Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies

Franziska Jannasch; Stefan Dietrich; Tom R. P. Bishop; Matthew Pearce; Anouar Fanidi; Gráinne O’Donoghue; Donal O’Gorman; Pedro Marques-Vidal; Peter Vollenweider; Maira Bes-Rastrollo; Liisa Byberg; Alicja Wolk; Maryam Hashemian; Reza Malekzadeh; Hossein Poustchi; Vivian C. Luft; Sheila M. Alvim De Matos; Jihye Kim; Mi Kyung Kim; Yeonjung Kim; Dalia Stern; Martin Lajous; Dianna J. Magliano; Jonathan E. Shaw; Tasnime Akbaraly; Mika Kivimaki; Gertraud Maskarinec; Loïc Le Marchand; Miguel Ángel Martínez-González; Sabita S. Soedamah-Muthu; Nicholas J. Wareham; Nita G. Forouhi; Matthias B. Schulze

doi:10.1007/s00394-022-02909-9

Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies

Franziska Jannasch^*, Stefan Dietrich, Tom R. P. Bishop, Matthew Pearce, Anouar Fanidi, Gráinne O’Donoghue, Donal O’Gorman, Pedro Marques-Vidal, Peter Vollenweider, Maira Bes-Rastrollo, Liisa Byberg, Alicja Wolk, Maryam Hashemian, Reza Malekzadeh, Hossein Poustchi, Vivian C. Luft, Sheila M. Alvim De Matos, Jihye Kim, Mi Kyung Kim, Yeonjung KimDalia Stern, Martin Lajous, Dianna J. Magliano, Jonathan E. Shaw, Tasnime Akbaraly, Mika Kivimaki, Gertraud Maskarinec, Loïc Le Marchand, Miguel Ángel Martínez-González, Sabita S. Soedamah-Muthu, Nicholas J. Wareham, Nita G. Forouhi, Matthias B. Schulze

^*Corresponding author for this work

Medical and Clinical Psychology

Research output: Contribution to journal › Article › Scientific › peer-review

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Abstract

Purpose
In several studies, exploratory dietary patterns (DP), derived by principal component analysis, were inversely or positively associated with incident type 2 diabetes (T2D). However, findings remained study-specific, inconsistent and rarely replicated. This study aimed to investigate the associations between DPs and T2D in multiple cohorts across the world.

Methods
This federated meta-analysis of individual participant data was based on 25 prospective cohort studies from 5 continents including a total of 390,664 participants with a follow-up for T2D (3.8–25.0 years). After data harmonization across cohorts we evaluated 15 previously identified T2D-related DPs for association with incident T2D estimating pooled incidence rate ratios (IRR) and confidence intervals (CI) by Piecewise Poisson regression and random-effects meta-analysis.

Results
29,386 participants developed T2D during follow-up. Five DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, were associated with higher incidence of T2D. The strongest association was observed for a DP comprising these food groups besides others (IRRpooled per 1 SD = 1.104, 95% CI 1.059–1.151). Although heterogeneity was present (I2 = 85%), IRR exceeded 1 in 18 of the 20 meta-analyzed studies. Original DPs associated with lower T2D risk were not confirmed. Instead, a healthy DP (HDP1) was associated with higher T2D risk (IRRpooled per 1 SD = 1.057, 95% CI 1.027–1.088).

Conclusion
Our findings from various cohorts revealed positive associations for several DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, adding to the evidence-base that links DPs to higher T2D risk. However, no inverse DP–T2D associations were confirmed.

Original language	English
Pages (from-to)	3649-3667
Journal	European Journal of Nutrition
Volume	61
Issue number	7
DOIs	https://doi.org/10.1007/s00394-022-02909-9
Publication status	Published - 2022

Keywords

ATHEROSCLEROSIS
BLOOD-PRESSURE
CONSUMPTION
DESIGN
Dietary patterns
Exploratory
Federated meta-analysis
HEALTH
LIFE-STYLE
OBJECTIVES
POPULATION
PROFILE
RISK
Type 2 diabetes mellitus

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MCP Soedamah Muthu associations between exploratory dietary patterns EJHoN 2022Final published version, 5.2 MBLicence: CC BY

Cite this

Jannasch, F., Dietrich, S., Bishop, T. R. P., Pearce, M., Fanidi, A., O’Donoghue, G., O’Gorman, D., Marques-Vidal, P., Vollenweider, P., Bes-Rastrollo, M., Byberg, L., Wolk, A., Hashemian, M., Malekzadeh, R., Poustchi, H., Luft, V. C., De Matos, S. M. A., Kim, J., Kim, M. K., ... Schulze, M. B. (2022). Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies. European Journal of Nutrition, 61(7), 3649-3667. https://doi.org/10.1007/s00394-022-02909-9

