The amount and type of dairy product intake and incident type 2 diabetes: results from the EPIC-InterAct Study

Dairy product intake may be inversely associated with risk of type 2 diabetes, but the evidence is inconclusive for total dairy products and sparse for types of dairy products. The objective was to investigate the prospective association of total dairy products and different dairy subtypes with inci...

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Published in:	The American journal of clinical nutrition Vol. 96; no. 2; pp. 382 - 390
Main Authors:	SLUIJS, Ivonne, FOROUHI, Nita G, CLAVEL-CHAPELON, Françoise, CROWE, Francesca L, DE LAUZON-GUILLAIN, Blandine, DROGAN, Dagmar, FRANKS, Paul W, GAVRILA, Diana, GONZALEZ, Carlos, HALKJAER, Jytte, KAAKS, Rudolf, MOSKAL, Aurelie, BEULENS, Joline Wj, NILSSON, Peter, OVERVAD, Kim, PALLI, Domenico, PANICO, Salvatore, QUIROS, Jose'r, RICCERI, Fulvio, RINALDI, Sabina, ROLANDSSON, Olov, SACERDOTE, Carlotta, SANCHEZ, María-José, DER SCHOUW, Yvonne T.van, SLIMANI, Nadia, SPIJKERMAN, Annemieke Mw, TEUCHER, Birgit, TJONNELAND, Anne, TORMO, Maía-Jose, TUMINO, Rosario, DER A, Daphne L.van, SHARP, Stephen J, LANGENBERG, Claudia, FESKENS, Edith Jm, AGNOLI, Claudia, RIBOLI, Elio, WAREHAM, Nicholas J, ARRIOLA, Larraitz, BALKAU, Beverley, BARRICARTE, Aurelio, BOEING, Heiner, BUENO-DE-MESQUITA, H. Bas
Format:	Journal Article
Language:	English
Published:	Bethesda, MD American Society for Nutrition 01-08-2012 American Society for Clinical Nutrition, Inc
Subjects:	Adult Biological and medical sciences cohort Cohort Studies consumption Correlation analysis Dairy Products Diabetes Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - etiology Diet - statistics & numerical data dietary assessment methods Energy Intake Europe - epidemiology Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Health Sciences Humans Hälsovetenskap Incidence insulin-resistance syndrome Male Medical and Health Sciences Medicin och hälsovetenskap Meta-analysis metabolic risk-factors Middle Aged milk-fat myocardial-infarction nutrition Nutrition and Dietetics Nutrition research Näringslära Proportional Hazards Models Prospective Studies Risk Factors Surveys and Questionnaires Vertebrates: anatomy and physiology, studies on body, several organs or systems vitamin-d Europe Endocrinopathy Type 2 diabetes Human Dairy product Metabolic diseases
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Summary:	Dairy product intake may be inversely associated with risk of type 2 diabetes, but the evidence is inconclusive for total dairy products and sparse for types of dairy products. The objective was to investigate the prospective association of total dairy products and different dairy subtypes with incidence of diabetes in populations with marked variation of intake of these food groups. A nested case-cohort within 8 European countries of the European Prospective Investigation into Cancer and Nutrition Study (n = 340,234; 3.99 million person-years of follow-up) included a random subcohort (n = 16,835) and incident diabetes cases (n = 12,403). Baseline dairy product intake was assessed by using dietary questionnaires. Country-specific Prentice-weighted Cox regression HRs were calculated and pooled by using a random-effects meta-analysis. Intake of total dairy products was not associated with diabetes (HR for the comparison of the highest with the lowest quintile of total dairy products: 1.01; 95% CI: 0.83, 1.34; P-trend = 0.92) in an analysis adjusted for age, sex, BMI, diabetes risk factors, education, and dietary factors. Of the dairy subtypes, cheese intake tended to have an inverse association with diabetes (HR: 0.88; 95% CI: 0.76, 1.02; P-trend = 0.01), and a higher combined intake of fermented dairy products (cheese, yogurt, and thick fermented milk) was inversely associated with diabetes (HR: 0.88; 95% CI: 0.78, 0.99; P-trend = 0.02) in adjusted analyses that compared extreme quintiles. This large prospective study found no association between total dairy product intake and diabetes risk. An inverse association of cheese intake and combined fermented dairy product intake with diabetes is suggested, which merits further study.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0002-9165 1938-3207 1938-3207
DOI:	10.3945/ajcn.111.021907