Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study

OBJECTIVES It has been suggested that the consumption of dairy products helps lower the prevalence of type 2 diabetes (T2D). We investigated the association between the consumption of dairy products and T2D events in middle-aged Korean adults. METHODS We followed up 53,288 participants (16,895 male...

Full description

Bibliographic Details
Main Authors: Jiaqi Zhang, Kyungjoon Lim, Sangah Shin
Format: Article
Language:English
Published: Korean Society of Epidemiology 2022-02-01
Series:Epidemiology and Health
Subjects:
Online Access:http://www.e-epih.org/upload/epih-44-e2022019.pdf
_version_ 1797768328078426112
author Jiaqi Zhang
Kyungjoon Lim
Sangah Shin
author_facet Jiaqi Zhang
Kyungjoon Lim
Sangah Shin
author_sort Jiaqi Zhang
collection DOAJ
description OBJECTIVES It has been suggested that the consumption of dairy products helps lower the prevalence of type 2 diabetes (T2D). We investigated the association between the consumption of dairy products and T2D events in middle-aged Korean adults. METHODS We followed up 53,288 participants (16,895 male and 36,393 female) in the Health Examinees (HEXA) study. The consumption of dairy products was assessed using the self-administered food frequency questionnaire, and T2D was defined according to the 2015 treatment guidelines of the Korean Diabetes Association. Hazard ratios (HRs) and 95% confidence intervals (CIs) between the consumption of dairy products and the risk of T2D were calculated using Cox proportional hazards models after adjusting for potential confounders. Spline regression was used to better represent the association between the consumption of dairy products and the risk of T2D. RESULTS Among male, those with higher consumption of dairy products had a significantly lower risk of T2D than those who consumed essentially no dairy products (HR, 0.73; 95% CI, 0.58 to 0.91). In particular, consumption of yogurt (HR, 0.75; 95% CI, 0.60 to 0.93; ptrend=0.035) and cheese (HR, 0.66; 95% CI, 0.49 to 0.89; ptrend=0.005) was negatively associated with the incidence of T2D in male. In female, daily consumption of 1 serving of yogurt decreased the risk of T2D by 11%. CONCLUSIONS The association between the consumption of dairy products and the risk of T2D differed by sex and dairy product type. Further prospective studies are needed to confirm these associations.
first_indexed 2024-03-12T20:52:55Z
format Article
id doaj.art-2b9b76f552ec45c5923aac72f292d546
institution Directory Open Access Journal
issn 2092-7193
language English
last_indexed 2024-03-12T20:52:55Z
publishDate 2022-02-01
publisher Korean Society of Epidemiology
record_format Article
series Epidemiology and Health
spelling doaj.art-2b9b76f552ec45c5923aac72f292d5462023-08-01T00:41:57ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932022-02-014410.4178/epih.e20220191267Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) studyJiaqi Zhang0Kyungjoon Lim1Sangah Shin2 Department of Food and Nutrition, Chung-Ang University, Anseong, Korea Faculty of Medicine and Health, School of Medical Science, University of Sydney, Melbourne, Australia Department of Food and Nutrition, Chung-Ang University, Anseong, KoreaOBJECTIVES It has been suggested that the consumption of dairy products helps lower the prevalence of type 2 diabetes (T2D). We investigated the association between the consumption of dairy products and T2D events in middle-aged Korean adults. METHODS We followed up 53,288 participants (16,895 male and 36,393 female) in the Health Examinees (HEXA) study. The consumption of dairy products was assessed using the self-administered food frequency questionnaire, and T2D was defined according to the 2015 treatment guidelines of the Korean Diabetes Association. Hazard ratios (HRs) and 95% confidence intervals (CIs) between the consumption of dairy products and the risk of T2D were calculated using Cox proportional hazards models after adjusting for potential confounders. Spline regression was used to better represent the association between the consumption of dairy products and the risk of T2D. RESULTS Among male, those with higher consumption of dairy products had a significantly lower risk of T2D than those who consumed essentially no dairy products (HR, 0.73; 95% CI, 0.58 to 0.91). In particular, consumption of yogurt (HR, 0.75; 95% CI, 0.60 to 0.93; ptrend=0.035) and cheese (HR, 0.66; 95% CI, 0.49 to 0.89; ptrend=0.005) was negatively associated with the incidence of T2D in male. In female, daily consumption of 1 serving of yogurt decreased the risk of T2D by 11%. CONCLUSIONS The association between the consumption of dairy products and the risk of T2D differed by sex and dairy product type. Further prospective studies are needed to confirm these associations.http://www.e-epih.org/upload/epih-44-e2022019.pdfdairy productsyogurttype 2 diabetescohort studiesadults
spellingShingle Jiaqi Zhang
Kyungjoon Lim
Sangah Shin
Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study
Epidemiology and Health
dairy products
yogurt
type 2 diabetes
cohort studies
adults
title Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study
title_full Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study
title_fullStr Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study
title_full_unstemmed Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study
title_short Dairy product consumption and type 2 diabetes among Korean adults: a prospective cohort study based on the Health Examinees (HEXA) study
title_sort dairy product consumption and type 2 diabetes among korean adults a prospective cohort study based on the health examinees hexa study
topic dairy products
yogurt
type 2 diabetes
cohort studies
adults
url http://www.e-epih.org/upload/epih-44-e2022019.pdf
work_keys_str_mv AT jiaqizhang dairyproductconsumptionandtype2diabetesamongkoreanadultsaprospectivecohortstudybasedonthehealthexamineeshexastudy
AT kyungjoonlim dairyproductconsumptionandtype2diabetesamongkoreanadultsaprospectivecohortstudybasedonthehealthexamineeshexastudy
AT sangahshin dairyproductconsumptionandtype2diabetesamongkoreanadultsaprospectivecohortstudybasedonthehealthexamineeshexastudy