Type 2 Diabetes–Prevention Diet and All-Cause and Cause-Specific Mortality: A Prospective Study
Abstract We aimed to examine whether type 2 diabetes–prevention diet, a dietary pattern previously developed for reducing type 2 diabetes risk, was associated with mortality in a US population. A population-based cohort of 86,633 subjects was identified from the Prostate, Lung, Colorectal, and Ovari...
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| Veröffentlicht in: | American journal of epidemiology 2022-03, Vol.191 (3), p.472-486 |
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| container_title | American journal of epidemiology |
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| creator | Wang, Chun-Rui Hu, Tian-Yang Hao, Fa-Bao Chen, Nan Peng, Yang Wu, Jing-Jing Yang, Peng-Fei Zhong, Guo-Chao |
| description | Abstract
We aimed to examine whether type 2 diabetes–prevention diet, a dietary pattern previously developed for reducing type 2 diabetes risk, was associated with mortality in a US population. A population-based cohort of 86,633 subjects was identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (1993–2015). Dietary information was collected with a food frequency questionnaire. A dietary diabetes risk-reduction score was calculated to reflect adherence to this dietary pattern, with higher scores representing better adherence. Hazard ratios (HRs) and absolute risk differences (ARDs) in mortality rates per 10,000 person-years were calculated. After a mean follow-up of 13.6 years, 17,532 all-cause deaths were observed. Participants with the highest versus the lowest quintiles of dietary diabetes risk-reduction score were observed to have decreased risks of death from all causes (HR = 0.76, 95% CI: 0.72, 0.80; ARD: −81.94, 95% CI: −93.76, −71.12), cardiovascular disease (HR = 0.73, 95% CI: 0.66, 0.81; ARD: −17.82, 95% CI: −24.81, −11.30), and cancer (HR = 0.85, 95% CI: 0.78, 0.94; ARD: −9.92, 95% CI: −15.86, −3.59), which were modified by sex, smoking status, or alcohol consumption in subgroup analyses (P for interaction < 0.05 for all). In conclusion, a type 2 diabetes–prevention diet confers reduced risks of death from all causes, cardiovascular disease, and cancer in this US population. |
| doi_str_mv | 10.1093/aje/kwab265 |
| format | Article |
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We aimed to examine whether type 2 diabetes–prevention diet, a dietary pattern previously developed for reducing type 2 diabetes risk, was associated with mortality in a US population. A population-based cohort of 86,633 subjects was identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (1993–2015). Dietary information was collected with a food frequency questionnaire. A dietary diabetes risk-reduction score was calculated to reflect adherence to this dietary pattern, with higher scores representing better adherence. Hazard ratios (HRs) and absolute risk differences (ARDs) in mortality rates per 10,000 person-years were calculated. After a mean follow-up of 13.6 years, 17,532 all-cause deaths were observed. Participants with the highest versus the lowest quintiles of dietary diabetes risk-reduction score were observed to have decreased risks of death from all causes (HR = 0.76, 95% CI: 0.72, 0.80; ARD: −81.94, 95% CI: −93.76, −71.12), cardiovascular disease (HR = 0.73, 95% CI: 0.66, 0.81; ARD: −17.82, 95% CI: −24.81, −11.30), and cancer (HR = 0.85, 95% CI: 0.78, 0.94; ARD: −9.92, 95% CI: −15.86, −3.59), which were modified by sex, smoking status, or alcohol consumption in subgroup analyses (P for interaction < 0.05 for all). In conclusion, a type 2 diabetes–prevention diet confers reduced risks of death from all causes, cardiovascular disease, and cancer in this US population.