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Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies

(1) Background: Dietary potassium intake is positively associated with reduction of cardiovascular risk. Several data are available on the relationship between dietary potassium intake, diabetes risk and glucose metabolism, but with inconsistent results. Therefore, we performed a meta-analysis of th...

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Autores principales: D’Elia, Lanfranco, Masulli, Maria, Cappuccio, Francesco P., Zarrella, Aquilino F., Strazzullo, Pasquale, Galletti, Ferruccio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697076/
https://www.ncbi.nlm.nih.gov/pubmed/36432472
http://dx.doi.org/10.3390/nu14224785
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author D’Elia, Lanfranco
Masulli, Maria
Cappuccio, Francesco P.
Zarrella, Aquilino F.
Strazzullo, Pasquale
Galletti, Ferruccio
author_facet D’Elia, Lanfranco
Masulli, Maria
Cappuccio, Francesco P.
Zarrella, Aquilino F.
Strazzullo, Pasquale
Galletti, Ferruccio
author_sort D’Elia, Lanfranco
collection PubMed
description (1) Background: Dietary potassium intake is positively associated with reduction of cardiovascular risk. Several data are available on the relationship between dietary potassium intake, diabetes risk and glucose metabolism, but with inconsistent results. Therefore, we performed a meta-analysis of the prospective studies that explored the effect of dietary potassium intake on the risk of diabetes to overcome these limitations. (2) Methods: A random-effects dose–response meta-analysis was carried out for prospective studies. A potential non-linear relation was investigated using restricted cubic splines. (3) Results: A total of seven prospective studies met the inclusion criteria. Dose–response analysis detected a non-linear relationship between dietary potassium intake and diabetes risk, with significant inverse association starting from 2900 mg/day by questionnaire and between 2000 and 5000 mg/day by urinary excretion. There was high heterogeneity among studies, but no evidence of publication bias was found. (4) Conclusions: The results of this meta-analysis indicate that habitual dietary potassium consumption is associated with risk of diabetes by a non-linear dose–response relationship. The beneficial threshold found supports the campaigns in favour of an increase in dietary potassium intake to reduce the risk of morbidity and mortality. Further studies should be carried out to explore this topic.
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spelling pubmed-96970762022-11-26 Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies D’Elia, Lanfranco Masulli, Maria Cappuccio, Francesco P. Zarrella, Aquilino F. Strazzullo, Pasquale Galletti, Ferruccio Nutrients Review (1) Background: Dietary potassium intake is positively associated with reduction of cardiovascular risk. Several data are available on the relationship between dietary potassium intake, diabetes risk and glucose metabolism, but with inconsistent results. Therefore, we performed a meta-analysis of the prospective studies that explored the effect of dietary potassium intake on the risk of diabetes to overcome these limitations. (2) Methods: A random-effects dose–response meta-analysis was carried out for prospective studies. A potential non-linear relation was investigated using restricted cubic splines. (3) Results: A total of seven prospective studies met the inclusion criteria. Dose–response analysis detected a non-linear relationship between dietary potassium intake and diabetes risk, with significant inverse association starting from 2900 mg/day by questionnaire and between 2000 and 5000 mg/day by urinary excretion. There was high heterogeneity among studies, but no evidence of publication bias was found. (4) Conclusions: The results of this meta-analysis indicate that habitual dietary potassium consumption is associated with risk of diabetes by a non-linear dose–response relationship. The beneficial threshold found supports the campaigns in favour of an increase in dietary potassium intake to reduce the risk of morbidity and mortality. Further studies should be carried out to explore this topic. MDPI 2022-11-12 /pmc/articles/PMC9697076/ /pubmed/36432472 http://dx.doi.org/10.3390/nu14224785 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 Review
D’Elia, Lanfranco
Masulli, Maria
Cappuccio, Francesco P.
Zarrella, Aquilino F.
Strazzullo, Pasquale
Galletti, Ferruccio
Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies
title Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies
title_full Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies
title_fullStr Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies
title_full_unstemmed Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies
title_short Dietary Potassium Intake and Risk of Diabetes: A Systematic Review and Meta-Analysis of Prospective Studies
title_sort dietary potassium intake and risk of diabetes: a systematic review and meta-analysis of prospective studies
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697076/
https://www.ncbi.nlm.nih.gov/pubmed/36432472
http://dx.doi.org/10.3390/nu14224785
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