Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study
Objective To assess the relation between adherence to a Mediterranean diet and the incidence of diabetes among initially healthy participants. Design Prospective cohort study with estimates of relative risk adjusted for sex, age, years of university education, total energy intake, body mass index, p...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2008 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/4795 |
| Acceso en línea: | https://hdl.handle.net/10171/4795 |
| Access Level: | acceso abierto |
| Palabra clave: | Materias Investigacion::Ciencias de la Salud::Nutrición y dietética |
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Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort studyBes-Rastrollo, M. (Maira)|||/items/d46c05fd-209a-4259-90c6-07202d4c72afTortosa, A. (A.)|||/items/8bfdfa34-c78e-498c-be24-03a763d32b4cBenito-Corchon, S. (Silvia)|||/items/d0469b60-af14-47f6-b614-81574988d0d4Vazquez-Ruiz, Z. (Zenaida)|||/items/e5a694a6-8f33-4461-bfe1-4e9faea986aeBeunza, J.J. (Juan José)|||/items/e99e8796-30cd-4126-97f5-b304222ec38cBasterra-Gortari, F.J. (Francisco Javier)|||/items/770641aa-d198-4dd8-b4d2-d1bca090de1cNuñez-Cordoba, J.M. (Jorge M.)|||/items/646d6eb5-e96f-43cb-8457-ab4e3a5a8becFuente-Arrillaga, C. (Carmen) de la|||/items/616672ce-4454-4886-b590-596e5e0a1980Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7Materias Investigacion::Ciencias de la Salud::Nutrición y dietéticaObjective To assess the relation between adherence to a Mediterranean diet and the incidence of diabetes among initially healthy participants. Design Prospective cohort study with estimates of relative risk adjusted for sex, age, years of university education, total energy intake, body mass index, physical activity, sedentary habits, smoking, family history of diabetes, and personal history of hypertension. Setting Spanish university department. Participants 13 380 Spanish university graduates without diabetes at baseline followed up for a median of 4.4 years. Main outcome measures Dietary habits assessed at baseline with a validated 136 item food frequency questionnaire and scored on a nine point index. New cases of diabetes confirmed through medical reports and an additional detailed questionnaire posted to those who self reported a new diagnosis of diabetes by a doctor during follow-up. Confirmed cases of type 2 diabetes. Results Participants who adhered closely to a Mediterranean diet had a lower risk of diabetes. The incidence rate ratios adjusted for sex and age were 0.41 (95% confidence interval 0.19 to 0.87) for those with moderate adherence (score 3-6) and 0.17 (0.04 to 0.75) for those with the highest adherence (score 7-9) compared with those with low adherence (score <3). In the fully adjusted analyses the results were similar. A two point increase in the score was associated with a 35% relative reduction in the risk of diabetes (incidence rate ratio 0.65, 0.44 to 0.95), with a significant inverse linear trend (P=0.04) in the multivariate analysis. Conclusion Adherence to a Mediterranean diet is associated with a reduced risk of diabetes.BMJ Publishing Group LtdDadun. Depósito Académico Digital Universidad de Navarra20092009-11-1220082008-01-0120082008-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/4795reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/47952026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| title |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| spellingShingle |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study Bes-Rastrollo, M. (Maira)|||/items/d46c05fd-209a-4259-90c6-07202d4c72af Materias Investigacion::Ciencias de la Salud::Nutrición y dietética |
| title_short |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| title_full |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| title_fullStr |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| title_full_unstemmed |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| title_sort |
Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study |
| dc.creator.none.fl_str_mv |
