Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes

N.R. den Braver, F. Rutters, A.L.J. Kortelever van der Spek, D. Ibi, M. Looman, A. Geelen, P. Elders, A.A. van der Heijden, J. Brug, J. Lakerveld, S.S. Soedamah-Muthu, J.W.J. Beulens

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Abstract

Purpose
In this study, we investigated the association between adherence to the Dutch Healthy Diet index 2015 (DHD15-index) and incidence of prediabetes (preT2D) and Type 2 Diabetes (T2D) in a representative sample for the general Dutch population.

Methods
Two prospective cohort studies, The Hoorn and The New Hoorn Study, were used for data analyses. In total, data from 2951 participants without diabetes at baseline (mean age 56.5 ± 7.5 years; 49.6% male) were harmonized. Baseline dietary intake was assessed with validated Food Frequency Questionnaires and adherence to the DHD15-index was calculated (range 0-130). PreT2D and T2D were classified according to the WHO criteria 2011. Poisson regression was used to estimate prevalence ratios between participant scores on the DHD15-index and preT2D and T2D, adjusted for follow-up duration, energy intake, socio-demographic, and lifestyle factors. Change in fasting plasma glucose levels (mmol/L) over follow-up was analysed using linear regression analyses, additionally adjusted for baseline value.

Results
During a mean follow-up of 6.3 ± 0.7 years, 837 participants developed preT2D and 321 participants developed T2D. The highest adherence to the DHD15-index was significantly associated with lower T2D incidence [model 3, PRT3vsT1: 0.70 (0.53; 0.92), ptrend = 0.01]. The highest adherence to the DHD15-index pointed towards a lower incidence of preT2D [PRT3vsT1: 0.87 (0.74; 1.03), ptrend = 0.11]. Higher adherence to the DHD15-index was not associated with change in fasting plasma glucose levels [β10point: - 0.012 (- 0.034; 0.009)mmol/L].

Conclusion
The present study showed that the highest compared to the lowest adherence to the DHD15-index was associated with a lower T2D incidence, and pointed towards a lower incidence of preT2D. These results support the benefits of adhering to the guidelines in T2D prevention.
Original languageEnglish
Number of pages11
JournalEuropean Journal of Nutrition
DOIs
Publication statusE-pub ahead of print - 2020

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Type 2 Diabetes Mellitus
Incidence
Fasting
Linear Models

Cite this

den Braver, N. R., Rutters, F., Kortelever van der Spek, A. L. J., Ibi, D., Looman, M., Geelen, A., ... Beulens, J. W. J. (2020). Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes. European Journal of Nutrition. https://doi.org/10.1007/s00394-019-02064-8
den Braver, N.R. ; Rutters, F. ; Kortelever van der Spek, A.L.J. ; Ibi, D. ; Looman, M. ; Geelen, A. ; Elders, P. ; van der Heijden, A.A. ; Brug, J. ; Lakerveld, J. ; Soedamah-Muthu, S.S. ; Beulens, J.W.J. / Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes. In: European Journal of Nutrition. 2020.
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title = "Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes",
abstract = "PurposeIn this study, we investigated the association between adherence to the Dutch Healthy Diet index 2015 (DHD15-index) and incidence of prediabetes (preT2D) and Type 2 Diabetes (T2D) in a representative sample for the general Dutch population.MethodsTwo prospective cohort studies, The Hoorn and The New Hoorn Study, were used for data analyses. In total, data from 2951 participants without diabetes at baseline (mean age 56.5 ± 7.5 years; 49.6{\%} male) were harmonized. Baseline dietary intake was assessed with validated Food Frequency Questionnaires and adherence to the DHD15-index was calculated (range 0-130). PreT2D and T2D were classified according to the WHO criteria 2011. Poisson regression was used to estimate prevalence ratios between participant scores on the DHD15-index and preT2D and T2D, adjusted for follow-up duration, energy intake, socio-demographic, and lifestyle factors. Change in fasting plasma glucose levels (mmol/L) over follow-up was analysed using linear regression analyses, additionally adjusted for baseline value.Results During a mean follow-up of 6.3 ± 0.7 years, 837 participants developed preT2D and 321 participants developed T2D. The highest adherence to the DHD15-index was significantly associated with lower T2D incidence [model 3, PRT3vsT1: 0.70 (0.53; 0.92), ptrend = 0.01]. The highest adherence to the DHD15-index pointed towards a lower incidence of preT2D [PRT3vsT1: 0.87 (0.74; 1.03), ptrend = 0.11]. Higher adherence to the DHD15-index was not associated with change in fasting plasma glucose levels [β10point: - 0.012 (- 0.034; 0.009)mmol/L].ConclusionThe present study showed that the highest compared to the lowest adherence to the DHD15-index was associated with a lower T2D incidence, and pointed towards a lower incidence of preT2D. These results support the benefits of adhering to the guidelines in T2D prevention.",
author = "{den Braver}, N.R. and F. Rutters and {Kortelever van der Spek}, A.L.J. and D. Ibi and M. Looman and A. Geelen and P. Elders and {van der Heijden}, A.A. and J. Brug and J. Lakerveld and S.S. Soedamah-Muthu and J.W.J. Beulens",
year = "2020",
doi = "10.1007/s00394-019-02064-8",
language = "English",
journal = "European Journal of Nutrition",
issn = "1436-6207",
publisher = "D. Steinkopff-Verlag",

