Evidence map›Paper›PMID 29855685›Full record

ArticleEuropean journal of nutrition2019

Food patterns in relation to weight change and incidence of type 2 diabetes, coronary events and stroke in the Malmö Diet and Cancer cohort.

Ulrika Ericson, Louise Brunkwall, Joana Alves Dias, Isabel Drake, Sophie Hellstrand, Bo Gullberg, Emily Sonestedt, Peter M Nilsson, Elisabet Wirfält, Marju Orho-Melander

Abstract read
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Article in European journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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  7. Association betweenJournal of nutritional science · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ulrika EricsonDepartment of Clinical Sciences in Malmö, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University, Malmö, Sweden. ulrika.ericson@med.lu.se.ORCID http://orcid.org/0000-0003-4629-4318
Louise BrunkwallDepartment of Clinical Sciences in Malmö, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University, Malmö, Sweden.
Joana Alves DiasDepartment of Clinical Sciences in Malmö, Nutritional Epidemiology, Lund University, Malmö, Sweden.
Isabel DrakeDepartment of Clinical Sciences in Malmö, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University, Malmö, Sweden.
Sophie HellstrandDepartment of Clinical Sciences in Malmö, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University, Malmö, Sweden.
Bo GullbergDepartment of Clinical Sciences in Malmö, Nutritional Epidemiology, Lund University, Malmö, Sweden.
Emily SonestedtDepartment of Clinical Sciences in Malmö, Nutritional Epidemiology, Lund University, Malmö, Sweden.
Peter M NilssonDepartment of Internal Medicine, Skåne University Hospital, Lund University, Malmö, Sweden.
Elisabet WirfältDepartment of Clinical Sciences in Malmö, Nutritional Epidemiology, Lund University, Malmö, Sweden.
Marju Orho-MelanderDepartment of Clinical Sciences in Malmö, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University, Malmö, Sweden.

Funding

Direktör Albert Påhlssons Stiftelse B2014-0036Region skåne ALFSKANE 441261The Novo Nordic Foundation NNF14OC0011049Vetenskapsrådet 349-2006-237
6 · The paper itself

Abstract

purposeWe examined if data-driven food-patterns associate with weight change, incidence of type 2 diabetes (T2D), coronary events (CE) and stroke.

methodsThe study included 20,487 individuals (61% women) from the Malmö Diet and Cancer cohort, 45-74 years, without diabetes and CVD at baseline (1991-1996) and who did not report dietary changes. Diet was measured with a modified diet history method. During 15 years follow-up, 2206 T2D, 1571 CE and 1332 stroke cases were identified. Data on weight change after 16.7 years were available in 2627 individuals.

resultsFrom principal component analysis, we identified six food-patterns which were similar in women and men. The first pattern, explaining 7% of the variance, was characterized by high intake of fibre-rich bread, breakfast cereals, fruits, vegetables, fish and low-fat yoghurt, and by low intake of low-fibre bread. This health conscious pattern was associated with lower T2D risk (HR comparing highest quintile with lowest: 0.75; 95% CI 0.61-0.92, 0.82; 95% CI 0.68-1.00 in women and men, respectively, P trends = 0.003, 0.01) and CE (HR 0.77; 95% CI 0.58-1.02, HR 0.83; 95% CI 0.68-1.01, P trends = 0.05, 0.07), and in men also with lower risk of ischemic stroke (HR 0.69; 95% CI 0.54-0.88; P trend = 0.001) and less pronounced weight gain (0.93 kg/10 years, P trend = 0.03). A low-fat product pattern was associated with increased T2D risk in gender combined analyses (P trend = 0.03) and a pattern characterized by dressing and vegetables with lower CE risk in men (P trend = 0.02).

conclusionsOur main finding was that a dietary pattern indicating health conscious food choices was associated with lower risk of cardiometabolic diseases in both genders.

Indexed as

AgedCohort StudiesCoronary DiseaseDiabetes Mellitus, Type 2DietFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPrincipal Component AnalysisProspective StudiesStrokeSwedenWeight GainCardiovascular diseasesEpidemiologyFood intakeType 2 diabetesWeight gain

Identifiers

PMID29855685
PMCPMC6647222

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.