Dairy intake and risk of type 2 diabetes : results of a large prospective cohort
(2023) In Food & Function 14(21). p.9695-9706- Abstract
Background and aims: Previous studies of primarily Western populations have consistently documented a lower risk of type 2 diabetes (T2D) among people with a higher yogurt intake, but an inconsistent association with milk intake. However, little is known about the association between dairy intake and risk of T2D among Chinese adults who consume considerably less dairy (mainly milk and yogurt) compared with Western populations. The aim is to investigate the associations of dairy intake with the risk of incident T2D in the general adult population in China.
Methods: This cohort study consisted of 22 843 participants without prevalent cardiovascular disease, cancer, or diabetes at the baseline. Dietary data were collected using... (More)
(Less)
Background and aims: Previous studies of primarily Western populations have consistently documented a lower risk of type 2 diabetes (T2D) among people with a higher yogurt intake, but an inconsistent association with milk intake. However, little is known about the association between dairy intake and risk of T2D among Chinese adults who consume considerably less dairy (mainly milk and yogurt) compared with Western populations. The aim is to investigate the associations of dairy intake with the risk of incident T2D in the general adult population in China.
Methods: This cohort study consisted of 22 843 participants without prevalent cardiovascular disease, cancer, or diabetes at the baseline. Dietary data were collected using a validated food frequency questionnaire at the baseline (2013-2018); dairy intake was categorized into tertiles after zero consumers were taken as the reference. Incident T2D was ascertained by medical examinations and self-report of physician-diagnosed diabetes during follow-up visits. Cox proportional hazards models were performed to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs).
Results: In total, 735 incident T2D cases were recorded over a median follow-up of 4.0 years. Relative to zero consumers, the HRs (95% CIs) for incident T2D among participants in the highest tertiles were 0.70 (0.57, 0.87) for total dairy, 0.73 (0.60, 0.90) for milk, and 0.81 (0.66, 1.00) for yogurt. Such associations were slightly attenuated by additional adjustment for the body mass index. In addition, such inverse associations were robust in sensitivity analyses and consistent in most of the subgroups defined by baseline characteristics.
Conclusion: Higher intakes of total dairy, milk, and yogurt were all associated with a lower risk of T2D among Chinese adults.
- author
- Zhang, Shunming
LU
; Meng, Ge
; Zhang, Qing
LU
; Liu, Li
LU
; Wu, Hongmei
; Gu, Yeqing
; Wang, Xuena
; Zhang, Juanjuan
; Sun, Shaomei
; Wang, Xing
; Zhou, Ming
; Jia, Qiyu
; Song, Kun
; Borné, Yan
LU
; Sonestedt, Emily
LU
; Ma, Le
; Qi, Lu
and Niu, Kaijun
(Less) - organization
- publishing date
- 2023-10-09
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Food & Function
- volume
- 14
- issue
- 21
- pages
- 12 pages
- publisher
- Royal Society of Chemistry
- external identifiers
-
- scopus:85174542377
- pmid:37811566
- ISSN
- 2042-6496
- DOI
- 10.1039/d3fo02023a
- language
- English
- LU publication?
- yes
- id
- 0d88d3dd-5111-416b-97ed-94020110c66b
- date added to LUP
- 2023-10-16 12:26:29
- date last changed
- 2024-04-19 00:21:28
@article{0d88d3dd-5111-416b-97ed-94020110c66b,
abstract = {{<p><br>
Background and aims: Previous studies of primarily Western populations have consistently documented a lower risk of type 2 diabetes (T2D) among people with a higher yogurt intake, but an inconsistent association with milk intake. However, little is known about the association between dairy intake and risk of T2D among Chinese adults who consume considerably less dairy (mainly milk and yogurt) compared with Western populations. The aim is to investigate the associations of dairy intake with the risk of incident T2D in the general adult population in China.<br>
Methods: This cohort study consisted of 22 843 participants without prevalent cardiovascular disease, cancer, or diabetes at the baseline. Dietary data were collected using a validated food frequency questionnaire at the baseline (2013-2018); dairy intake was categorized into tertiles after zero consumers were taken as the reference. Incident T2D was ascertained by medical examinations and self-report of physician-diagnosed diabetes during follow-up visits. Cox proportional hazards models were performed to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs).<br>
Results: In total, 735 incident T2D cases were recorded over a median follow-up of 4.0 years. Relative to zero consumers, the HRs (95% CIs) for incident T2D among participants in the highest tertiles were 0.70 (0.57, 0.87) for total dairy, 0.73 (0.60, 0.90) for milk, and 0.81 (0.66, 1.00) for yogurt. Such associations were slightly attenuated by additional adjustment for the body mass index. In addition, such inverse associations were robust in sensitivity analyses and consistent in most of the subgroups defined by baseline characteristics. <br>
Conclusion: Higher intakes of total dairy, milk, and yogurt were all associated with a lower risk of T2D among Chinese adults.<br>
</p>}},
author = {{Zhang, Shunming and Meng, Ge and Zhang, Qing and Liu, Li and Wu, Hongmei and Gu, Yeqing and Wang, Xuena and Zhang, Juanjuan and Sun, Shaomei and Wang, Xing and Zhou, Ming and Jia, Qiyu and Song, Kun and Borné, Yan and Sonestedt, Emily and Ma, Le and Qi, Lu and Niu, Kaijun}},
issn = {{2042-6496}},
language = {{eng}},
month = {{10}},
number = {{21}},
pages = {{9695--9706}},
publisher = {{Royal Society of Chemistry}},
series = {{Food & Function}},
title = {{Dairy intake and risk of type 2 diabetes : results of a large prospective cohort}},
url = {{http://dx.doi.org/10.1039/d3fo02023a}},
doi = {{10.1039/d3fo02023a}},
volume = {{14}},
year = {{2023}},
}