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den Braver, NR, Rutters, F, Kortelever van der Spek, ALJ, Ibi, D, Looman, M, Geelen, A, Elders, P, van der Heijden, AA, Brug, J, Lakerveld, J, Soedamah-Muthu, SS & Beulens, JWJ 2020, 'Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes', European Journal of Nutrition. https://doi.org/10.1007/s00394-019-02064-8

Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes. / den Braver, N.R.; Rutters, F.; Kortelever van der Spek, A.L.J.; Ibi, D.; Looman, M.; Geelen, A.; Elders, P.; van der Heijden, A.A.; Brug, J.; Lakerveld, J.; Soedamah-Muthu, S.S.; Beulens, J.W.J.

In: European Journal of Nutrition, 2020.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Adherence to a food group based dietary guideline and incidence of prediabetes and type 2 diabetes

AU - den Braver, N.R.

AU - Rutters, F.

AU - Kortelever van der Spek, A.L.J.

AU - Ibi, D.

AU - Looman, M.

AU - Geelen, A.

AU - Elders, P.

AU - van der Heijden, A.A.

AU - Brug, J.

AU - Lakerveld, J.

AU - Soedamah-Muthu, S.S.

AU - Beulens, J.W.J.

PY - 2020

Y1 - 2020

N2 - PurposeIn this study, we investigated the association between adherence to the Dutch Healthy Diet index 2015 (DHD15-index) and incidence of prediabetes (preT2D) and Type 2 Diabetes (T2D) in a representative sample for the general Dutch population.MethodsTwo prospective cohort studies, The Hoorn and The New Hoorn Study, were used for data analyses. In total, data from 2951 participants without diabetes at baseline (mean age 56.5 ± 7.5 years; 49.6% male) were harmonized. Baseline dietary intake was assessed with validated Food Frequency Questionnaires and adherence to the DHD15-index was calculated (range 0-130). PreT2D and T2D were classified according to the WHO criteria 2011. Poisson regression was used to estimate prevalence ratios between participant scores on the DHD15-index and preT2D and T2D, adjusted for follow-up duration, energy intake, socio-demographic, and lifestyle factors. Change in fasting plasma glucose levels (mmol/L) over follow-up was analysed using linear regression analyses, additionally adjusted for baseline value.Results During a mean follow-up of 6.3 ± 0.7 years, 837 participants developed preT2D and 321 participants developed T2D. The highest adherence to the DHD15-index was significantly associated with lower T2D incidence [model 3, PRT3vsT1: 0.70 (0.53; 0.92), ptrend = 0.01]. The highest adherence to the DHD15-index pointed towards a lower incidence of preT2D [PRT3vsT1: 0.87 (0.74; 1.03), ptrend = 0.11]. Higher adherence to the DHD15-index was not associated with change in fasting plasma glucose levels [β10point: - 0.012 (- 0.034; 0.009)mmol/L].ConclusionThe present study showed that the highest compared to the lowest adherence to the DHD15-index was associated with a lower T2D incidence, and pointed towards a lower incidence of preT2D. These results support the benefits of adhering to the guidelines in T2D prevention.

AB - PurposeIn this study, we investigated the association between adherence to the Dutch Healthy Diet index 2015 (DHD15-index) and incidence of prediabetes (preT2D) and Type 2 Diabetes (T2D) in a representative sample for the general Dutch population.MethodsTwo prospective cohort studies, The Hoorn and The New Hoorn Study, were used for data analyses. In total, data from 2951 participants without diabetes at baseline (mean age 56.5 ± 7.5 years; 49.6% male) were harmonized. Baseline dietary intake was assessed with validated Food Frequency Questionnaires and adherence to the DHD15-index was calculated (range 0-130). PreT2D and T2D were classified according to the WHO criteria 2011. Poisson regression was used to estimate prevalence ratios between participant scores on the DHD15-index and preT2D and T2D, adjusted for follow-up duration, energy intake, socio-demographic, and lifestyle factors. Change in fasting plasma glucose levels (mmol/L) over follow-up was analysed using linear regression analyses, additionally adjusted for baseline value.Results During a mean follow-up of 6.3 ± 0.7 years, 837 participants developed preT2D and 321 participants developed T2D. The highest adherence to the DHD15-index was significantly associated with lower T2D incidence [model 3, PRT3vsT1: 0.70 (0.53; 0.92), ptrend = 0.01]. The highest adherence to the DHD15-index pointed towards a lower incidence of preT2D [PRT3vsT1: 0.87 (0.74; 1.03), ptrend = 0.11]. Higher adherence to the DHD15-index was not associated with change in fasting plasma glucose levels [β10point: - 0.012 (- 0.034; 0.009)mmol/L].ConclusionThe present study showed that the highest compared to the lowest adherence to the DHD15-index was associated with a lower T2D incidence, and pointed towards a lower incidence of preT2D. These results support the benefits of adhering to the guidelines in T2D prevention.

U2 - 10.1007/s00394-019-02064-8

DO - 10.1007/s00394-019-02064-8

M3 - Article

JO - European Journal of Nutrition

JF - European Journal of Nutrition

SN - 1436-6207

ER -