دورية أكاديمية

Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies.

التفاصيل البيبلوغرافية
العنوان: Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies.
المؤلفون: Chen Z; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 2Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands., Khandpur N; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 3Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.; 4Center for Epidemiological Studies in Health and Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil., Desjardins C; 5Centre Nutrition, Santé et Société, Institut sur la Nutrition et les Aliments Fonctionnels, Université Laval, Québec, Canada.; 6Faculté de Pharmacie, Université Laval, Québec, Canada., Wang L; 7Friedman School of Nutrition Science and Policy, Boston, MA., Monteiro CA; 3Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.; 4Center for Epidemiological Studies in Health and Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil., Rossato SL; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 8Institute of Geography, Universidade Federal de Uberlândia, Minas Gerais, Brazil., Fung TT; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 9Department of Nutrition, Simmons University, Boston, MA., Manson JE; 10Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.; 11Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA., Willett WC; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 10Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.; 11Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.; 12Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA., Rimm EB; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 10Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.; 12Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA., Hu FB; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 10Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.; 11Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.; 12Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA., Sun Q; 1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; 10Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.; 12Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.; 13Joslin Diabetes Center, Boston, MA., Drouin-Chartier JP; 5Centre Nutrition, Santé et Société, Institut sur la Nutrition et les Aliments Fonctionnels, Université Laval, Québec, Canada.; 6Faculté de Pharmacie, Université Laval, Québec, Canada.
المصدر: Diabetes care [Diabetes Care] 2023 Jul 01; Vol. 46 (7), pp. 1335-1344.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: American Diabetes Association Country of Publication: United States NLM ID: 7805975 Publication Model: Print Cited Medium: Internet ISSN: 1935-5548 (Electronic) Linking ISSN: 01495992 NLM ISO Abbreviation: Diabetes Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Alexandria Va : American Diabetes Association
Original Publication: New York, American Diabetes Assn.
مواضيع طبية MeSH: Diabetes Mellitus, Type 2*/epidemiology , Diabetes Mellitus, Type 2*/etiology, Female ; Humans ; Cohort Studies ; Diet/adverse effects ; Fast Foods ; Follow-Up Studies ; Food, Processed ; Fruit ; Prospective Studies ; Male
مستخلص: Objective: We examined the relationship between ultra-processed food (UPF) intake and type 2 diabetes (T2D) risk among 3 large U.S. cohorts, conducted a meta-analysis of prospective cohort studies, and assessed meta-evidence quality.
Research Design and Methods: We included 71,871 women from the Nurses' Health Study, 87,918 women from the Nurses' Health Study II, and 38,847 men from the Health Professional Follow-Up Study. Diet was assessed using food frequency questionnaires and UPF was categorized per the NOVA classification. Associations of total and subgroups of UPF with T2D were assessed using Cox proportional hazards models. We subsequently conducted a meta-analysis of prospective cohort studies on total UPF and T2D risk, and assessed meta-evidence quality using the NutriGrade scoring system.
Results: Among the U.S. cohorts (5,187,678 person-years; n = 19,503 T2D cases), the hazard ratio for T2D comparing extreme quintiles of total UPF intake (percentage of grams per day) was 1.46 (95% CI 1.39-1.54). Among subgroups, refined breads; sauces, spreads, and condiments; artificially and sugar-sweetened beverages; animal-based products; and ready-to-eat mixed dishes were associated with higher T2D risk. Cereals; dark and whole-grain breads; packaged sweet and savory snacks; fruit-based products; and yogurt and dairy-based desserts were associated with lower T2D risk. In the meta-analysis (n = 415,554 participants; n = 21,932 T2D cases), each 10% increment in total UPF was associated with a 12% (95% CI 10%-13%) higher risk. Per NutriGrade, high-quality evidence supports this relationship.
Conclusions: High-quality meta-evidence shows that total UPF consumption is associated with higher T2D risk. However, some UPF subgroups were associated with lower risk in the U.S. cohorts.
(© 2023 by the American Diabetes Association.)
التعليقات: Comment in: Diabetes Care. 2023 Jul 1;46(7):1327-1329. doi: 10.2337/dci23-0018. (PMID: 37339348)
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معلومات مُعتمدة: U01 HL145386 United States HL NHLBI NIH HHS; R01 CA067262 United States CA NCI NIH HHS; U01 CA176726 United States CA NCI NIH HHS; U01 CA167552 United States CA NCI NIH HHS; R01 DK120870 United States DK NIDDK NIH HHS; P01 CA087969 United States CA NCI NIH HHS; R01 HL034594 United States HL NHLBI NIH HHS; UM1 CA186107 United States CA NCI NIH HHS; R01 HL035464 United States HL NHLBI NIH HHS; R01 HL088521 United States HL NHLBI NIH HHS; R01 CA049449 United States CA NCI NIH HHS; R01 HL060712 United States HL NHLBI NIH HHS
تواريخ الأحداث: Date Created: 20230228 Date Completed: 20230622 Latest Revision: 20240923
رمز التحديث: 20240923
مُعرف محوري في PubMed: PMC10300524
DOI: 10.2337/dc22-1993
PMID: 36854188
قاعدة البيانات: MEDLINE
الوصف
تدمد:1935-5548
DOI:10.2337/dc22-1993