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Fruit and vegetable intake and type 2 diabetes: EPIC-InterAct prospective study and meta-analysis
Open accessAbstract
Fruit and vegetable intake (FVI) may reduce the risk of type 2 diabetes (T2D), but the epidemiological evidence is inconclusive. The aim of this study is to examine the prospective association of FVI with T2D and conduct an updated meta-analysis. In the European Prospective Investigation into Cancer-InterAct (EPIC-InterAct) prospective case–cohort study nested within eight European countries, a representative sample of 16 154 participants and 12 403 incident cases of T2D were identified from 340 234 individuals with 3.99 million person-years of follow-up. For the meta-analysis we identified prospective studies on FVI and T2D risk by systematic searches of MEDLINE and EMBASE until April 2011. In EPIC-InterAct, estimated FVI by dietary questionnaires varied more than twofold between countries. In adjusted analyses the hazard ratio (95% confidence interval) comparing the highest with lowest quartile of reported intake was 0.90 (0.80–1.01) for FVI; 0.89 (0.76–1.04) for fruit and 0.94 (0.84–1.05) for vegetables. Among FV subtypes, only root vegetables were inversely associated with diabetes 0.87 (0.77–0.99). In meta-analysis using pooled data from five studies including EPIC-InterAct, comparing the highest with lowest category for FVI was associated with a lower relative risk of diabetes (0.93 (0.87–1.00)). Fruit or vegetables separately were not associated with diabetes. Among FV subtypes, only green leafy vegetable (GLV) intake (relative risk: 0.84 (0.74–0.94)) was inversely associated with diabetes. Subtypes of vegetables, such as root vegetables or GLVs may be beneficial for the prevention of diabetes, while total FVI may exert a weaker overall effect.
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Reproducibility and validity of a semiquantitative food frequency questionnaire
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Glycemic index, glycemic load, and chronic disease risk—a meta-analysis of observational studies
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Intake of Fruit, Vegetables, and Fruit Juices and Risk of Diabetes in Women
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Food consumption and the incidence of type II diabetes mellitus
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“However, findings (1)MRC Epidemiology Unit, Institute of Metabolic Science, Addenbrooke’s Hospital, Cambridge, UK; (2)Department of Epidemiology, German Institute of Human Nutrition PotsdamRehbruecke, Nuthetal, Germany; (3)Public Health Division of Gipuzkoa, Basque Government, San Sebastian, Spain; (4)Instituto BIO-Do…”
Buijsse, B., Feskens, E. J., Schulze, M. B., Forouhi, N. G., Wareham, N. J., Sharp, S., Palli, D., Tognon, G., Halkjaer, J., Tjønneland, A., et al. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2008.27394 · Cited by 153
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Global aetiology and epidemiology of type 2 diabetes mellitus and its complications
Zheng, Y., Ley, S. H., & Hu, F. B. (2018) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2017.151 · Cited by 5,697
Prevention and management of type 2 diabetes: dietary components and nutritional strategies
Ley, S. H., Hamdy, O., Mohan, V., & Hu, F. B. (2014) · The Lancet · doi:10.1016/s0140-6736(14)60613-9 · Cited by 1,301
Satija, A., Bhupathiraju, S. N., Rimm, E. B., Spiegelman, D., Chiuve, S. E., Borgi, L., Willett, W. C., Manson, J. E., Sun, Q., & Hu, F. B. (2016) · PLOS Medicine · doi:10.1371/journal.pmed.1002039 · Cited by 1,069
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Metadata
- Authors
- Cooper, A. J., Forouhi, N. G., Ye, Z., Buijsse, B., Arriola, L., Balkau, B., Barricarte, A., Beulens, J. W. J., Boeing, H., Büchner, F. L., Dahm, C. C., de Lauzon-Guillain, B., Fagherazzi, G., Franks, P. W., Gonzalez, C., Grioni, S., Kaaks, R., Key, T. J., Masala, G., Navarro, C., Nilsson, P., Overvad, K., Panico, S., Ramón Quirós, J., Rolandsson, O., Roswall, N., Sacerdote, C., Sánchez, M.-J., Slimani, N., Sluijs, I., Spijkerman, A. M. W., Teucher, B., Tjonneland, A., Tumino, R., Sharp, S. J., Langenberg, C., Feskens, E. J. M., Riboli, E., Wareham, N. J., & The InterAct Consortium
- Venue
- European Journal of Clinical Nutrition
- Published
- 2012-08-01
- Volume
- 66
- Issue
- 10
- Pages
- 1082-1092
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2014838352
- Cited by
- 273
- References
- 8
- FWCI
- 19.68
- Type
- journal article
- Language
- en
- Open access
- green
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- Cooper, A. J., Forouhi, N. G., Ye, Z., Buijsse, B., Arriola, L., Balkau, B., Barricarte, A., Beulens, J. W. J., Boeing, H., Büchner, F. L., Dahm, C. C., de Lauzon-Guillain, B., Fagherazzi, G., Franks, P. W., Gonzalez, C., Grioni, S., Kaaks, R., Key, T. J., Masala, G., . . . The InterAct Consortium. (2012). Fruit and vegetable intake and type 2 diabetes: EPIC-InterAct prospective study and meta-analysis. European Journal of Clinical Nutrition. https://doi.org/10.1038/ejcn.2012.85
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