@article{3339422,
    title = "The association of specific types of vegetables consumption with 10-year type II diabetes risk: Findings from the ATTICA cohort study",
    author = "Kosti, R.I. and Tsiampalis, T. and Kouvari, M. and Chrysohoou, C. and Georgousopoulou, E. and Pitsavos, C.S. and Panagiotakos, D.B.",
    journal = "Journal of Human Nutrition and Dietetics",
    year = "2023",
    volume = "36",
    number = "1",
    pages = "226-240",
    publisher = "John Wiley and Sons Inc",
    doi = "10.1111/jhn.13056",
    keywords = "adult;  cohort analysis;  diet;  feeding behavior;  female;  fruit;  human;  male;  non insulin dependent diabetes mellitus;  vegetable, Adult;  Cohort Studies;  Diabetes Mellitus, Type 2;  Diet;  Feeding Behavior;  Female;  Fruit;  Humans;  Male;  Vegetables",
    abstract = "Background: The present study aimed to investigate the association between vegetable consumption, in total as well as per type/category, and 10-year type-2 diabetes mellitus (T2DM) incidence. Methods: The ATTICA study was conducted during 2001–2012 in 3042 apparently healthy adults living in Athens area, Greece. A detailed biochemical, clinical, and lifestyle evaluation was performed; vegetable consumption (total, per type) was evaluated through a validated semi-quantitative food frequency questionnaire. After excluding those with no complete information of diabetes status or those lost at the 10-year follow-up, data from 1485 participants were used for the current analysis. Results: After adjusting for several participants' characteristics, including overall dietary habits, it was observed that participants consuming at least 4 servings/day of vegetables had a 0.42-times lower risk of developing T2DM (hazard ratio [HR] = 0.42; 95% confidence interval [CI] = 0.29–0.61); the benefits of consumption were greater in women (HR = 0.29; 95% CI = 0.16–0.53) compared to men (HR = 0.56; 95% CI = 0.34–0.92). Only 33% of the sample consumed vegetables 4 servings/day. The most significant associations were observed for allium vegetables in women and for red/orange/yellow vegetables, as well as for legumes in men. Conclusions: The intake of at least 4 servings/day of vegetables was associated with a considerably reduced risk of T2DM, independently of other dietary habits; underlying the need for further elaboration of current dietary recommendations at the population level. © 2022 The British Dietetic Association Ltd."
}