Association between dietary patterns and prediabetes, undetected diabetes or clinically diagnosed diabetes: results from the KORA FF4 study

被引:23
|
作者
Pestoni, Giulia [1 ,2 ]
Riedl, Anna [2 ,3 ]
Breuninger, Taylor A. [2 ,3 ]
Wawro, Nina [2 ,3 ]
Krieger, Jean-Philippe [1 ]
Meisinger, Christa [2 ,3 ]
Rathmann, Wolfgang [4 ,5 ]
Thorand, Barbara [5 ,6 ]
Harris, Carla [6 ,7 ]
Peters, Annette [5 ,6 ]
Rohrmann, Sabine [1 ]
Linseisen, Jakob [2 ,3 ]
机构
[1] Univ Zurich, Epidemiol Biostat & Prevent Inst, Div Chron Dis Epidemiol, Zurich, Switzerland
[2] German Res Ctr Environm Hlth GmbH, Helmholtz Zentrum Munchen, Independent Res Grp Clin Epidemiol, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
[3] Ludwig Maximilians Univ Munchen, UNIKA T Augsburg, Chair Epidemiol, Augsburg, Germany
[4] Heinrich Heine Univ Dusseldorf, Leibniz Ctr Diabet Res, German Diabet Ctr, Inst Biometr & Epidemiol, Dusseldorf, Germany
[5] German Ctr Diabet Res DZD EV, Neuherberg, Germany
[6] German Res Ctr Environm Hlth GmbH, Helmholtz Zentrum Munchen, Inst Epidemiol, Neuherberg, Germany
[7] Univ Munich, Med Ctr, Dr Von Hauner Childrens Hosp, Div Metab & Nutr Med, Munich, Germany
关键词
Dietary patterns; Glucose tolerance status; Prediabetes; Type; 2; diabetes; Undetected diabetes; Western pattern; MEAT INTAKE; RISK; POPULATION; INSULIN; GLUCOSE; INFLAMMATION; CONSUMPTION; MELLITUS; CANCER; COHORT;
D O I
10.1007/s00394-020-02416-9
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Purpose Diet is one of the most important modifiable risk factors for the development of type 2 diabetes. Here, we aim to identify dietary patterns and to investigate their association with prediabetes, undetected diabetes and prevalent diabetes. Methods The present study included 1305 participants of the cross-sectional population-based KORA FF4 study. Oral glucose tolerance test (OGTT) measurements together with a physician-confirmed diagnosis allowed for an accurate categorization of the participants according to their glucose tolerance status into normal glucose tolerance (n = 698), prediabetes (n = 459), undetected diabetes (n = 49), and prevalent diabetes (n = 99). Dietary patterns were identified through principal component analysis followed by hierarchical clustering. The association between dietary patterns and glucose tolerance status was investigated using multinomial logistic regression models. Results A Prudent pattern, characterized by high consumption of vegetables, fruits, wholegrains and dairy products, and a Western pattern, characterized by high consumption of red and processed meat, alcoholic beverages, refined grains and sugar-sweetened beverages, were identified. Participants following the Western pattern had significantly higher chances of having prediabetes (odds ratio [OR] 1.92; 95% confidence interval [CI] 1.35, 2.73), undetected diabetes (OR 10.12; 95% CI 4.19, 24.43) or prevalent diabetes (OR 3.51; 95% CI 1.85, 6.67), compared to participants following the Prudent pattern. Conclusion To our knowledge, the present study is one of the few investigating the association between dietary patterns and prediabetes or undetected diabetes. The use of a reference group exclusively including participants with normal glucose tolerance might explain the strong associations observed in our study. These results suggest a very important role of dietary habits in the prevention of prediabetes and type 2 diabetes.
引用
收藏
页码:2331 / 2341
页数:11
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