Cargando…
Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population
Plant-based diets have been suggested to be beneficial for type 2 diabetes (T2D). However, studies investigating the association between the healthiness of a plant-based diet and T2D risk are limited. This study explored the prospective association between scores from three different plant-based die...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9332860/ https://www.ncbi.nlm.nih.gov/pubmed/35893932 http://dx.doi.org/10.3390/nu14153078 |
_version_ | 1784758752741687296 |
---|---|
author | Kim, Jihye Giovannucci, Edward |
author_facet | Kim, Jihye Giovannucci, Edward |
author_sort | Kim, Jihye |
collection | PubMed |
description | Plant-based diets have been suggested to be beneficial for type 2 diabetes (T2D). However, studies investigating the association between the healthiness of a plant-based diet and T2D risk are limited. This study explored the prospective association between scores from three different plant-based diet indices and risk of T2D and investigated whether associations differ by demographic and lifestyle factors in the Korean population. Data were derived from the Korean Genome and Epidemiology Study (KoGES), a prospective cohort study initiated between 2001 and 2002. Dietary intakes were assessed using a validated food frequency questionnaire. Scores for three plant-based diet indices (overall plant-based diet index (PDI), healthful plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI)) were measured. A total of 7363 Korean adults aged 40–69 years without T2D and related chronic diseases at baseline were included. Incident T2D was defined as elevated plasma glucose (≥126 mg/dL), self-report of a doctor’s diagnosis of T2D, or use of oral hypoglycemic drug. Multivariable Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% CIs for T2D risk. During a follow-up period of 14 years, 977 participants developed T2D. A 10-point higher score in hPDI was associated with a 14% lower risk of T2D (HR: 0.86, 95% CI, 0.77–0.95), adjusting for potential confounders. In subgroup analysis, inverse associations between hPDI and T2D risk were stronger in participants with a family history of T2D (HR: 0.58, 95% CI, 0.44 0.76) or history of hypertension (HR: 0.73, 95% CI, 0.60 0.89) than those without a family history of T2D (p interaction = 0.01) or history of hypertension (p interaction = 0.04). Considering the quality of the plant foods may be important for the prevention of T2D in the Korean population, which habitually consumes diets rich in plant foods. |
format | Online Article Text |
id | pubmed-9332860 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93328602022-07-29 Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population Kim, Jihye Giovannucci, Edward Nutrients Article Plant-based diets have been suggested to be beneficial for type 2 diabetes (T2D). However, studies investigating the association between the healthiness of a plant-based diet and T2D risk are limited. This study explored the prospective association between scores from three different plant-based diet indices and risk of T2D and investigated whether associations differ by demographic and lifestyle factors in the Korean population. Data were derived from the Korean Genome and Epidemiology Study (KoGES), a prospective cohort study initiated between 2001 and 2002. Dietary intakes were assessed using a validated food frequency questionnaire. Scores for three plant-based diet indices (overall plant-based diet index (PDI), healthful plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI)) were measured. A total of 7363 Korean adults aged 40–69 years without T2D and related chronic diseases at baseline were included. Incident T2D was defined as elevated plasma glucose (≥126 mg/dL), self-report of a doctor’s diagnosis of T2D, or use of oral hypoglycemic drug. Multivariable Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% CIs for T2D risk. During a follow-up period of 14 years, 977 participants developed T2D. A 10-point higher score in hPDI was associated with a 14% lower risk of T2D (HR: 0.86, 95% CI, 0.77–0.95), adjusting for potential confounders. In subgroup analysis, inverse associations between hPDI and T2D risk were stronger in participants with a family history of T2D (HR: 0.58, 95% CI, 0.44 0.76) or history of hypertension (HR: 0.73, 95% CI, 0.60 0.89) than those without a family history of T2D (p interaction = 0.01) or history of hypertension (p interaction = 0.04). Considering the quality of the plant foods may be important for the prevention of T2D in the Korean population, which habitually consumes diets rich in plant foods. MDPI 2022-07-27 /pmc/articles/PMC9332860/ /pubmed/35893932 http://dx.doi.org/10.3390/nu14153078 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kim, Jihye Giovannucci, Edward Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population |
title | Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population |
title_full | Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population |
title_fullStr | Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population |
title_full_unstemmed | Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population |
title_short | Healthful Plant-Based Diet and Incidence of Type 2 Diabetes in Asian Population |
title_sort | healthful plant-based diet and incidence of type 2 diabetes in asian population |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9332860/ https://www.ncbi.nlm.nih.gov/pubmed/35893932 http://dx.doi.org/10.3390/nu14153078 |
work_keys_str_mv | AT kimjihye healthfulplantbaseddietandincidenceoftype2diabetesinasianpopulation AT giovannucciedward healthfulplantbaseddietandincidenceoftype2diabetesinasianpopulation |