Skip to main content Accessibility help
×
Home

Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies

  • Zahra Maghsoudi (a1) (a2), Reza Ghiasvand (a1) (a2) and Amin Salehi-Abargouei (a3) (a4)

Abstract

Objective

To systematically review prospective cohort studies about the association between dietary patterns and type 2 diabetes mellitus (T2DM) incidence, and to quantify the effects using a meta-analysis.

Design

Databases such as PubMed, ISI Web of Science, SCOPUS and Google Scholar were searched up to 15 January 2015. Cohort studies which tried to examine the association between empirically derived dietary patterns and incident T2DM were selected. The relative risks (RR) and their 95 % confidence intervals for diabetes among participants with highest v. lowest adherence to derived dietary patterns were incorporated into meta-analysis using random-effects models.

Results

Ten studies (n 404 528) were enrolled in the systematic review and meta-analysis; our analysis revealed that adherence to the ‘healthy’ dietary patterns significantly reduced the risk of T2DM (RR=0·86; 95 % CI 0·82, 0·90), while the ‘unhealthy’ dietary patterns adversely affected diabetes risk (RR=1·30; 95 % CI 1·18, 1·43). Subgroup analysis showed that unhealthy dietary patterns in which foods with high phytochemical content were also loaded did not significantly increase T2DM risk (RR=1·06; 95 % CI 0·87, 1·30).

Conclusions

‘Healthy’ dietary patterns containing vegetables, fruits and whole grains can lower diabetes risk by 14 %. Consuming higher amounts of red and processed meats, high-fat dairy and refined grains in the context of ‘unhealthy’ dietary patterns will increase diabetes risk by 30 %; while including foods with high phytochemical content in these patterns can modify this effect.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies
      Available formats
      ×

