Does a high sugar high fat dietary pattern explain the unequal burden in prevalence of type 2 diabetes in a multi-ethnic population in the Netherlands?

The Helius study

Merel Huisman, S.S. Soedamah-Muthu, Esther Vermeulen, Mirthe Muilwijk, Marieke Snijder, Mary Nicolaou, Irene Van Valkengoed

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Abstract

The risk for type 2 diabetes (t2d) in ethnic minorities in europe is higher in comparison with their european host populations. The western dietary pattern, characterized by high amounts of sugar and saturated fat (hshf dietary pattern), has been associated with a higher risk for t2d. Information on this association in minority populations is scarce. Therefore, we aimed to investigate the hshf dietary pattern and its role in the unequal burden of t2d prevalence in a multi-ethnic population in the netherlands. We included 4694 participants aged 18–70 years of dutch, south-asian surinamese, african surinamese, turkish, and moroccan origin from the helius study. Dutch participants scored the highest on the hshf dietary pattern, followed by the turkish, moroccan, african surinamese, and south-asian surinamese participants. Prevalence ratios (pr) for t2d were then calculated using multivariate cox regression analyses, adjusted for sociodemographic, anthropometric, and lifestyle factors. Higher adherence to an hshf diet was not significantly related to t2d prevalence in the total study sample (pr 1.04 high versus low adherence, 95% CI: 0.80–1.35). In line, adjustment for hshf diet score did not explain the ethnic differences in t2d. For instance, the pr of the south-asian surinamese vs. dutch changed from 2.76 (95% CI: 2.05–3.72) to 2.90 (95% CI: 2.11–3.98) after adjustment for hshf. To conclude, a western dietary pattern high in sugar and saturated fat was not associated with t2d, and did not explain the unequal burden in prevalence of t2d across the ethnic groups.
Original languageEnglish
Article number92
Number of pages17
JournalNutrients
Volume10
Issue number1
DOIs
Publication statusPublished - 2018

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Netherlands
Type 2 Diabetes Mellitus
Cross-Sectional Studies
Fats

Keywords

  • Adolescent
  • Adult
  • Aged
  • Body Mass Index
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2/ethnology
  • Diet, Western/adverse effects
  • Dietary Fats/administration & dosage
  • Dietary Sugars/administration & dosage
  • Ethnic Groups
  • Female
  • Humans
  • Male
  • Middle Aged
  • Netherlands/epidemiology
  • Prevalence
  • Proportional Hazards Models
  • Prospective Studies
  • Risk Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Waist Circumference
  • Young Adult

Cite this

Huisman, Merel ; Soedamah-Muthu, S.S. ; Vermeulen, Esther ; Muilwijk, Mirthe ; Snijder, Marieke ; Nicolaou, Mary ; Van Valkengoed, Irene. / Does a high sugar high fat dietary pattern explain the unequal burden in prevalence of type 2 diabetes in a multi-ethnic population in the Netherlands? The Helius study. In: Nutrients. 2018 ; Vol. 10, No. 1.
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abstract = "The risk for type 2 diabetes (t2d) in ethnic minorities in europe is higher in comparison with their european host populations. The western dietary pattern, characterized by high amounts of sugar and saturated fat (hshf dietary pattern), has been associated with a higher risk for t2d. Information on this association in minority populations is scarce. Therefore, we aimed to investigate the hshf dietary pattern and its role in the unequal burden of t2d prevalence in a multi-ethnic population in the netherlands. We included 4694 participants aged 18–70 years of dutch, south-asian surinamese, african surinamese, turkish, and moroccan origin from the helius study. Dutch participants scored the highest on the hshf dietary pattern, followed by the turkish, moroccan, african surinamese, and south-asian surinamese participants. Prevalence ratios (pr) for t2d were then calculated using multivariate cox regression analyses, adjusted for sociodemographic, anthropometric, and lifestyle factors. Higher adherence to an hshf diet was not significantly related to t2d prevalence in the total study sample (pr 1.04 high versus low adherence, 95{\%} CI: 0.80–1.35). In line, adjustment for hshf diet score did not explain the ethnic differences in t2d. For instance, the pr of the south-asian surinamese vs. dutch changed from 2.76 (95{\%} CI: 2.05–3.72) to 2.90 (95{\%} CI: 2.11–3.98) after adjustment for hshf. To conclude, a western dietary pattern high in sugar and saturated fat was not associated with t2d, and did not explain the unequal burden in prevalence of t2d across the ethnic groups.",
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author = "Merel Huisman and S.S. Soedamah-Muthu and Esther Vermeulen and Mirthe Muilwijk and Marieke Snijder and Mary Nicolaou and {Van Valkengoed}, Irene",
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Does a high sugar high fat dietary pattern explain the unequal burden in prevalence of type 2 diabetes in a multi-ethnic population in the Netherlands? The Helius study. / Huisman, Merel; Soedamah-Muthu, S.S.; Vermeulen, Esther; Muilwijk, Mirthe; Snijder, Marieke; Nicolaou, Mary; Van Valkengoed, Irene.

