Evidence map›Paper›PMID 33693815›Full record

SynthesisThe Journal of nutrition2021

Associations of Total Legume, Pulse, and Soy Consumption with Incident Type 2 Diabetes: Federated Meta-Analysis of 27 Studies from Diverse World Regions.

Matthew Pearce, Anouar Fanidi, Tom R P Bishop, Stephen J Sharp, Fumiaki Imamura, Stefan Dietrich, Tasnime Akbaraly, Maira Bes-Rastrollo, Joline W J Beulens, Liisa Byberg and 29 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Sustainable dietary recommendations for the Spanish population.European journal of clinical nutrition · 2026
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  8. Legume Consumption in Relation to Ulcerative Colitis: A Case-Control Study.Current therapeutic research, clinical and experimental · 2026
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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

39 authors at 20 institutions in 16 countries.

Matthew PearceMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.
Anouar FanidiMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.
Tom R P BishopMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.
Stephen J SharpMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.
Fumiaki ImamuraMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.ORCID 0000-0002-6841-8396
Stefan DietrichDepartment of Molecular Epidemiology, German Institute of Human Nutrition, Nuthetal, Germany.
Tasnime AkbaralyInserm U 1198, Montpellier University, Montpellier, France.
Maira Bes-RastrolloDepartments of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.ORCID 0000-0002-9139-4206
Joline W J BeulensDepartment of Epidemiology & Biostatistics and the Amsterdam Public Health Institute, Amsterdam University Medical Center, HV, Amsterdam, The Netherlands.
Liisa BybergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Scheine CanhadaFaculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Maria Del Carmen B MolinaPostgraduate Program in Nutrition and Health, Federal University of Espírito Santo, Vitória, Brazil.
Zhengming ChenMedical Research Council Population Health Research Unit, University of Oxford, Oxford, United Kingdom.
Adrian Cortes-ValenciaCenter for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico.
Huaidong DuMedical Research Council Population Health Research Unit, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-9814-0049
Bruce B DuncanFaculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Tommi HärkänenDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.
Maryam HashemianDigestive Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Jihye KimDepartment of Preventive Medicine, Hanyang University, Seoul, South Korea.
Mi Kyung KimDepartment of Preventive Medicine, Hanyang University, Seoul, South Korea.
Yeonjung KimNational Research Institute of Health, Centers for Disease Control and Prevention, Cheongju, South Korea.
Paul KnektDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.
Daan KromhoutDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Camille LassaleDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
Ruy Lopez RidauraCenter for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico.
Dianna J MaglianoBaker Heart and Diabetes Institute, Melbourne, Australia.
Reza MalekzadehDigestive Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Pedro Marques-VidalDepartment of Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Miguel Ángel Martínez-GonzálezDepartments of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.
Gráinne O'DonoghueSchool of Public Health, Physiotherapy & Sports Science, University College Dublin, Dublin, Ireland.
Donal O'GormanSchool of Health & Human Performance, Dublin City University, Dublin, Ireland.
Jonathan E ShawBaker Heart and Diabetes Institute, Melbourne, Australia.
Sabita S Soedamah-MuthuCenter of Research on Psychological and Somatic Disorders (CoRPs), Tilburg University, Tilburg, The Netherlands.
Dalia SternNational Council of Science and Technology (CONACyT)-Center for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico.
Alicja WolkDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Hye Won WooDepartment of Preventive Medicine, Hanyang University, Seoul, South Korea.
EPIC-InterAct Consortium
Nicholas J WarehamMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.ORCID 0000-0003-1422-2993
Nita G ForouhiMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ, Cambridge, United Kingdom.
University of Cambridge · GBTilburg University · NLBaker Heart and Diabetes Institute · AUFinnish Institute for Health and Welfare · FIHanyang University · KRUniversidade Federal do Rio Grande do Sul · BRUniversity of Oxford · GBUppsala University · SEDublin City University · IEGerman Institute of Human Nutrition · DEHarvard University · USHospital Del Mar · ESInserm · FRInstituto de Salud Carlos III · ESInstituto Nacional de Salud Pública · MXKorea Center for Disease Control and Prevention · KRNational Institute of Public Health · SITehran University of Medical Sciences · IRUniversidade Federal do Espírito Santo · BRUniversity College Dublin · IE

Funding

Cancer Research UK 16896Cancer Research UK 29186Cancer Research UK C20/A5860Medical Research Council MC_U137686851Medical Research Council MC_UU_00006/1Medical Research Council MC_UU_00006/3Medical Research Council MC_UU_00017/1Medical Research Council MC_UU_12015/1Medical Research Council MC_UU_12015/5Medical Research Council MC_UU_12026/2Medical Research Council MR/R024227/1Medical Research Council MR/S011676/1Wellcome Trust 212946/Z/18/Z
6 · The paper itself

Abstract

backgroundThe consumption of legumes is promoted as part of a healthy diet in many countries but associations of total and types of legume consumption with type 2 diabetes (T2D) are not well established. Analyses across diverse populations are lacking despite the availability of unpublished legume consumption data in prospective cohort studies.

objectiveTo examine the prospective associations of total and types of legume intake with the risk of incident T2D.

methodsMeta-analyses of associations between total legume, pulse, and soy consumption and T2D were conducted using a federated approach without physical data-pooling. Prospective cohorts were included if legume exposure and T2D outcome data were available and the cohort investigators agreed to participate. We estimated incidence rate ratios (IRRs) and CIs of associations using individual participant data including ≤42,473 incident cases among 807,785 adults without diabetes in 27 cohorts across the Americas, Eastern Mediterranean, Europe, and Western Pacific. Random-effects meta-analysis was used to combine effect estimates and estimate heterogeneity.

resultsMedian total legume intake ranged from 0-140 g/d across cohorts. We observed a weak positive association between total legume consumption and T2D (IRR = 1.02, 95% CI: 1.01 to 1.04) per 20 g/d higher intake, with moderately high heterogeneity (I2 = 74%). Analysis by region showed no evidence of associations in the Americas, Eastern Mediterranean, and Western Pacific. The positive association in Europe (IRR = 1.05, 95% CI: 1.01 to 1.10, I2 = 82%) was mainly driven by studies from Germany, UK, and Sweden. No evidence of associations was observed for the consumption of pulses or soy.

conclusionsThese findings suggest no evidence of an association of legume intakes with T2D in several world regions. The positive association observed in some European studies warrants further investigation relating to overall dietary contexts in which legumes are consumed, including accompanying foods which may be positively associated with T2D.

Indexed as

Diabetes Mellitus, Type 2DietFabaceaeGlobal HealthSoybean ProteinsCohort StudiesHumansIncidenceRisk FactorsSoybean Proteinsbeanchickpeadiabeteslegumeslentilpeapeanutpulsesoy

Identifiers

PMID33693815
PMCPMC8112771
OpenAlexW3121068093

What OpenQuestion holds

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LicenceCC BY
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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.