TY - JOUR
TI - Dietary patterns and 10-year (2002-2012) incidence of type 2 diabetes: Results from the ATTICA cohort study
AU - Koloverou, E.
AU - Panagiotakos, D.B.
AU - Georgousopoulou, E.N.
AU - Grekas, A.
AU - Christou, A.
AU - Chatzigeorgiou, M.
AU - Chrysohoou, C.
AU - Tousoulis, D.
AU - Stefanadis, C.
AU - Pitsavos, C.
AU - ATTICA Study Group
AU - Skoumas, Y.
AU - Katinioti, N.
AU - Papadimitriou, L.
AU - Masoura, C.
AU - Vellas, S.
AU - Lentzas, Y.
AU - Kambaxis, M.
AU - Palliou, K.
AU - Metaxa, V.
AU - Ntzouvani, A.
AU - Mpougatsas, D.
AU - Skourlis, N.
AU - Papanikolaou, C.
AU - Kouli, G.-M.
AU - Christou, A.
AU - Zana, A.
AU - Ntertimani, M.
AU - Kalogeropoulou, A.
AU - Pitaraki, E.
AU - Laskaris, A.
AU - Hatzigeorgiou, M.
AU - Grekas, A.
AU - Vassiliadou, C.
AU - Dedoussis, G.
AU - Toutouza-Giotsa, M.
AU - Tselika, C.
AU - Poulopoulou, S.
AU - Toutouza, M.
JO - The Review of Diabetic Studies : RDS
PY - 2016
VL - 13
TODO - 4
SP - 246-256
PB - SBDR - Society for Biomedical Diabetes Research
SN - 1613-6071, 1614-0575
TODO - 10.1900/RDS.2016.13.246
TODO - adult;  aged;  anthropometry;  Article;  body height;  body weight;  cohort analysis;  female;  follow up;  hip circumference;  human;  incidence;  lifestyle;  macronutrient;  male;  non insulin dependent diabetes mellitus;  nutritional assessment;  questionnaire;  waist circumference;  adverse effects;  age;  Diabetes Mellitus, Type 2;  diet;  ethnology;  factor analysis;  feeding behavior;  Greece;  healthy diet;  middle aged;  nutrition;  patient compliance;  Prediabetic State;  prospective study;  risk factor;  urban health, Adult;  Age Factors;  Cohort Studies;  Diabetes Mellitus, Type 2;  Diet;  Factor Analysis, Statistical;  Feeding Behavior;  Female;  Follow-Up Studies;  Greece;  Healthy Diet;  Humans;  Incidence;  Male;  Middle Aged;  Nutrition Surveys;  Patient Compliance;  Prediabetic State;  Prospective Studies;  Risk Factors;  Urban Health
TODO - AIM: To identify dietary patterns among apparently healthy individuals and to determine their long-term effect on diabetes incidence. METHODS: During 2001-2002, a random sample of 3,042 men and women (18-89 years old), living in greater Athens, was randomly selected to participate in the study. During 2011-2012, the 10-year follow-up was performed in 2,583 participants (15% drop-out rate). After excluding participants with diabetes at baseline and those for whom no information on diabetes status was available at follow- up, the working sample consisted of 1,485 participants. Dietary habits were assessed by means of a validated semiquantitative, food frequency questionnaire. Factor analysis was performed to extract dietary patterns from 18 food groups. RESULTS: Diabetes diagnosis at follow-up was made in 191 participants, yielding an incidence rate of 12.9%. Six factors (i.e. dietary patterns) were identified that explained 54% of the variation in consumption. After adjusting for major confounders, and stratification by age-group, logistic regression revealed that the most healthful pattern consisted of the consumption of fruits, vegetables, legumes, bread, rusk, and pasta which reduced the 10-year diabetes risk by 40%, among participants aged 45-55 years. The association reached marginal statistical significance (95% CI: 0.34, 1.07), while no significant association was observed for the other age-groups. When the analysis was additionally adjusted for carbohydrate percentage, statistical significance was lost completely, suggesting a possibly mediating effect of this macronutrient. CONCLUSIONS: The results confirm the potentially protective effect of a plant-based dietary pattern in the primary prevention of diabetes, in particular among middle-aged people. Carbohydrate content may be a specific factor in this relationship; other micronutrients found in plant-based food groups may also play a role. © by Lab & Life Press/SBDR.
ER -