The association of meat intake and the risk of type 2 diabetes may be modified by body weight

<p><b>Aim:</b> To investigate the association between meat intake and incidence of type 2 diabetes (type 2 DM) in a large cohort of middle-aged women.</p> <p><b>Design, subjects and methods:</b> Incident cases of type 2 DM were identified during an average o...

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Main Author: Raquel Villegas, Xiao Ou Shu, Yu-Tang Gao, Gong Yang, Hui Cai, Honglan Li, Wei Zheng
Format: Article
Language:English
Published: Ivyspring International Publisher 2006-01-01
Series:International Journal of Medical Sciences
Online Access:http://www.medsci.org/v03p0152.htm
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author Raquel Villegas, Xiao Ou Shu, Yu-Tang Gao, Gong Yang, Hui Cai, Honglan Li, Wei Zheng
author_facet Raquel Villegas, Xiao Ou Shu, Yu-Tang Gao, Gong Yang, Hui Cai, Honglan Li, Wei Zheng
author_sort Raquel Villegas, Xiao Ou Shu, Yu-Tang Gao, Gong Yang, Hui Cai, Honglan Li, Wei Zheng
collection DOAJ
description <p><b>Aim:</b> To investigate the association between meat intake and incidence of type 2 diabetes (type 2 DM) in a large cohort of middle-aged women.</p> <p><b>Design, subjects and methods:</b> Incident cases of type 2 DM were identified during an average of 4.6 years of follow-up in a prospective cohort study of 74,493 middle-aged, Chinese women (mean age &#177; SD =51.7&#177; 8.97 years). Participants completed in-person interviews that collected information on type 2 DM risk factors such as dietary factors and physical activity in adulthood. Anthropometric indices were measured. Dietary intake was assessed using a validated food frequency questionnaire (FFQ). We included in the current analysis 70,609 women who had no prior history of type 2 DM at study recruitment and who had valid dietary data. The association of type 2 DM with unprocessed meat intake (g/day) and the frequency of consumption of processed meat was evaluated using the Cox model with adjustment for age, kcals/day, body mass index (BMI), waist to hip ratio (WHR), vegetable intake, smoking, alcohol consumption, physical activity, income level, education level, occupation status, and history of hypertension and chronic disease at baseline.</p> <p><b>Principal results:</b> We identified 1972 incident cases of type 2 DM during a total of 326,581 person-years of follow up. Intake of unprocessed meat, particularly poultry, was associated with a decrease in the risk of type 2 DM in this cohort. The fully adjusted relative risks (RRs) for quintiles of total unprocessed meat intake were 1.00, 0.78, 0.83, 0.74, and 0.83 (P for trend: &#60;0.01). When the joint effect between meat intake and BMI categories was evaluated, high intake of total unprocessed meat appeared to be associated with an increased risk of type 2 DM among obese women but a reduced risk among lean women (P value for the interaction tests = 0.05). Processed meat consumption was positively associated with the risk of type 2 DM. The adjusted RR was 1.15 (95% 1.01-1.32) in women consuming processed meats compared to those who did not consume processed meats (P=0.04).</p> <p><b>Conclusions:</b> Processed meat intake was positively associated with the risk of type 2 DM. There was an indication that the effect of unprocessed meat intake on type 2 DM may be modified by BMI.</p>
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spelling doaj.art-7f064d1bb0e54b6b8ccc2280bda8bfef2022-12-22T00:56:39ZengIvyspring International PublisherInternational Journal of Medical Sciences1449-19072006-01-0134152159The association of meat intake and the risk of type 2 diabetes may be modified by body weightRaquel Villegas, Xiao Ou Shu, Yu-Tang Gao, Gong Yang, Hui Cai, Honglan Li, Wei Zheng<p><b>Aim:</b> To investigate the association between meat intake and incidence of type 2 diabetes (type 2 DM) in a large cohort of middle-aged women.</p> <p><b>Design, subjects and methods:</b> Incident cases of type 2 DM were identified during an average of 4.6 years of follow-up in a prospective cohort study of 74,493 middle-aged, Chinese women (mean age &#177; SD =51.7&#177; 8.97 years). Participants completed in-person interviews that collected information on type 2 DM risk factors such as dietary factors and physical activity in adulthood. Anthropometric indices were measured. Dietary intake was assessed using a validated food frequency questionnaire (FFQ). We included in the current analysis 70,609 women who had no prior history of type 2 DM at study recruitment and who had valid dietary data. The association of type 2 DM with unprocessed meat intake (g/day) and the frequency of consumption of processed meat was evaluated using the Cox model with adjustment for age, kcals/day, body mass index (BMI), waist to hip ratio (WHR), vegetable intake, smoking, alcohol consumption, physical activity, income level, education level, occupation status, and history of hypertension and chronic disease at baseline.</p> <p><b>Principal results:</b> We identified 1972 incident cases of type 2 DM during a total of 326,581 person-years of follow up. Intake of unprocessed meat, particularly poultry, was associated with a decrease in the risk of type 2 DM in this cohort. The fully adjusted relative risks (RRs) for quintiles of total unprocessed meat intake were 1.00, 0.78, 0.83, 0.74, and 0.83 (P for trend: &#60;0.01). When the joint effect between meat intake and BMI categories was evaluated, high intake of total unprocessed meat appeared to be associated with an increased risk of type 2 DM among obese women but a reduced risk among lean women (P value for the interaction tests = 0.05). Processed meat consumption was positively associated with the risk of type 2 DM. The adjusted RR was 1.15 (95% 1.01-1.32) in women consuming processed meats compared to those who did not consume processed meats (P=0.04).</p> <p><b>Conclusions:</b> Processed meat intake was positively associated with the risk of type 2 DM. There was an indication that the effect of unprocessed meat intake on type 2 DM may be modified by BMI.</p>http://www.medsci.org/v03p0152.htm
spellingShingle Raquel Villegas, Xiao Ou Shu, Yu-Tang Gao, Gong Yang, Hui Cai, Honglan Li, Wei Zheng
The association of meat intake and the risk of type 2 diabetes may be modified by body weight
International Journal of Medical Sciences
title The association of meat intake and the risk of type 2 diabetes may be modified by body weight
title_full The association of meat intake and the risk of type 2 diabetes may be modified by body weight
title_fullStr The association of meat intake and the risk of type 2 diabetes may be modified by body weight
title_full_unstemmed The association of meat intake and the risk of type 2 diabetes may be modified by body weight
title_short The association of meat intake and the risk of type 2 diabetes may be modified by body weight
title_sort association of meat intake and the risk of type 2 diabetes may be modified by body weight
url http://www.medsci.org/v03p0152.htm
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