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Diet Quality Indices and Risk of Type 2 Diabetes Mellitus: The Singapore Chinese Health Study

American journal of epidemiology, 2018-12, Vol.187 (12), p.2651-2661 [Peer Reviewed Journal]

The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. ;The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018 ;ISSN: 0002-9262 ;EISSN: 1476-6256 ;DOI: 10.1093/aje/kwy183 ;PMID: 30165478

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Title:
Diet Quality Indices and Risk of Type 2 Diabetes Mellitus: The Singapore Chinese Health Study
Author: Chen, Guo-Chong ; Koh, Woon-Puay ; Neelakantan, Nithya ; Yuan, Jian-Min ; Qin, Li-Qiang ; van Dam, Rob M
Subjects: Aged ; Asian Continental Ancestry Group - statistics & numerical data ; Body mass ; Body Mass Index ; Body size ; Cardiovascular diseases ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - epidemiology ; Diet ; Diet, Healthy - statistics & numerical data ; Female ; Health Behavior ; Health risks ; Humans ; Hypertension ; Male ; Middle Aged ; Original Contributions ; Populations ; Risk ; Risk Factors ; Singapore - epidemiology
Is Part Of: American journal of epidemiology, 2018-12, Vol.187 (12), p.2651-2661
Description: We aimed to test whether predefined dietary patterns that are inversely related to risk of type 2 diabetes (T2D) in Western populations were similarly associated with lower T2D risk in an Asian population. We included 45,411 middle-aged and older participants (ages 45-74 years) in the Singapore Chinese Health Study who were free of diabetes, cancer, and cardiovascular disease at baseline (1993-1998). Participants were followed up for T2D diagnosis through 2010. Dietary information was collected using a validated food frequency questionnaire. Dietary pattern scores were calculated for the alternate Mediterranean diet (aMED), Alternate Healthy Eating Index 2010 (AHEI-2010), the Dietary Approaches to Stop Hypertension (DASH) diet, an overall plant-based diet index, and a healthful plant-based diet index. During a median of 11.1 years of follow-up, 5,207 incident cases of T2D occurred. After adjustment for multiple potential confounders, the 5 dietary pattern scores were significantly associated with 16% (for aMED) to 29% (for DASH) lower risks of T2D when comparing the highest score quintiles with the lowest (all P-for-trend values < 0.001). These associations did not vary substantially by baseline age, sex, body mass index, or hypertension status but were limited to nonsmokers (aMED: P for interaction < 0.001; AHEI-2010: P for interaction = 0.03). Adherence to a high-quality diet, as reflected by several predefined diet quality indices derived in Western populations, was significantly associated with lower T2D risk in an Asian population.
Publisher: United States: Oxford Publishing Limited (England)
Language: English
Identifier: ISSN: 0002-9262
EISSN: 1476-6256
DOI: 10.1093/aje/kwy183
PMID: 30165478
Source: GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection

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Diet Quality Indices and Risk of Type 2 Diabetes Mellitus: The Singapore Chinese Health Study

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