@article{38f8371827574e6f97759845b1860c77,

title = "Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies",

abstract = "PurposeIn several studies, exploratory dietary patterns (DP), derived by principal component analysis, were inversely or positively associated with incident type 2 diabetes (T2D). However, findings remained study-specific, inconsistent and rarely replicated. This study aimed to investigate the associations between DPs and T2D in multiple cohorts across the world.MethodsThis federated meta-analysis of individual participant data was based on 25 prospective cohort studies from 5 continents including a total of 390,664 participants with a follow-up for T2D (3.8–25.0 years). After data harmonization across cohorts we evaluated 15 previously identified T2D-related DPs for association with incident T2D estimating pooled incidence rate ratios (IRR) and confidence intervals (CI) by Piecewise Poisson regression and random-effects meta-analysis.Results29,386 participants developed T2D during follow-up. Five DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, were associated with higher incidence of T2D. The strongest association was observed for a DP comprising these food groups besides others (IRRpooled per 1 SD = 1.104, 95% CI 1.059–1.151). Although heterogeneity was present (I2 = 85%), IRR exceeded 1 in 18 of the 20 meta-analyzed studies. Original DPs associated with lower T2D risk were not confirmed. Instead, a healthy DP (HDP1) was associated with higher T2D risk (IRRpooled per 1 SD = 1.057, 95% CI 1.027–1.088).ConclusionOur findings from various cohorts revealed positive associations for several DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, adding to the evidence-base that links DPs to higher T2D risk. However, no inverse DP–T2D associations were confirmed.",

keywords = "ATHEROSCLEROSIS, BLOOD-PRESSURE, CONSUMPTION, DESIGN, Dietary patterns, Exploratory, Federated meta-analysis, HEALTH, LIFE-STYLE, OBJECTIVES, POPULATION, PROFILE, RISK, Type 2 diabetes mellitus",

author = "Franziska Jannasch and Stefan Dietrich and Bishop, {Tom R. P.} and Matthew Pearce and Anouar Fanidi and Gr{\'a}inne O{\textquoteright}Donoghue and Donal O{\textquoteright}Gorman and Pedro Marques-Vidal and Peter Vollenweider and Maira Bes-Rastrollo and Liisa Byberg and Alicja Wolk and Maryam Hashemian and Reza Malekzadeh and Hossein Poustchi and Luft, {Vivian C.} and {De Matos}, {Sheila M. Alvim} and Jihye Kim and Kim, {Mi Kyung} and Yeonjung Kim and Dalia Stern and Martin Lajous and Magliano, {Dianna J.} and Shaw, {Jonathan E.} and Tasnime Akbaraly and Mika Kivimaki and Gertraud Maskarinec and {Le Marchand}, Lo{\"i}c and Mart{\'i}nez-Gonz{\'a}lez, {Miguel {\'A}ngel} and Soedamah-Muthu, {Sabita S.} and Wareham, {Nicholas J.} and Forouhi, {Nita G.} and Schulze, {Matthias B.}",

note = "Open Access funding enabled and organized by Projekt DEAL. The InterConnect project is funded by the European Union{\textquoteright}s Seventh Framework Programme (grant number 602068). FJ and MBS acknowledge funding from the German Federal Ministry of Education and Research and the State of Brandenburg to the German Center for Diabetes Research (DZD) (82DZD00302). Furthermore etc. ",

year = "2022",

doi = "10.1007/s00394-022-02909-9",

language = "English",

volume = "61",

pages = "3649--3667",

journal = "European Journal of Nutrition",

issn = "1436-6207",

publisher = "Springer Science and Business Media Deutschland GmbH",

number = "7",

}

Jannasch, F, Dietrich, S, Bishop, TRP, Pearce, M, Fanidi, A, O’Donoghue, G, O’Gorman, D, Marques-Vidal, P, Vollenweider, P, Bes-Rastrollo, M, Byberg, L, Wolk, A, Hashemian, M, Malekzadeh, R, Poustchi, H, Luft, VC, De Matos, SMA, Kim, J, Kim, MK, Kim, Y, Stern, D, Lajous, M, Magliano, DJ, Shaw, JE, Akbaraly, T, Kivimaki, M, Maskarinec, G, Le Marchand, L, Martínez-González, MÁ, Soedamah-Muthu, SS, Wareham, NJ, Forouhi, NG & Schulze, MB 2022, 'Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies', European Journal of Nutrition, vol. 61, no. 7, pp. 3649-3667. https://doi.org/10.1007/s00394-022-02909-9

Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies. / Jannasch, Franziska; Dietrich, Stefan; Bishop, Tom R. P. et al.
In: European Journal of Nutrition, Vol. 61, No. 7, 2022, p. 3649-3667.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Associations between exploratory dietary patterns and incident type 2 diabetes

T2 - A federated meta-analysis of individual participant data from 25 cohort studies

AU - Jannasch, Franziska

AU - Dietrich, Stefan

AU - Bishop, Tom R. P.

AU - Pearce, Matthew

AU - Fanidi, Anouar

AU - O’Donoghue, Gráinne

AU - O’Gorman, Donal

AU - Marques-Vidal, Pedro

AU - Vollenweider, Peter

AU - Bes-Rastrollo, Maira

AU - Byberg, Liisa

AU - Wolk, Alicja

AU - Hashemian, Maryam

AU - Malekzadeh, Reza

AU - Poustchi, Hossein

AU - Luft, Vivian C.

