report on the association of white rice with risk of diabetes in the multinational Prospective Urban Rural Epidemiology (PURE) study. Data on 132,373 individuals aged 35-70 years from 21 countries were analyzed. White rice consumption (cooked) was categorized as <150, ≥150 to <300, ≥300 to <450, and ≥450 g/day, based on one cup of cooked rice = 150 g. The primary outcome was incident diabetes. Hazard ratios (HRs) were calculated using a multivariable Cox frailty model. During a mean follow-up period of 9.5 years, 6,129 individuals without baseline diabetes developed incident diabetes. In the overall cohort, higher intake of white rice (≥450 g/day compared with <150 g/day) was associated with increased risk of diabetes (HR 1.20; 95% CI 1.02-1.40; for trend = 0.003). However, the highest risk was seen in South Asia (HR 1.61; 95% CI 1.13-2.30; for trend = 0.02), followed by other regions of the world (which included South East Asia, Middle East, South America, North America, Europe, and Africa) (HR 1.41; 95% CI 1.08-1.86; for trend = 0.01), while in China there was no significant association (HR 1.04; 95% CI 0.77-1.40; for trend = 0.38). Higher consumption of white rice is associated with an increased risk of incident diabetes with the strongest association being observed in South Asia, while in other regions, a modest, nonsignificant association was seen.
Publisher: United States: American Diabetes Association
Language: English
Identifier: ISSN: 0149-5992
EISSN: 1935-5548
DOI: 10.2337/dc19-2335
PMID: 32873587
Source: GFMER Free Medical Journals
MEDLINE
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White Rice Intake and Incident Diabetes: A Study of 132,373 Participants in 21 Countries

2020 by the American Diabetes Association. ;Copyright American Diabetes Association Nov 1, 2020 ;2020 by the American Diabetes Association 2020 ;ISSN: 0149-5992 ;EISSN: 1935-5548 ;DOI: 10.2337/dc19-2335 ;PMID: 32873587

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