ArticleDiabetologia2014
Adherence to predefined dietary patterns and incident type 2 diabetes in European populations: EPIC-InterAct Study.
Article in Diabetologia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Nutritional Determinants of Type 2 Diabetes Mellitus in the European Union: A Systematic Review.Nutrients · 2025Pooled it
- Pooled it
- DASH Dietary Pattern and Cardiometabolic Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses.Nutrients · 2019Pooled it
- Exploratory dietary patterns: a systematic review of methods applied in pan-European studies and of validation studies.The British journal of nutrition · 2018Pooled it
- Imidazole propionate is increased in diabetes and associated with dietary patterns and altered microbial ecology.Nature communications · 2020Trial
- Scoping Review of Dietary Quality Indices: Heterogeneity of Definitions and Health Associations among Adults.Nutrition reviews · 2026Article
- One year after gestational diabetes: metabolic changes and predictors of postpartum dysglycaemia.Acta diabetologica · 2026Review
- Sex differences in the association between Korean Healthy Eating Index and type 2 diabetes mellitus in Korean adults: a prospective cohort study.Korean journal of community nutrition · 2025Article
- A Comparison of Dietary Intake Among Rural Americans With and Without Diabetes.Journal of nutrition education and behavior · 2025Article
- Anti-glycaemic effect of the Chinese modified DASH diet combined with 23% low-sodium salt in patients with hypertension and type 2 diabetes: a clinical trial.Diabetology & metabolic syndrome · 2025Article
- Dietary patterns, socioeconomic disparities, and risk of type 2 diabetes in the Sister Study.Diabetes research and clinical practice · 2023Article
- Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide.Nature communications · 2023Article
- The interaction between CRY1 Polymorphism and Alternative Healthy Eating Index (AHEI) on cardiovascular risk factors in overweight women and women with obesity: a cross-sectional study.BMC endocrine disorders · 2023Article
- Editorial: Diabetes management through lifestyle and the social determinants of health.Frontiers in nutrition · 2023Article
- Association betweenJournal of nutritional science · 2023Article
- Associations between eating speed and food temperature and type 2 diabetes mellitus: a cross-sectional study.Frontiers in nutrition · 2023Article
- Diet quality indices and the risk of type 2 diabetes in the Tehran Lipid and Glucose Study.BMJ open diabetes research & care · 2022Article
- Metabolomic profiling of the Dietary Approaches to Stop Hypertension diet provides novel insights for the nutritional epidemiology of type 2 diabetes mellitus.The British journal of nutrition · 2022Article
- Nutrient-Optimized Beef Enhances Blood Levels of Vitamin D and Selenium among Young Women.Foods (Basel, Switzerland) · 2022Article
- Body weight, diabetes incidence vascular events and survival 15 years after very low calorie diet in community medical clinics in the UK.BMJ nutrition, prevention & health · 2022Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 2 countries.
Funding
Abstract
aims/hypothesisFew studies have investigated the relationship between predefined dietary patterns and type 2 diabetes incidence; little is known about the generalisability of these associations. We aimed to assess the association between predefined dietary patterns and type 2 diabetes risk in European populations.
methodsFrom among a case-cohort of 12,403 incident diabetes cases and 16,154 subcohort members nested within the prospective European Prospective Investigation into Cancer and Nutrition study, we used data on 9,682 cases and 12,595 subcohort participants from seven countries. Habitual dietary intake was assessed at baseline with country-specific dietary questionnaires. Two diet-quality scores (alternative Healthy Eating Index [aHEI], Dietary Approaches to Stop Hypertension [DASH] score) and three reduced rank regression (RRR)-derived dietary-pattern scores were constructed. Country-specific HRs were calculated and combined using a random-effects meta-analysis.
resultsAfter multivariable adjustment, including body size, the aHEI and DASH scores were not significantly associated with diabetes, although for the aHEI there was a tendency towards an inverse association in countries with higher mean age. We observed inverse associations of the three RRR-derived dietary-pattern scores with diabetes: HRs (95% CIs) for a 1-SD difference were 0.91 (0.86, 0.96), 0.92 (0.84, 1.01) and 0.87 (0.82, 0.92). Random-effects meta-analyses revealed heterogeneity between countries that was explainable by differences in the age of participants or the distribution of dietary intake. CONCLUSIONS/
interpretationAdherence to specific RRR-derived dietary patterns, commonly characterised by high intake of fruits or vegetables and low intake of processed meat, sugar-sweetened beverages and refined grains, may lower type 2 diabetes risk.
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