In: Nutrients, Vol. 10, No. 1, 92, 2018.

Research output: Contribution to journalArticleScientificpeer-review

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T1 - Does a high sugar high fat dietary pattern explain the unequal burden in prevalence of type 2 diabetes in a multi-ethnic population in the Netherlands?

T2 - The Helius study

AU - Huisman, Merel

AU - Soedamah-Muthu, S.S.

AU - Vermeulen, Esther

AU - Muilwijk, Mirthe

AU - Snijder, Marieke

AU - Nicolaou, Mary

AU - Van Valkengoed, Irene

PY - 2018

Y1 - 2018

N2 - The risk for type 2 diabetes (t2d) in ethnic minorities in europe is higher in comparison with their european host populations. The western dietary pattern, characterized by high amounts of sugar and saturated fat (hshf dietary pattern), has been associated with a higher risk for t2d. Information on this association in minority populations is scarce. Therefore, we aimed to investigate the hshf dietary pattern and its role in the unequal burden of t2d prevalence in a multi-ethnic population in the netherlands. We included 4694 participants aged 18–70 years of dutch, south-asian surinamese, african surinamese, turkish, and moroccan origin from the helius study. Dutch participants scored the highest on the hshf dietary pattern, followed by the turkish, moroccan, african surinamese, and south-asian surinamese participants. Prevalence ratios (pr) for t2d were then calculated using multivariate cox regression analyses, adjusted for sociodemographic, anthropometric, and lifestyle factors. Higher adherence to an hshf diet was not significantly related to t2d prevalence in the total study sample (pr 1.04 high versus low adherence, 95% CI: 0.80–1.35). In line, adjustment for hshf diet score did not explain the ethnic differences in t2d. For instance, the pr of the south-asian surinamese vs. dutch changed from 2.76 (95% CI: 2.05–3.72) to 2.90 (95% CI: 2.11–3.98) after adjustment for hshf. To conclude, a western dietary pattern high in sugar and saturated fat was not associated with t2d, and did not explain the unequal burden in prevalence of t2d across the ethnic groups.

AB - The risk for type 2 diabetes (t2d) in ethnic minorities in europe is higher in comparison with their european host populations. The western dietary pattern, characterized by high amounts of sugar and saturated fat (hshf dietary pattern), has been associated with a higher risk for t2d. Information on this association in minority populations is scarce. Therefore, we aimed to investigate the hshf dietary pattern and its role in the unequal burden of t2d prevalence in a multi-ethnic population in the netherlands. We included 4694 participants aged 18–70 years of dutch, south-asian surinamese, african surinamese, turkish, and moroccan origin from the helius study. Dutch participants scored the highest on the hshf dietary pattern, followed by the turkish, moroccan, african surinamese, and south-asian surinamese participants. Prevalence ratios (pr) for t2d were then calculated using multivariate cox regression analyses, adjusted for sociodemographic, anthropometric, and lifestyle factors. Higher adherence to an hshf diet was not significantly related to t2d prevalence in the total study sample (pr 1.04 high versus low adherence, 95% CI: 0.80–1.35). In line, adjustment for hshf diet score did not explain the ethnic differences in t2d. For instance, the pr of the south-asian surinamese vs. dutch changed from 2.76 (95% CI: 2.05–3.72) to 2.90 (95% CI: 2.11–3.98) after adjustment for hshf. To conclude, a western dietary pattern high in sugar and saturated fat was not associated with t2d, and did not explain the unequal burden in prevalence of t2d across the ethnic groups.

KW - Adolescent

KW - Adult

KW - Aged

KW - Body Mass Index

KW - Cross-Sectional Studies

KW - Diabetes Mellitus, Type 2/ethnology

KW - Diet, Western/adverse effects

KW - Dietary Fats/administration & dosage

KW - Dietary Sugars/administration & dosage

KW - Ethnic Groups

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Netherlands/epidemiology

KW - Prevalence

KW - Proportional Hazards Models

KW - Prospective Studies

KW - Risk Factors

KW - Socioeconomic Factors

KW - Surveys and Questionnaires

KW - Waist Circumference

KW - Young Adult

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DO - 10.3390/nu10010092

M3 - Article

VL - 10

JO - Nutrients

JF - Nutrients

SN - 2072-6643

IS - 1

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ER -