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Dairy products and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies
Open accessAbstract
Background The association between intake of dairy products and the risk of type 2 diabetes has been investigated in several studies, but the evidence is not conclusive.Objective We conducted an updated systematic review and dose-response meta-analysis of dairy product intake and the risk of type 2 diabetes.Design We searched the PubMed database for prospective cohort and nested case-control studies of dairy product intake and risk of type 2 diabetes up to 5 June 2013. Summary RRs were estimated by use of a random-effects model.Results Seventeen cohort studies were included in the meta-analysis. In the dose-response analysis, the summary RRs (95% CIs) were 0.93 (0.87, 0.99; I(2) = 33%) per 400 g total dairy products/d (n = 12), 0.98 (0.94, 1.03; I(2) = 8%) per 200 g high-fat dairy products/d (n = 9), 0.91 (0.86, 0.96; I(2) = 40%) per 200 g low-fat dairy products/d (n = 9), 0.87 (0.72, 1.04; I(2) = 94%) per 200 g milk/d (n = 7), 0.92 (0.86, 0.99; I(2) = 0%) per 50 g cheese/d (n = 8), and 0.78 (0.60, 1.02; I(2) = 70%) per 200 g yogurt/d (n = 7). Nonlinear inverse associations were observed for total dairy products (P-nonlinearity < 0.0001), low-fat dairy products (P-nonlinearity = 0.06), cheese (P-nonlinearity = 0.05), and yogurt (P-nonlinearity = 0.004), and there was a flattening of the curve at higher intakes.Conclusions This meta-analysis suggests that there is a significant inverse association between intakes of dairy products, low-fat dairy products, and cheese and risk of type 2 diabetes. Any additional studies should assess the association between other specific types of dairy products and the risk of type 2 diabetes and adjust for more confounding factors.
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“These main sources of sucrose have shown beneficial associations (for example, whole grain cereals, fruit, and yogurt) with type 2 diabetes mellitus and cardiovascular disease mortality.87 88 89 90 91 92”
From Dietary sugar consumption and health: umbrella review (2023) · cites this paper as [87]
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Yogal, C. M., Shakya, S., Karmarcharya, B., Koju, R., Stunes, A. K., Mosti, M. P., Gustafsson, M. K., Åsvold, B. O., Schei, B., & Syversen, U. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19127011 · Cited by 9
Type 2 diabetes mellitus: Link between diet, HbA1c and complications
Sami, W., & Ansari, T. (2016) · Australasian Medical Journal · doi:10.4066/amj.2016.2708 · Cited by 10
El-Ziney, M. G. (2017) · Journal of Nutritional Health & Food Science · doi:10.15226/jnhfs.2017.00196 · Cited by 9
“Recent meta-analyses of cohort studies have shown that dairy; mainly the ferments, consumption is related with a lowering risk of heart diseases, high blood pressure, stroke and diabetes [4-7].”
BackgroundRosenberg, L. A., Robles, Y., Li, S., Ruiz-Narváez, E., & Palmer, J. R. (2020) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqaa143 · Cited by 9
“Results have generally ranged from null to inverse associations with T2D, with low-fat consumption more often associated with lower risk than regular consumption (6, 7, 9, 12).”
BackgroundMetabolic syndrome and dairy product consumption: Where do we stand?
Sébédio, J., & Malpuech‐Brugère, C. (2016) · Food Research International · doi:10.1016/j.foodres.2016.03.040 · Cited by 8
Asaad, G., & Chan, C. B. (2017) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2017-0266 · Cited by 8
“Two meta-analyses showed no association between dairy saturated fat and the risk of T2D (Chen et al. 2014; Gijsbers et al. 2016)., while other meta-analyses found an inverse association between cheese consumption and risk of T2D (Aune et al. 2013; Gao et al. 2013).”
BackgroundEffectiveness of Dietary Policies to Reduce Noncommunicable Diseases
Afshin, A., Micha, R., Webb, M., Capewell, S., Whitsel, L. P., Rubinstein, A. L., Prabhakaran, D., Suhrcke, M., & Mozaffarian, D. (2017) · Europe PMC (PubMed Central) · doi:10.1596/978-1-4648-0518-9/ch6 · Cited by 8
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Executive summary: Updates to the dietary treatment of prediabetes and type 2 diabetes mellitus
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Yogurt and health: a focus on its matrix
Tremblay, A., Drouin‐Chartier, J., Marette, A., & Drapeau, V. (2025) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2025.2524472 · Cited by 9
“This relationship has been explored in several prospective cohorts and meta-analyzed multiple times over the past 15 years (Aune et al. 2013; Chen et al. 2014; Companys et al. 2020; Feng et al. 2022; Gao et al. 2013; Gijsbers et al. 2016; Soedamah-Muthu and de Goede 2018; Tong et al. 2011).”
Fumeron, F., Nicolas, A., Bastard, J., Fellahi, S., Wigger, L., Ibberson, M. R., Cruciani‐Guglielmacci, C., Stunff, H. L., Velho, G., Magnan, C., et al. (2019) · Diabetes & Metabolism · doi:10.1016/j.diabet.2019.06.002 · Cited by 7
Executive summary: Updates to the dietary treatment of prediabetes and type 2 diabetes mellitus
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Executive summary: Updates to the dietary treatment of prediabetes and type 2 diabetes mellitus
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Dietary patterns and type 2 diabetes—relationship to metabolic syndrome and inflammation
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Health-related functional value of dairy proteins and peptides
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“cardiovascular disease(4, 5) and type 2 diabetes(6-8) have suggested that the associations vary by D ow nladed fom hts://w w w am bridorg/core .”
Dairy consumption and cardiometabolic diseases: Evidence from prospective studies
Soedamah‐Muthu, S. S., & Guo, J. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815603-2.00001-2 · Cited by 7
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Dairy products: good or bad for cardiometabolic disease?
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“These findings are broadly in accord with findings in other individual cohort studies (3) and in a meta-analysis of these studies examining the risk of type 2 diabetes (4); although the latter reported”
BackgroundResultMedina, M., Cureau, F. V., Schaan, B. D., Leotti, V. B., Rosa, P. B. Z., Pereira, M. A., & Drehmer, M. (2023) · British Journal Of Nutrition · doi:10.1017/s0007114523001356 · Cited by 7
“However, there is a lack of consistency in the literature as different results were found in systematic reviews (14,25,52) , carried out in developed countries, which concluded that low-fat dairy products had an inverse linear association with T2DM and found no association for full-fat dairy…”
Result
Metadata
- Authors
- Aune, D., Norat, T., Romundstad, P., & Vatten, L. J.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 98
- Issue
- 4
- Pages
- 1066-1083
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2108208530
- Cited by
- 434
- References
- 59
- Citations by year
- 2026: 8 · 2025: 21 · 2024: 25 · 2023: 23 · 2022: 22 · 2021: 32 · 2020: 36 · 2019: 50 · 2018: 42 · 2017: 52 · 2016: 48 · 2015: 42 · 2014: 30 · 2013: 3
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Keywords
- dairy products, type 2 diabetes, low-fat dairy, cheese, yogurt, milk, high-fat dairy, dose-response relationship, inverse association, nonlinear relationship, dietary intake, diabetes risk, confounding adjustment
- MeSH terms
- Animals, Cheese, Dairy Products, Diabetes Mellitus, Type 2, Diet, Dietary Fats, Humans, Milk, Prospective Studies, Risk Factors, Yogurt, Cohort Studies, Case-Control Studies
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