Evidence map›Paper›PMID 32873587›Full record

ArticleDiabetes care2020

White Rice Intake and Incident Diabetes: A Study of 132,373 Participants in 21 Countries.

Balaji Bhavadharini, Viswanathan Mohan, Mahshid Dehghan, Sumathy Rangarajan, Sumathi Swaminathan, Annika Rosengren, Andreas Wielgosz, Alvaro Avezum, Patricio Lopez-Jaramillo, Fernando Lanas and 25 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
11.2field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Sex-biased metabolic programming in Drosophila via paternal white rice exposure.Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2026
    Article
  6. Review
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  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Optimizing Continuous Glucose Monitoring Adoption in India: From Current Challenges to Future Solutions.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  14. Evaluation of the trade-off between variety, processing, and low-GI claim in ready-to-eat rice.Food science and technology international = Ciencia y tecnologia de los alimentos internacional · 2026
    Article
  15. Article
  16. Optimizing Nutrition Strategies for Diabetes Management in India: An Expert Opinion.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Article
  17. Article
  18. Article
  19. Protocol of a Series ofCurrent developments in nutrition · 2025
    Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 20 institutions in 21 countries.

Balaji BhavadhariniPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada.ORCID 0000-0003-2060-1332
Viswanathan MohanMadras Diabetes Research Foundation and Dr. Mohan's Diabetes Specialities Centre, Chennai, India drmohans@diabetes.ind.in.ORCID 0000-0001-5038-6210
Mahshid DehghanPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada.
Sumathy RangarajanPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada.
Sumathi SwaminathanDivision of Nutrition, St. John's Research Institute, Bangalore, India.
Annika RosengrenDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-5409-6605
Andreas WielgoszUniversity of Ottawa, Ottawa, Canada.
Alvaro AvezumHospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Patricio Lopez-JaramilloInstituto Masira, Medical School, Universidad de Santander, and Fundación Oftalmológica de Santander-Clínica Carlos Ardila Lulle, Bucaramanga, Colombia.
Fernando LanasUniversidad de La Frontera, Temuco, Chile.
Antonio L DansUniversity of the Philippines College of Medicine, Manila, Philippines.
Karen YeatesDepartment of Medicine, Queen's University, Kingston, Canada.
Paul PoirierInstitut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.ORCID 0000-0002-5395-3273
Jephat ChifambaDepartment of Physiology, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe.
Khalid F AlhabibDepartment of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Noushin MohammadifardIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Katarzyna ZatońskaDepartment of Social Medicine, Wroclaw Medical University, Wroclaw, Poland.
Rasha KhatibDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Mirac Vural KeskinlerDepartment of Internal Medicine, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
Li WeiState Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.ORCID 0000-0001-7565-762X
Chuangshi WangState Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
Xiaoyun LiuState Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
Romaina IqbalDepartment of Community Health Sciences and Medicine, Aga Khan University, Karachi, Pakistan.
Rita YusufIndependent University, Dhaka, Bangladesh.
Edelweiss Wentzel-ViljoenCentre of Excellence for Nutrition, North-West University, Potchefstroom, South Africa.
Afzalhussein YusufaliHatta Hospital, Dubai Medical University, Dubai Health Authority, Dubai, United Arab Emirates.ORCID 0000-0003-3378-2646
Rafael DiazEstudios Clínicos Latinoamerica, Rosario, Santa Fe, Argentina.
Ng Kien KeatUniversiti Teknologi MARA, Sungai Buloh, Malaysia.
P V M LakshmiSchool of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Noorhassim IsmailDepartment of Community Health, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Rajeev GuptaEternal Heart Care Centre and Research Institute, Jaipur, India.
Lia M Palileo-VillanuevaUniversity of the Philippines College of Medicine, University of the Philippines Manila, Manila, Philippines.
Patrick SheridanPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada.
Andrew MentePopulation Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada.ORCID 0000-0001-6879-7675
Salim YusufPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada.
Population Health Research Institute · CAChinese Academy of Medical Sciences & Peking Union Medical College · CNAga Khan University · PKDubai Health Authority · AEEstudios Clínicos Latinoamérica · AREternal Hospital · INFoscal Hospital · COHospital Alemão Oswaldo Cruz · BRIndependent University · BDInstitut universitaire de cardiologie et de pneumologie de Québec · CAIsfahan University of Medical Sciences · IRIstanbul Medeniyet University · TRKing Saud University · SAMadras Diabetes Research Foundation · INNorthwestern University · USNorth-West University · ZAPost Graduate Institute of Medical Education and Research · INQueen's University · CASahlgrenska University Hospital · SESt. John's National Academy of Health Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious prospective studies on the association of white rice intake with incident diabetes have shown contradictory results but were conducted in single countries and predominantly in Asia. We report on the association of white rice with risk of diabetes in the multinational Prospective Urban Rural Epidemiology (PURE) study. RESEARCH DESIGN AND

methodsData on 132,373 individuals aged 35-70 years from 21 countries were analyzed. White rice consumption (cooked) was categorized as <150, ≥150 to <300, ≥300 to <450, and ≥450 g/day, based on one cup of cooked rice = 150 g. The primary outcome was incident diabetes. Hazard ratios (HRs) were calculated using a multivariable Cox frailty model.

resultsDuring a mean follow-up period of 9.5 years, 6,129 individuals without baseline diabetes developed incident diabetes. In the overall cohort, higher intake of white rice (≥450 g/day compared with <150 g/day) was associated with increased risk of diabetes (HR 1.20; 95% CI 1.02-1.40;

conclusionsHigher consumption of white rice is associated with an increased risk of incident diabetes with the strongest association being observed in South Asia, while in other regions, a modest, nonsignificant association was seen.

Indexed as

DietEatingAdultAfricaAgedAsiaCanadaDiabetes Mellitus, Type 2EuropeFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedOryza

Identifiers

PMID32873587
PMCPMC7576435
OpenAlexW3082673040

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.