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwab265</identifier><identifier>PMID: 34729579</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Cancer ; Cancer screening ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cause of Death ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - prevention & control ; Diet ; Health risks ; Humans ; Lung cancer ; Male ; Mathematical analysis ; Medical screening ; Mortality ; Neoplasms - prevention & control ; Original Contribution ; Ovarian cancer ; Prevention ; Prospective Studies ; Prostate ; Reduction ; Risk ; Risk Factors ; Subgroups</subject><ispartof>American journal of epidemiology, 2022-03, Vol.191 (3), p.472-486</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-7bf0a7fb8dd871517c6d82417df9a821202b2059ab16dd54a3af7187d7295bf03</citedby><cites>FETCH-LOGICAL-c440t-7bf0a7fb8dd871517c6d82417df9a821202b2059ab16dd54a3af7187d7295bf03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34729579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Chun-Rui</creatorcontrib><creatorcontrib>Hu, Tian-Yang</creatorcontrib><creatorcontrib>Hao, Fa-Bao</creatorcontrib><creatorcontrib>Chen, Nan</creatorcontrib><creatorcontrib>Peng, Yang</creatorcontrib><creatorcontrib>Wu, Jing-Jing</creatorcontrib><creatorcontrib>Yang, Peng-Fei</creatorcontrib><creatorcontrib>Zhong, Guo-Chao</creatorcontrib><title>Type 2 Diabetes–Prevention Diet and All-Cause and Cause-Specific Mortality: A Prospective Study</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>Abstract
We aimed to examine whether type 2 diabetes–prevention diet, a dietary pattern previously developed for reducing type 2 diabetes risk, was associated with mortality in a US population. A population-based cohort of 86,633 subjects was identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (1993–2015). Dietary information was collected with a food frequency questionnaire. A dietary diabetes risk-reduction score was calculated to reflect adherence to this dietary pattern, with higher scores representing better adherence. Hazard ratios (HRs) and absolute risk differences (ARDs) in mortality rates per 10,000 person-years were calculated. After a mean follow-up of 13.6 years, 17,532 all-cause deaths were observed. Participants with the highest versus the lowest quintiles of dietary diabetes risk-reduction score were observed to have decreased risks of death from all causes (HR = 0.76, 95% CI: 0.72, 0.80; ARD: −81.94, 95% CI: −93.76, −71.12), cardiovascular disease (HR = 0.73, 95% CI: 0.66, 0.81; ARD: −17.82, 95% CI: −24.81, −11.30), and cancer (HR = 0.85, 95% CI: 0.78, 0.94; ARD: −9.92, 95% CI: −15.86, −3.59), which were modified by sex, smoking status, or alcohol consumption in subgroup analyses (P for interaction < 0.05 for all). In conclusion, a type 2 diabetes–prevention diet confers reduced risks of death from all causes, cardiovascular disease, and cancer in this US population.</description><subject>Cancer</subject><subject>Cancer screening</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cause of Death</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - prevention & control</subject><subject>Diet</subject><subject>Health risks</subject><subject>Humans</subject><subject>Lung cancer</subject><subject>Male</subject><subject>Mathematical analysis</subject><subject>Medical screening</subject><subject>Mortality</subject><subject>Neoplasms - prevention & control</subject><subject>Original Contribution</subject><subject>Ovarian cancer</subject><subject>Prevention</subject><subject>Prospective Studies</subject><subject>Prostate</subject><subject>Reduction</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Subgroups</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNp9kcFO3DAQhi3UCraUU-9VpEpVJZRiO7Edc0BabaEgUYEEnK1J7LTeZuNgO1vtre_AG_IkGHZBbQ892Z75_Gv--RF6R_BngmVxAHNz8PMX1JSzLTQhpeA5p4y_QhOMMc0l5XQHvQlhjjEhkuFttFOUgkom5ATB9WowGc2-WKhNNOH-992lN0vTR-v6VDUxg15n067LZzAG8_R6uuVXg2lsa5vsm_MROhtXh9k0u_QupEa0S5NdxVGv3qLXLXTB7G3OXXRzcnw9O83PL76ezabneVOWOOaibjGItq60rgRhRDRcV7QkQrcSKkoopjXFTEJNuNashAJaQSqhH52kv8UuOlrrDmO9MLpJFjx0avB2AX6lHFj1d6e3P9R3t1RVJVkhSRL4tBHw7nY0IaqFDY3pOuiNG4OiTBaY8lKUCf3wDzp3o--TPUV5UTHGGReJ2l9TTdpJ8KZ9GYZg9RidStGpTXSJfv_n_C_sc1YJ-LgG3Dj8V-kBVfKjgA</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Wang, Chun-Rui</creator><creator>Hu, Tian-Yang</creator><creator>Hao, Fa-Bao</creator><creator>Chen, Nan</creator><creator>Peng, Yang</creator><creator>Wu, Jing-Jing</creator><creator>Yang, Peng-Fei</creator><creator>Zhong, Guo-Chao</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220301</creationdate><title>Type 