Bes-Rastrollo, M. (Maira)|||/items/d46c05fd-209a-4259-90c6-07202d4c72af Tortosa, A. (A.)|||/items/8bfdfa34-c78e-498c-be24-03a763d32b4c Benito-Corchon, S. (Silvia)|||/items/d0469b60-af14-47f6-b614-81574988d0d4 Vazquez-Ruiz, Z. (Zenaida)|||/items/e5a694a6-8f33-4461-bfe1-4e9faea986ae Beunza, J.J. (Juan José)|||/items/e99e8796-30cd-4126-97f5-b304222ec38c Basterra-Gortari, F.J. (Francisco Javier)|||/items/770641aa-d198-4dd8-b4d2-d1bca090de1c Nuñez-Cordoba, J.M. (Jorge M.)|||/items/646d6eb5-e96f-43cb-8457-ab4e3a5a8bec Fuente-Arrillaga, C. (Carmen) de la|||/items/616672ce-4454-4886-b590-596e5e0a1980 Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7 |
| author |
Bes-Rastrollo, M. (Maira)|||/items/d46c05fd-209a-4259-90c6-07202d4c72af |
| author_facet |
Bes-Rastrollo, M. (Maira)|||/items/d46c05fd-209a-4259-90c6-07202d4c72af Tortosa, A. (A.)|||/items/8bfdfa34-c78e-498c-be24-03a763d32b4c Benito-Corchon, S. (Silvia)|||/items/d0469b60-af14-47f6-b614-81574988d0d4 Vazquez-Ruiz, Z. (Zenaida)|||/items/e5a694a6-8f33-4461-bfe1-4e9faea986ae Beunza, J.J. (Juan José)|||/items/e99e8796-30cd-4126-97f5-b304222ec38c Basterra-Gortari, F.J. (Francisco Javier)|||/items/770641aa-d198-4dd8-b4d2-d1bca090de1c Nuñez-Cordoba, J.M. (Jorge M.)|||/items/646d6eb5-e96f-43cb-8457-ab4e3a5a8bec Fuente-Arrillaga, C. (Carmen) de la|||/items/616672ce-4454-4886-b590-596e5e0a1980 Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7 |
| author_role |
author |
| author2 |
Tortosa, A. (A.)|||/items/8bfdfa34-c78e-498c-be24-03a763d32b4c Benito-Corchon, S. (Silvia)|||/items/d0469b60-af14-47f6-b614-81574988d0d4 Vazquez-Ruiz, Z. (Zenaida)|||/items/e5a694a6-8f33-4461-bfe1-4e9faea986ae Beunza, J.J. (Juan José)|||/items/e99e8796-30cd-4126-97f5-b304222ec38c Basterra-Gortari, F.J. (Francisco Javier)|||/items/770641aa-d198-4dd8-b4d2-d1bca090de1c Nuñez-Cordoba, J.M. (Jorge M.)|||/items/646d6eb5-e96f-43cb-8457-ab4e3a5a8bec Fuente-Arrillaga, C. (Carmen) de la|||/items/616672ce-4454-4886-b590-596e5e0a1980 Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7 |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Materias Investigacion::Ciencias de la Salud::Nutrición y dietética |
| topic |
Materias Investigacion::Ciencias de la Salud::Nutrición y dietética |
| description |
Objective To assess the relation between adherence to a Mediterranean diet and the incidence of diabetes among initially healthy participants. Design Prospective cohort study with estimates of relative risk adjusted for sex, age, years of university education, total energy intake, body mass index, physical activity, sedentary habits, smoking, family history of diabetes, and personal history of hypertension. Setting Spanish university department. Participants 13 380 Spanish university graduates without diabetes at baseline followed up for a median of 4.4 years. Main outcome measures Dietary habits assessed at baseline with a validated 136 item food frequency questionnaire and scored on a nine point index. New cases of diabetes confirmed through medical reports and an additional detailed questionnaire posted to those who self reported a new diagnosis of diabetes by a doctor during follow-up. Confirmed cases of type 2 diabetes. Results Participants who adhered closely to a Mediterranean diet had a lower risk of diabetes. The incidence rate ratios adjusted for sex and age were 0.41 (95% confidence interval 0.19 to 0.87) for those with moderate adherence (score 3-6) and 0.17 (0.04 to 0.75) for those with the highest adherence (score 7-9) compared with those with low adherence (score <3). In the fully adjusted analyses the results were similar. A two point increase in the score was associated with a 35% relative reduction in the risk of diabetes (incidence rate ratio 0.65, 0.44 to 0.95), with a significant inverse linear trend (P=0.04) in the multivariate analysis. Conclusion Adherence to a Mediterranean diet is associated with a reduced risk of diabetes. |
| publishDate |
2008 |
| dc.date.none.fl_str_mv |
2008 2008-01-01 2008 2008-01-01 2009 2009-11-12 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/4795 |
| url |
https://hdl.handle.net/10171/4795 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
| dc.rights.openaire.fl_str_mv |
info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
BMJ Publishing Group Ltd |
| publisher.none.fl_str_mv |
BMJ Publishing Group Ltd |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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1869415004812345344 |
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15,300724 |