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Total and subtypes of dietary fat intake and risk of type 2 diabetes mellitus in the Prevención con Dieta Mediterránea (PREDIMED) study.

Background: The associations between dietary fat and cardiovascular disease have been evaluated in several studies, but less is known about their influence on the risk of diabetes. Objective: We examined the associations between total fat, subtypes of dietary fat, and food sources rich in saturated... Full description

Journal Title: The American journal of clinical nutrition March 2017, Vol.105(3), pp.723-735
Main Author: Guasch-Ferré, Marta
Other Authors: Becerra-Tomás, Nerea , Ruiz-Canela, Miguel , Corella, Dolores , Schröder, Helmut , Estruch, Ramon , Ros, Emilio , Arós, Fernando , Gómez-Gracia, Enrique , Fiol, Miquel , Serra-Majem, Lluís , Lapetra, José , Basora, Josep , Martín-Calvo, Nerea , Portoles, Olga , Fitó, Montserrat , Hu, Frank B , Forga, Lluís , Salas-Salvadó, Jordi
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1938-3207 ; DOI: 1938-3207 ; DOI: 10.3945/ajcn.116.142034
Link: http://search.proquest.com/docview/1869111320/?pq-origsite=primo
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title: Total and subtypes of dietary fat intake and risk of type 2 diabetes mellitus in the Prevención con Dieta Mediterránea (PREDIMED) study.
format: Article
creator:
  • Guasch-Ferré, Marta
  • Becerra-Tomás, Nerea
  • Ruiz-Canela, Miguel
  • Corella, Dolores
  • Schröder, Helmut
  • Estruch, Ramon
  • Ros, Emilio
  • Arós, Fernando
  • Gómez-Gracia, Enrique
  • Fiol, Miquel
  • Serra-Majem, Lluís
  • Lapetra, José
  • Basora, Josep
  • Martín-Calvo, Nerea
  • Portoles, Olga
  • Fitó, Montserrat
  • Hu, Frank B
  • Forga, Lluís
  • Salas-Salvadó, Jordi
subjects:
  • Aged–Etiology
  • Animals–Epidemiology
  • Butter–Etiology
  • Cardiovascular Diseases–Administration & Dosage
  • Cheese–Adverse Effects
  • Diabetes Mellitus, Type 2–Adverse Effects
  • Diet, Mediterranean–Adverse Effects
  • Dietary Fats–Adverse Effects
  • Fatty Acids–Adverse Effects
  • Feeding Behavior–Adverse Effects
  • Female–Adverse Effects
  • Follow-Up Studies–Adverse Effects
  • Humans–Adverse Effects
  • Incidence–Adverse Effects
  • Male–Adverse Effects
  • Meat–Adverse Effects
  • Middle Aged–Adverse Effects
  • Proportional Hazards Models–Adverse Effects
  • Prospective Studies–Adverse Effects
  • Risk Factors–Adverse Effects
  • Yogurt–Adverse Effects
  • Abridged
  • Dietary Fats
  • Fatty Acids
  • Butter
  • Predimed Study
  • Dietary Fat
  • Fat Subtypes
  • Monounsaturated Fat
  • Saturated Fat
  • Type 2 Diabetes
  • Ω-3 Fatty Acids
ispartof: The American journal of clinical nutrition, March 2017, Vol.105(3), pp.723-735
description: Background: The associations between dietary fat and cardiovascular disease have been evaluated in several studies, but less is known about their influence on the risk of diabetes. Objective: We examined the associations between total fat, subtypes of dietary fat, and food sources rich in saturated fatty acids and the incidence of type 2 diabetes (T2D). Design: A prospective cohort analysis of 3349 individuals who were free of diabetes at baseline but were at high cardiovascular risk from the PREvencion con DIeta MEDiterranea (PREDIMED) study was conducted. Detailed dietary information was assessed at baseline and yearly during the follow-up using a food frequency questionnaire. Multivariable Cox proportional hazards models were used to estimate T2D HRs and 95% CIs according to baseline and yearly updated fat intake. Results: We documented 266 incident cases during 4.3 y of follow-up. Baseline saturated and animal fat intake was not associated with the risk of T2D. After multivariable adjustment, participants in the highest quartile of updated intake of saturated and animal fat had a higher risk of diabetes than the lowest quartile (HR: 2.19; 95% CI: 1.28, 3.73; and P-trend = 0.01 compared with HR: 2.00; 95% CI: 1.29, 3.09; and P-trend < 0.01. respectively). In both the Mediterranean diet and control groups, participants in the highest quartile of updated animal fat intake had an ~ 2-fold higher risk of T2D than their counterparts in the lowest quartile. The consumption of 1 serving of butter and cheese was associated with a higher risk of diabetes, whereas whole-fat yogurt intake was associated with a lower risk. Conclusions: In a Mediterranean trial focused on dietary fat interventions, baseline intake of saturated and animal fat was not associated with T2D incidence, but the yearly updated intake of saturated and animal fat was associated with a higher risk of T2D. Cheese and butter intake was associated with a higher risk of T2D, whereas whole-fat yogurt intake was associated with a lower risk of T2D. This trial was registered at www.isrctn.com as 1SRCTN35739639. Am J Clin Nutr 2017;105:723-35. Keywords: dietary fat, fat subtypes, saturated fat, monounsaturated fat, [omega]-3 fatty acids, type 2 diabetes, PREDIMED study doi: 10.3945/ajcn.116.142034
language: eng
source:
identifier: E-ISSN: 1938-3207 ; DOI: 1938-3207 ; DOI: 10.3945/ajcn.116.142034
fulltext: fulltext
issn:
  • 19383207
  • 1938-3207
url: Link


