European Journal of Nutrition

, Volume 52, Issue 3, pp 1127–1134

Dietary patterns and the risk of type 2 diabetes in overweight and obese individuals

Authors

  • Florianne Bauer
    • Julius Center for Health Sciences and Primary CareUniversity Medical Center Utrecht
    • Complex Genetics Section, Department of Medical Genetics-DBGUniversity Medical Center Utrecht
  • Joline W. J. Beulens
    • Julius Center for Health Sciences and Primary CareUniversity Medical Center Utrecht
  • Daphne L. van der A
    • Center for Nutrition and HealthNational Institute for Public Health and the Environment
  • Cisca Wijmenga
    • University of Groningen, University Medical Center Groningen, Department of Genetics
  • Diederick E. Grobbee
    • Julius Center for Health Sciences and Primary CareUniversity Medical Center Utrecht
    • Julius CenterUniversity of Malaya Medical Center
  • Annemieke M. W. Spijkerman
    • Center for Prevention and Health Services ResearchNational Institute for Public Health and the Environment
  • Yvonne T. van der Schouw
    • Julius Center for Health Sciences and Primary CareUniversity Medical Center Utrecht
    • Julius Center for Health Sciences and Primary CareUniversity Medical Center Utrecht
    • Complex Genetics Section, Department of Medical Genetics-DBGUniversity Medical Center Utrecht
Original Contribution

DOI: 10.1007/s00394-012-0423-4

Cite this article as:
Bauer, F., Beulens, J.W.J., van der A, D.L. et al. Eur J Nutr (2013) 52: 1127. doi:10.1007/s00394-012-0423-4

Abstract

Purpose

Although overweight is an important determinant of diabetes risk, it remains unclear whether food choices can still influence the risk for type 2 diabetes in overweight persons. In this paper, we aim to clarify the role of dietary patterns in the development of type 2 diabetes in overweight and obese individuals.

Methods

We studied 20,835 overweight and obese participants in the Dutch part of the European Investigation into Cancer and Nutrition (EPIC-NL) study. Dietary intake was measured using a validated food frequency questionnaire, and dietary patterns were generated using factor analysis. Incident type 2 diabetes was verified against medical records. Cox proportional hazards models were used to assess the association between the dietary patterns (factor scores categorized in quartiles) and incident type 2 diabetes.

Results

Scoring on Pattern 1, characterized by fish, wine, chicken, raw vegetables and fruit juices, was not associated with type 2 diabetes risk after confounder adjustment. A high score on Pattern 2, characterized by soft drinks, fries and snacks, was associated with higher risk of type 2 diabetes (HR Q4 vs. Q1 (95 % CI): 1.70 (1.31; 2.20), ptrend ≤ 0.0001), particularly among less active individuals [less active: HR Q4 vs. Q1 (95 % CI): 2.14 (1.48; 3.09), ptrend = 0.00004, more active: HR Q4 vs. Q1 (95 % CI): 1.35 (0.93; 1.97), ptrend = 0.01; pinteraction = 0.02].

Conclusions

A high score on a pattern high in soft drinks, fries and snacks and low in fruit and vegetables was associated with higher risk of type 2 diabetes in overweight and obese subjects especially among physically less active individuals.

Keywords

Dietary patternType 2 diabetesObesityEpidemiology

Copyright information

© Springer-Verlag 2012