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Plasma fatty acid composition and incidence of diabetes in middle-aged adults: the Atherosclerosis Risk in Communities (ARIC) Study
Open accessAbstract
Background The results of some epidemiologic studies conducted by using questionnaires suggest that dietary fat composition influences diabetes risk. Confirmation of this finding with use of a biomarker is warranted.Objective We prospectively investigated the relation of plasma cholesterol ester (CE) and phospholipid (PL) fatty acid composition with the incidence of diabetes mellitus.Design In 2909 adults aged 45-64 y, plasma fatty acid composition was quantified by using gas-liquid chromatography and was expressed as a percentage of total fatty acids. Incident diabetes (n = 252) was identified during 9 y of follow-up.Results After adjustment for age, sex, baseline body mass index, waist-to-hip ratio, alcohol intake, cigarette smoking, physical activity, education, and parental history of diabetes, diabetes incidence was significantly and positively associated with the proportions of total saturated fatty acids in plasma CE and PL. The rate ratios of incident diabetes across quintiles of saturated fatty acids were 1.00, 1.36, 1.16, 1.60, and 2.08 (P = 0.0013) in CE and 1.00, 1.75, 1.87, 2.40, and 3.37 (P < 0.0001) in PL. In CE, the incidence of diabetes was also positively associated with the proportions of palmitic (16:0), palmitoleic (16:1n-7), and dihomo-gamma-linolenic (20:3n-6) acids and inversely associated with the proportion of linoleic acid (18:2n-6). In PL, incident diabetes was positively associated with the proportions of 16:0 and stearic acid (18:0).Conclusions The proportional saturated fatty acid composition of plasma is positively associated with the development of diabetes. Our findings with the use of this biomarker suggest indirectly that the dietary fat profile, particularly that of saturated fat, may contribute to the etiology of diabetes.
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“While combination therapy with any two agents has been shown to be effective for lowering glucose levels 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , combination therapy with three or more agents (other than SU/glinide or DPP‐4 inhibitor/GLP‐1 receptor agonist combinations) has also been shown to be effective for lowering glucose levels 47 , 48 , 49 , 50 , 51 .”
From Japanese clinical practice guideline for diabetes 2019 (2020) · cites this paper as [35]
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“Poor working environments 35 , 36 , 37 , 38 , 39 or social environments 40 , 41 may constitute an important risk factor for type 2 diabetes.”
From Japanese clinical practice guideline for diabetes 2019 (2020) · cites this paper as [35]
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“Literature Search Twenty-four published studies [3,5–11,14–22,27,29–34] including 24,509 T2D patients and 545,275 participants were identified from a full-text examination of 97 potentially relevant studies (Figure 1), 1 study from Australia [5], 1 study from Cuba [19], 7 studies from Europe [7,14,17,21,22,27,33], 8 s…”
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Plasma omega-3 fatty acids and incident diabetes in older adults
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Plasma fatty acids as predictors of glycaemia and type 2 diabetes
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Batista, Â. G., Lenquiste, S. A., Cazarin, C. B. B., da Silva-Maia, J. K., Luiz-Ferreira, Â., Bogusz, S., Hantao, L. W., Souza, R., Augusto, F., Prado, M. A., et al. (2014) · Journal of Functional Foods · doi:10.1016/j.jff.2013.11.011 · Cited by 114
Polymorphisms in the SCD1 Gene: Associations With Body Fat Distribution and Insulin Sensitivity
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Fish Consumption and Incidence of Diabetes
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Omega-3 fatty acids and incident type 2 diabetes: the Singapore Chinese Health Study
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“The ARIC study of cholesterol ester and phospholipid FA concentrations yielded a similar result (10).”
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“Two studies examined the association between the fatty acid composition of serum cholesterol esters in relation to risk for type 2 diabetes [35, 36].”
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“For participants with self-reported newly diagnosed diabetes, the diagnosis date was assigned to the midpoint between the last visit without diabetes and the next visit with diabetes; for diabetes defined by blood glucose levels, the diagnosis date was estimated as the point when the serum glucose concentration crosse…”
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“Discussion To date, randomized controlled and prospective population-based trials [32-35] that have assessed the impact of n-3 PUFAs on T2D and insulin sensitivity have provided inconsistent results regarding their effectiveness in preventing or treating T2D.”
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the DPS Study Group, Takkunen, M. J., Schwab, U., de Mello, V. D., Eriksson, J. G., Lindström, J., Tuomilehto, J. O., & Uusitupa, M. I. J. (2015) · European Journal of Nutrition · doi:10.1007/s00394-015-0911-4 · Cited by 83
The optimal diet for women with polycystic ovary syndrome?
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“…have been found to have changes in the fatty acid pattern in serum cholesteryl esters (a marker of dietary fat intake) with a higher proportion of saturated fatty acids and lower proportions of linoleic acid (Salomaa et al. 1990; Vessby et al. 1994a,b; Öhrvall et al. 1996; Wang et al. 2003).”
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Gene-Diet Interactions in Type 2 Diabetes: The Chicken and Egg Debate
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“In vitro approaches indicated that cis-palmitoleic acid can influence pancreatic β-cell survival, insulin secretion, skeletal muscle insulin response and adipocyte metabolism, On the other hand, prospective studies have shown a positive association between higher circulating palmitoleic acid and improved insulin sensi…”
Background
Metadata
- Authors
- Wang, L., Folsom, A. R., Zheng, Z.-J., Pankow, J. S., & Eckfeldt, J. H.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 78
- Issue
- 1
- Pages
- 91-98
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1955662609
- Cited by
- 364
- References
- 48
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 12 · 2023: 9 · 2022: 15 · 2021: 22 · 2020: 26 · 2019: 15 · 2018: 13 · 2017: 16 · 2016: 22 · 2015: 21 · 2014: 17 · 2013: 26 · 2012: 21
- FWCI
- 8.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (n01hc55020-39-0-0, n01hc55016-37-0-0, n01hc055022-024, 5r01hl040848-04, n01hc55019-35-0-1, n01hc55018-38-0-1, n01hc55015-48-0-1)
- National Heart, Lung, and Blood Institute (N01-HC55022, N01-HC-55018, N01 HC 55020, N01 HC 55019, R01-HL-40848, N01-HC55016, N01‐HC‐55015)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- plasma fatty acid composition, diabetes incidence, saturated fatty acids, phospholipid fatty acids, dietary fat, middle-aged adults, linoleic acid, palmitic acid, stearic acid, dihomo-gamma-linolenic acid, palmitoleic acid
- MeSH terms
- Cholesterol Esters, Chromatography, Gas, Diabetes Mellitus, Dietary Fats, Fatty Acids, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phospholipids, Prospective Studies, Incidence
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