AU - De Matos, Sheila M. Alvim

AU - Kim, Jihye

AU - Kim, Mi Kyung

AU - Kim, Yeonjung

AU - Stern, Dalia

AU - Lajous, Martin

AU - Magliano, Dianna J.

AU - Shaw, Jonathan E.

AU - Akbaraly, Tasnime

AU - Kivimaki, Mika

AU - Maskarinec, Gertraud

AU - Le Marchand, Loïc

AU - Martínez-González, Miguel Ángel

AU - Soedamah-Muthu, Sabita S.

AU - Wareham, Nicholas J.

AU - Forouhi, Nita G.

AU - Schulze, Matthias B.

N1 - Open Access funding enabled and organized by Projekt DEAL. The InterConnect project is funded by the European Union’s Seventh Framework Programme (grant number 602068). FJ and MBS acknowledge funding from the German Federal Ministry of Education and Research and the State of Brandenburg to the German Center for Diabetes Research (DZD) (82DZD00302). Furthermore etc.

PY - 2022

Y1 - 2022

N2 - PurposeIn several studies, exploratory dietary patterns (DP), derived by principal component analysis, were inversely or positively associated with incident type 2 diabetes (T2D). However, findings remained study-specific, inconsistent and rarely replicated. This study aimed to investigate the associations between DPs and T2D in multiple cohorts across the world.MethodsThis federated meta-analysis of individual participant data was based on 25 prospective cohort studies from 5 continents including a total of 390,664 participants with a follow-up for T2D (3.8–25.0 years). After data harmonization across cohorts we evaluated 15 previously identified T2D-related DPs for association with incident T2D estimating pooled incidence rate ratios (IRR) and confidence intervals (CI) by Piecewise Poisson regression and random-effects meta-analysis.Results29,386 participants developed T2D during follow-up. Five DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, were associated with higher incidence of T2D. The strongest association was observed for a DP comprising these food groups besides others (IRRpooled per 1 SD = 1.104, 95% CI 1.059–1.151). Although heterogeneity was present (I2 = 85%), IRR exceeded 1 in 18 of the 20 meta-analyzed studies. Original DPs associated with lower T2D risk were not confirmed. Instead, a healthy DP (HDP1) was associated with higher T2D risk (IRRpooled per 1 SD = 1.057, 95% CI 1.027–1.088).ConclusionOur findings from various cohorts revealed positive associations for several DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, adding to the evidence-base that links DPs to higher T2D risk. However, no inverse DP–T2D associations were confirmed.

AB - PurposeIn several studies, exploratory dietary patterns (DP), derived by principal component analysis, were inversely or positively associated with incident type 2 diabetes (T2D). However, findings remained study-specific, inconsistent and rarely replicated. This study aimed to investigate the associations between DPs and T2D in multiple cohorts across the world.MethodsThis federated meta-analysis of individual participant data was based on 25 prospective cohort studies from 5 continents including a total of 390,664 participants with a follow-up for T2D (3.8–25.0 years). After data harmonization across cohorts we evaluated 15 previously identified T2D-related DPs for association with incident T2D estimating pooled incidence rate ratios (IRR) and confidence intervals (CI) by Piecewise Poisson regression and random-effects meta-analysis.Results29,386 participants developed T2D during follow-up. Five DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, were associated with higher incidence of T2D. The strongest association was observed for a DP comprising these food groups besides others (IRRpooled per 1 SD = 1.104, 95% CI 1.059–1.151). Although heterogeneity was present (I2 = 85%), IRR exceeded 1 in 18 of the 20 meta-analyzed studies. Original DPs associated with lower T2D risk were not confirmed. Instead, a healthy DP (HDP1) was associated with higher T2D risk (IRRpooled per 1 SD = 1.057, 95% CI 1.027–1.088).ConclusionOur findings from various cohorts revealed positive associations for several DPs, characterized by higher intake of red meat, processed meat, French fries and refined grains, adding to the evidence-base that links DPs to higher T2D risk. However, no inverse DP–T2D associations were confirmed.

KW - ATHEROSCLEROSIS

KW - BLOOD-PRESSURE

KW - CONSUMPTION

KW - DESIGN

KW - Dietary patterns

KW - Exploratory

KW - Federated meta-analysis

KW - HEALTH

KW - LIFE-STYLE

KW - OBJECTIVES

KW - POPULATION

KW - PROFILE

KW - RISK

KW - Type 2 diabetes mellitus

UR - http://www.scopus.com/inward/record.url?scp=85133693445&partnerID=8YFLogxK

U2 - 10.1007/s00394-022-02909-9

DO - 10.1007/s00394-022-02909-9

M3 - Article

C2 - 35641800

SN - 1436-6207

VL - 61

SP - 3649

EP - 3667

JO - European Journal of Nutrition

JF - European Journal of Nutrition

IS - 7

ER -

Associations between exploratory dietary patterns and incident type 2 diabetes: A federated meta-analysis of individual participant data from 25 cohort studies

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Keywords

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