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Associations of Dietary Patterns and Incident Type 2 Diabetes in a Community Population Cohort From Southwest China

Bibliographic Data

ID22077429
AuthorsYanhuan Wang (Fudan University), Lina Xu (0009-0001-4802-6854, Guizhou Center for Disease Control and Prevention), Na Wang (0000-0003-1102-8220, Fudan University), Ling Zhu (0000-0002-7046-9635, Guizhou Center for Disease Control and Prevention), Fouxi Zhao (Guizhou Center for Disease Control and Prevention), Kelin Xu (0000-0002-6788-4256, Fudan University), Tao Liu (0000-0001-5480-2568, Guizhou Center for Disease Control and Prevention, corresponding author), Chaowei Fu (0000-0003-0966-8552, Fudan University, corresponding author)
Year2022
Volume10
Pages773172-773172
Publication date2022-02-03
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.773172
PMID35186834
OpenAlexW4210442714
LanguageEN
Citations received3
References cited31

BACKGROUND: The prevalence of type 2 diabetes (T2D) is rising rapidly worldwide, but there are scant empirical data on the association between diet and diabetes in Southwest China. METHODS: In this prospective community-population cohort study from Guizhou Province, China since 2010, 7,023 eligible adults were included. Dietary information was obtained by face-to-face interviews with a semi-quantitative food frequency questionnaire, and dietary patterns were derived by factor analysis. The hazard ratios (HR) and 95% confidence intervals (95% CI) were estimated for the associations between various dietary patterns and incident T2D risk by cox proportional hazard model. RESULTS: Until 2020, a total of 749 new T2D cases were identified during the average follow-up of 7.05 years and the incidence was 14.75/1,000 person-years. Two main dietary patterns from the food frequency questionnaire were identified by factor analysis, i.e., vegetable-grain pattern and junk food pattern. In the multivariate analysis, 28 and 20% lower risks of T2D were observed at the low intake of junk food pattern (HR: 0.72, 95% CI: 0.61, 0.87) and the high intake of vegetable-grain pattern (HR: 0.80, 95% CI: 0.67, 0.95) after adjustment for potential confounding factors, compared with the medium intake of such patterns, respectively. Positive linear relationships were found between fasting plasma glucose (FPG) at follow-up and its change with junk food pattern, while there were inverse linear associations with vegetable-grain pattern. CONCLUSION: Higher adherence to vegetable-grain patterns and lower adherence to junk food patterns significantly lowered T2D incidence among the population in Southwest China. Moving toward a healthier dietary model deserves more attention to develop interventions for the prevention of T2D

China · Cohort · Cohort study · Diabetes mellitus · Environmental health · Geography · Population · Type 2 diabetes · Consumer Attitudes and Food Labeling · Demography · Diet and metabolism studies · Medicine · Nutritional Studies and Diet · Endocrinology · Gerontology · Internal Medicine

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Citations per year1
Citation span2023 - 2024 (2)
Highly citedNo

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