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

Nicolette R. den Braver, Femke Rutters, Andrea L.J. Kortlever - van der Spek, Dorina Ibi, Moniek Looman, Anouk Geelen, Petra Elders, Amber A. van der Heijden, Johannes Brug, Jeroen Lakerveld, Sabita S. Soedamah-Muthu, Joline W.J. Beulens

Research output: Contribution to journalArticleAcademicpeer-review

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.

LanguageEnglish
JournalEuropean Journal of Nutrition
DOIs
Publication statusE-pub ahead of print - 24 Jul 2019

Fingerprint

Prediabetic State
Nutrition Policy
Type 2 Diabetes Mellitus
Food
Incidence
Fasting
Glucose
Energy Intake
Life Style
Linear Models
Cohort Studies
Regression Analysis
Demography
Prospective Studies
Guidelines
Population

Keywords

  • Dietary pattern
  • Dutch healthy diet index 2015
  • Intermediate hyperglycemia
  • Prediabetes
  • Type 2 diabetes

Cite this

den Braver, N. R., Rutters, F., Kortlever - van der Spek, A. L. J., Ibi, D., Looman, M., Geelen, A., ... Beulens, J. W. J. (2019). 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, Nicolette R. ; Rutters, Femke ; Kortlever - van der Spek, Andrea L.J. ; Ibi, Dorina ; Looman, Moniek ; Geelen, Anouk ; Elders, Petra ; van der Heijden, Amber A. ; Brug, Johannes ; Lakerveld, Jeroen ; Soedamah-Muthu, Sabita S. ; Beulens, Joline W.J. / Adherence to a food group-based dietary guideline and incidence of prediabetes and type 2 diabetes. In: European Journal of Nutrition. 2019.
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title = "Adherence to a food group-based dietary guideline and incidence of prediabetes and type 2 diabetes",
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.",
keywords = "Dietary pattern, Dutch healthy diet index 2015, Intermediate hyperglycemia, Prediabetes, Type 2 diabetes",
author = "{den Braver}, {Nicolette R.} and Femke Rutters and {Kortlever - van der Spek}, {Andrea L.J.} and Dorina Ibi and Moniek Looman and Anouk Geelen and Petra Elders and {van der Heijden}, {Amber A.} and Johannes Brug and Jeroen Lakerveld and Soedamah-Muthu, {Sabita S.} and Beulens, {Joline W.J.}",
year = "2019",
month = "7",
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doi = "10.1007/s00394-019-02064-8",
language = "English",
journal = "European Journal of Nutrition",
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den Braver, NR, Rutters, F, Kortlever - 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 2019, '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, Nicolette R.; Rutters, Femke; Kortlever - van der Spek, Andrea L.J.; Ibi, Dorina; Looman, Moniek; Geelen, Anouk; Elders, Petra; van der Heijden, Amber A.; Brug, Johannes; Lakerveld, Jeroen; Soedamah-Muthu, Sabita S.; Beulens, Joline W.J.

In: European Journal of Nutrition, 24.07.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

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

AU - den Braver, Nicolette R.

AU - Rutters, Femke

AU - Kortlever - van der Spek, Andrea L.J.

AU - Ibi, Dorina

AU - Looman, Moniek

AU - Geelen, Anouk

AU - Elders, Petra

AU - van der Heijden, Amber A.

AU - Brug, Johannes

AU - Lakerveld, Jeroen

AU - Soedamah-Muthu, Sabita S.

AU - Beulens, Joline W.J.

PY - 2019/7/24

Y1 - 2019/7/24

N2 - 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.

AB - 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.

KW - Dietary pattern

KW - Dutch healthy diet index 2015

KW - Intermediate hyperglycemia

KW - Prediabetes

KW - Type 2 diabetes

U2 - 10.1007/s00394-019-02064-8

DO - 10.1007/s00394-019-02064-8

M3 - Article

JO - European Journal of Nutrition

T2 - European Journal of Nutrition

JF - European Journal of Nutrition

SN - 1436-6207

ER -