Copyright

Corresponding author

* Corresponding author: Email: abargouei@hlth.mui.ac.ir, abargouei@gmail.com

References

Hide All
1. Zimmet, P, Alberti, KG & Shaw, J (2001) Global and societal implications of the diabetes epidemic. Nature 414, 782787.
2. Yach, D, Stuckler, D & Brownell, KD (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12, 6266.
3. King, H, Aubert, RE & Herman, WH (1998) Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care 21, 14141431.
4. Harris, MI, Flegal, KM, Cowie, CC et al. (1998) Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in US adults. The Third National Health and Nutrition Examination Survey, 1988–1994. Diabetes Care 21, 518524.
5. Seidell, JC (2000) Obesity, insulin resistance and diabetes – a worldwide epidemic. Br J Nutr 83, Suppl. 1, S5S8.
6. World Health Organization (2013) Diabetes. Fact sheet no. 312. http://www.who.int/mediacentre/factsheets/fs312/en/index.html (accessed October 2013).
7. Cooper, AJ, Sharp, SJ, Lentjes, MA et al. (2012) A prospective study of the association between quantity and variety of fruit and vegetable intake and incident type 2 diabetes. Diabetes Care 35, 12931300.
8. Sluijs, I, Beulens, JW, van der, AD et al. (2010) Dietary intake of total, animal, and vegetable protein and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-NL study. Diabetes Care 33, 4348.
9. Villegas, R, Shu, XO, Gao, YT et al. (2008) Vegetable but not fruit consumption reduces the risk of type 2 diabetes in Chinese women. J Nutr 138, 574580.
10. Jacobs, DR Jr & Steffen, LM (2003) Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr 78, 3 Suppl., 508S513S.
11. Newby, PK & Tucker, KL (2004) Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev 62, 177203.
12. Hu, FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 39.
13. Erber, E, Hopping, BN, Grandinetti, A et al. (2010) Dietary patterns and risk for diabetes: the multiethnic cohort. Diabetes Care 33, 532538.
14. Hodge, AM, English, DR, O’Dea, K et al. (2007) Dietary patterns and diabetes incidence in the Melbourne Collaborative Cohort Study. Am J Epidemiol 165, 603610.
15. Nanri, A, Shimazu, T, Takachi, R et al. (2013) Dietary patterns and type 2 diabetes in Japanese men and women: the Japan Public Health Center-based Prospective Study. Eur J Clin Nutr 67, 1824.
16. Fung, TT, Schulze, M, Manson, JE et al. (2004) Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med 164, 22352240.
17. Wells, G, Shea, B & O’Connell, D (2010) The Newcastle–Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses. Ottawa, ON: Ottawa Health Research Institute.
18. Egger, M, Smith, GD & Altman, D (editors) (2008) Systematic Reviews in Health Care: Meta-Analysis in Context, 2nd ed. London: BMJ Books.
19. Higgins, JP & Thompson, SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21, 15391558.
20. Egger, M, Davey Smith, G, Schneider, M et al. (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315, 629634.
21. Bauer, F, Beulens, JW, van der A, DL et al. (2013) Dietary patterns and the risk of type 2 diabetes in overweight and obese individuals. Eur J Nutr 52, 11271134.
22. Montonen, J, Knekt, P, Harkanen, T et al. (2005) Dietary patterns and the incidence of type 2 diabetes. Am J Epidemiol 161, 219227.
23. Morimoto, A, Ohno, Y, Tatsumi, Y et al. (2012) Effects of healthy dietary pattern and other lifestyle factors on incidence of diabetes in a rural Japanese population. Asia Pac J Clin Nutr 21, 601608.
24. Nettleton, JA, Steffen, LM, Ni, H et al. (2008) Dietary patterns and risk of incident type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA). Diabetes Care 31, 17771782.
25. van Dam, RM, Rimm, EB, Willett, WC et al. (2002) Dietary patterns and risk for type 2 diabetes mellitus in US men. Ann Intern Med 136, 201209.
26. Odegaard, AO, Koh, W-P, Butler, LM et al. (2011) Dietary patterns and incident type 2 diabetes in Chinese men and women: the Singapore Chinese Health Study. Diabetes Care 34, 880885.
27. Zhang, Y, Lee, ET, Cowan, LD et al. (2011) Coffee consumption and the incidence of type 2 diabetes in men and women with normal glucose tolerance: the Strong Heart Study. Nutr Metab Cardiovasc Dis 21, 418423.
28. van Dam, RM (2006) Coffee and type 2 diabetes: from beans to beta-cells. Nutr Metab Cardiovasc Dis 16, 6977.
29. Smith, B, Wingard, DL, Smith, TC et al. (2006) Does coffee consumption reduce the risk of type 2 diabetes in individuals with impaired glucose? Diabetes Care 29, 23852390.
30. Thompson, S (2011) Effect of pinto, black and dark red kidney bean consumption as part of a meal on postprandial glucose in adults with type 2 diabetes. PhD Thesis, Arizona State University.
31. Kuhad, A, Sharma, S & Chopra, K (2008) Lycopene attenuates thermal hyperalgesia in a diabetic mouse model of neuropathic pain. Eur J Pain 12, 624632.
32. Kuhad, A, Sethi, R & Chopra, K (2008) Lycopene attenuates diabetes-associated cognitive decline in rats. Life Sci 83, 128134.
33. Villegas, R, Yang, G, Gao, YT et al. (2010) Dietary patterns are associated with lower incidence of type 2 diabetes in middle-aged women: the Shanghai Women’s Health Study. Int J Epidemiol 39, 889899.
34. InterAct Consortium, Bendinelli, B, Palli, D et al. (2013) Association between dietary meat consumption and incident type 2 diabetes: the EPIC-InterAct study. Diabetologia 56, 4759.
35. Halton, TL, Willett, WC, Liu, S et al. (2006) Potato and French fry consumption and risk of type 2 diabetes in women. Am J Clin Nutr 83, 284290.
36. Meyer, KA, Kushi, LH, Jacobs, DR Jr et al. (2001) Dietary fat and incidence of type 2 diabetes in older Iowa women. Diabetes Care 24, 15281535.
37. Sahyoun, NR, Anderson, AL, Tylavsky, FA et al. (2008) Dietary glycemic index and glycemic load and the risk of type 2 diabetes in older adults. Am J Clin Nutr 87, 126131.
38. Sun, Q, Spiegelman, D, van Dam, RM et al. (2010) White rice, brown rice, and risk of type 2 diabetes in US men and women. Arch Intern Med 170, 961969.
39. Thompson, SV, Winham, DM & Hutchins, AM (2012) Bean and rice meals reduce postprandial glycemic response in adults with type 2 diabetes: a cross-over study. Nutr J 11, 23.
40. Winham, D, Webb, D & Barr, A (2008) Beans and good health. Nutr Today 43, 201209.
41. Newby, PK, Muller, D, Hallfrisch, J et al. (2003) Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr 77, 14171425.
42. Alhazmi, A, Stojanovski, E, McEvoy, M et al. (2014) The association between dietary patterns and type 2 diabetes: a systematic review and meta-analysis of cohort studies. J Hum Nutr Diet 27, 251260.

Keywords

Related content

Powered by UNSILO

Empirically derived dietary patterns and incident type 2 diabetes mellitus: a systematic review and meta-analysis on prospective observational studies

  • Zahra Maghsoudi (a1) (a2), Reza Ghiasvand (a1) (a2) and Amin Salehi-Abargouei (a3) (a4)

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.