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titleTotal and subtypes of dietary fat intake and risk of type 2 diabetes mellitus in the Prevención con Dieta Mediterránea (PREDIMED) study.
creatorGuasch-Ferré, Marta ; Becerra-Tomás, Nerea ; Ruiz-Canela, Miguel ; Corella, Dolores ; Schröder, Helmut ; Estruch, Ramon ; Ros, Emilio ; Arós, Fernando ; Gómez-Gracia, Enrique ; Fiol, Miquel ; Serra-Majem, Lluís ; Lapetra, José ; Basora, Josep ; Martín-Calvo, Nerea ; Portoles, Olga ; Fitó, Montserrat ; Hu, Frank B ; Forga, Lluís ; Salas-Salvadó, Jordi
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ispartofThe American journal of clinical nutrition, March 2017, Vol.105(3), pp.723-735
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subjectAged–Etiology ; Animals–Epidemiology ; Butter–Etiology ; Cardiovascular Diseases–Administration & Dosage ; Cheese–Adverse Effects ; Diabetes Mellitus, Type 2–Adverse Effects ; Diet, Mediterranean–Adverse Effects ; Dietary Fats–Adverse Effects ; Fatty Acids–Adverse Effects ; Feeding Behavior–Adverse Effects ; Female–Adverse Effects ; Follow-Up Studies–Adverse Effects ; Humans–Adverse Effects ; Incidence–Adverse Effects ; Male–Adverse Effects ; Meat–Adverse Effects ; Middle Aged–Adverse Effects ; Proportional Hazards Models–Adverse Effects ; Prospective Studies–Adverse Effects ; Risk Factors–Adverse Effects ; Yogurt–Adverse Effects ; Abridged ; Dietary Fats ; Fatty Acids ; Butter ; Predimed Study ; Dietary Fat ; Fat Subtypes ; Monounsaturated Fat ; Saturated Fat ; Type 2 Diabetes ; Ω-3 Fatty Acids
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descriptionBackground: The associations between dietary fat and cardiovascular disease have been evaluated in several studies, but less is known about their influence on the risk of diabetes. Objective: We examined the associations between total fat, subtypes of dietary fat, and food sources rich in saturated fatty acids and the incidence of type 2 diabetes (T2D). Design: A prospective cohort analysis of 3349 individuals who were free of diabetes at baseline but were at high cardiovascular risk from the PREvencion con DIeta MEDiterranea (PREDIMED) study was conducted. Detailed dietary information was assessed at baseline and yearly during the follow-up using a food frequency questionnaire. Multivariable Cox proportional hazards models were used to estimate T2D HRs and 95% CIs according to baseline and yearly updated fat intake. Results: We documented 266 incident cases during 4.3 y of follow-up. Baseline saturated and animal fat intake was not associated with the risk of T2D. After multivariable adjustment, participants in the highest quartile of updated intake of saturated and animal fat had a higher risk of diabetes than the lowest quartile (HR: 2.19; 95% CI: 1.28, 3.73; and P-trend = 0.01 compared with HR: 2.00; 95% CI: 1.29, 3.09; and P-trend < 0.01. respectively). In both the Mediterranean diet and control groups, participants in the highest quartile of updated animal fat intake had an ~ 2-fold higher risk of T2D than their counterparts in the lowest quartile. The consumption of 1 serving of butter and cheese was associated with a higher risk of diabetes, whereas whole-fat yogurt intake was associated with a lower risk. Conclusions: In a Mediterranean trial focused on dietary fat interventions, baseline intake of saturated and animal fat was not associated with T2D incidence, but the yearly updated intake of saturated and animal fat was associated with a higher risk of T2D. Cheese and butter intake was associated with a higher risk of T2D, whereas whole-fat yogurt intake was associated with a lower risk of T2D. This trial was registered at www.isrctn.com as 1SRCTN35739639. Am J Clin Nutr 2017;105:723-35. Keywords: dietary fat, fat subtypes, saturated fat, monounsaturated fat, [omega]-3 fatty acids, type 2 diabetes, PREDIMED study doi: 10.3945/ajcn.116.142034
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titleTotal and subtypes of dietary fat intake and risk of type 2 diabetes mellitus in the Prevención con Dieta Mediterránea (PREDIMED) study.
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1Animals–Epidemiology
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8Fatty Acids–Adverse Effects
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18Prospective Studies–Adverse Effects
19Risk Factors–Adverse Effects
20Yogurt–Adverse Effects
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22Dietary Fats
23Fatty Acids
24Butter
25Predimed Study
26Dietary Fat
27Fat Subtypes
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titleTotal and subtypes of dietary fat intake and risk of type 2 diabetes mellitus in the Prevención con Dieta Mediterránea (PREDIMED) study.
authorGuasch-Ferré, Marta ; Becerra-Tomás, Nerea ; Ruiz-Canela, Miguel ; Corella, Dolores ; Schröder, Helmut ; Estruch, Ramon ; Ros, Emilio ; Arós, Fernando ; Gómez-Gracia, Enrique ; Fiol, Miquel ; Serra-Majem, Lluís ; Lapetra, José ; Basora, Josep ; Martín-Calvo, Nerea ; Portoles, Olga ; Fitó, Montserrat ; Hu, Frank B ; Forga, Lluís ; Salas-Salvadó, Jordi
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23Fatty Acids
24Butter
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