2 Diabetes–Prevention Diet and All-Cause and Cause-Specific Mortality: A Prospective Study</title><author>Wang, Chun-Rui ; Hu, Tian-Yang ; Hao, Fa-Bao ; Chen, Nan ; Peng, Yang ; Wu, Jing-Jing ; Yang, Peng-Fei ; Zhong, Guo-Chao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-7bf0a7fb8dd871517c6d82417df9a821202b2059ab16dd54a3af7187d7295bf03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cancer</topic><topic>Cancer screening</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cause of Death</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - prevention & control</topic><topic>Diet</topic><topic>Health risks</topic><topic>Humans</topic><topic>Lung cancer</topic><topic>Male</topic><topic>Mathematical analysis</topic><topic>Medical screening</topic><topic>Mortality</topic><topic>Neoplasms - prevention & control</topic><topic>Original Contribution</topic><topic>Ovarian cancer</topic><topic>Prevention</topic><topic>Prospective Studies</topic><topic>Prostate</topic><topic>Reduction</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Subgroups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Chun-Rui</creatorcontrib><creatorcontrib>Hu, Tian-Yang</creatorcontrib><creatorcontrib>Hao, Fa-Bao</creatorcontrib><creatorcontrib>Chen, Nan</creatorcontrib><creatorcontrib>Peng, Yang</creatorcontrib><creatorcontrib>Wu, Jing-Jing</creatorcontrib><creatorcontrib>Yang, Peng-Fei</creatorcontrib><creatorcontrib>Zhong, Guo-Chao</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Chun-Rui</au><au>Hu, Tian-Yang</au><au>Hao, Fa-Bao</au><au>Chen, Nan</au><au>Peng, Yang</au><au>Wu, Jing-Jing</au><au>Yang, Peng-Fei</au><au>Zhong, Guo-Chao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Type 2 Diabetes–Prevention Diet and All-Cause and Cause-Specific Mortality: A Prospective Study</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>191</volume><issue>3</issue><spage>472</spage><epage>486</epage><pages>472-486</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><abstract>Abstract
We aimed to examine whether type 2 diabetes–prevention diet, a dietary pattern previously developed for reducing type 2 diabetes risk, was associated with mortality in a US population. A population-based cohort of 86,633 subjects was identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (1993–2015). Dietary information was collected with a food frequency questionnaire. A dietary diabetes risk-reduction score was calculated to reflect adherence to this dietary pattern, with higher scores representing better adherence. Hazard ratios (HRs) and absolute risk differences (ARDs) in mortality rates per 10,000 person-years were calculated. After a mean follow-up of 13.6 years, 17,532 all-cause deaths were observed. Participants with the highest versus the lowest quintiles of dietary diabetes risk-reduction score were observed to have decreased risks of death from all causes (HR = 0.76, 95% CI: 0.72, 0.80; ARD: −81.94, 95% CI: −93.76, −71.12), cardiovascular disease (HR = 0.73, 95% CI: 0.66, 0.81; ARD: −17.82, 95% CI: −24.81, −11.30), and cancer (HR = 0.85, 95% CI: 0.78, 0.94; ARD: −9.92, 95% CI: −15.86, −3.59), which were modified by sex, smoking status, or alcohol consumption in subgroup analyses (P for interaction < 0.05 for all). In conclusion, a type 2 diabetes–prevention diet confers reduced risks of death from all causes, cardiovascular disease, and cancer in this US population.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>34729579</pmid><doi>10.1093/aje/kwab265</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cancer Cancer screening Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - epidemiology Cause of Death Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - prevention & control Diet Health risks Humans Lung cancer Male Mathematical analysis Medical screening Mortality Neoplasms - prevention & control Original Contribution Ovarian cancer Prevention Prospective Studies Prostate Reduction Risk Risk Factors Subgroups |
| title | Type 2 Diabetes–Prevention Diet and All-Cause and Cause-Specific Mortality: A Prospective Study |
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