Incident type 2 diabetes attributable to suboptimal diet in 184 countries

Data de publicação:

Autores da FMUP

  • Carla Maria De Moura Lopes

    Autor

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  • O’Hearn M.
  • Lara-Castor L.
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Unidades de investigação

Abstract

The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.8–14.4 million) incident T2D cases, representing 70.3% (68.8–71.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.0–27.1%)), excess refined rice and wheat intake (24.6% (22.3–27.2%)) and excess processed meat intake (20.3% (18.3–23.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.4–87.7%)) and Latin America and the Caribbean (81.8% (80.1–83.4%)); and lowest proportional burdens were in South Asia (55.4% (52.1–60.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally. © 2023, The Author(s).

Dados da publicação

ISSN/ISSNe:
1546-170X, 1078-8956

Nature Medicine  Nature Publishing Group

Tipo:
Article
Páginas:
982-995
Link para outro recurso:
www.scopus.com

Citações Recebidas na Scopus: 64

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Keywords

  • Adult; Body Weight; Diabetes Mellitus, Type 2; Diet; Female; Global Health; Humans; Income; Male; Risk Assessment; Risk Factors; adult; age; aged; Article; body weight; Caribbean; central Asia; Central European; diet; Eastern Europe; female; global disease burden; high income country; human; incidence; major clinical study; male; middle aged; non insulin dependent diabetes mellitus; processed meat; retrospective study; risk assessment; rural population; sex difference; South and Central America; South Asia; urban population; very elderly; wheat; white rice; whole grain; young adult; adverse event; diet; global health; income; non insulin dependent diabetes mellitus; risk assessment; risk factor

Financiamento

Proyectos asociados

Tracking the acquisition of eating habits in children and its effects on behaviours related to appetite

Investigador Principal: Carla Maria de Moura Lopes

Estudo Clínico Académico . 2019

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