TY - JOUR
T1 - Incident type 2 diabetes attributable to suboptimal diet in 184 countries
AU - Global Dietary Database
AU - O’Hearn, Meghan
AU - Lara-Castor, Laura
AU - Cudhea, Frederick
AU - Miller, Victoria
AU - Reedy, Julia
AU - Shi, Peilin
AU - Zhang, Jianyi
AU - Wong, John B.
AU - Economos, Christina D.
AU - Micha, Renata
AU - Mozaffarian, Dariush
AU - Bas, Murat
AU - Ali, Jemal Haidar
AU - Abumweis, Suhad
AU - Krishnan, Anand
AU - Misra, Puneet
AU - Hwalla, Nahla Chawkat
AU - Janakiram, Chandrashekar
AU - Liputo, Nur Indrawaty
AU - Musaiger, Abdulrahman
AU - Pourfarzi, Farhad
AU - Alam, Iftikhar
AU - DeRidder, Karin
AU - Termote, Celine
AU - Memon, Anjum
AU - Turrini, Aida
AU - Lupotto, Elisabetta
AU - Piccinelli, Raffaela
AU - Sette, Stefania
AU - Anzid, Karim
AU - Vossenaar, Marieke
AU - Mazumdar, Paramita
AU - Rached, Ingrid
AU - Rovirosa, Alicia
AU - Zapata, María Elisa
AU - Asayehu, Tamene Taye
AU - Oduor, Francis
AU - Boedecker, Julia
AU - Aluso, Lilian
AU - Ortiz-Ulloa, Johana
AU - Meenakshi, J. V.
AU - Castro, Michelle
AU - Grosso, Giuseppe
AU - Waskiewicz, Anna
AU - Khan, Umber S.
AU - Thanopoulou, Anastasia
AU - Malekzadeh, Reza
AU - Calleja, Neville
AU - Ocke, Marga
AU - Haerpfer, Christian
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/4
Y1 - 2023/4
N2 - The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.8–14.4 million) incident T2D cases, representing 70.3% (68.8–71.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.0–27.1%)), excess refined rice and wheat intake (24.6% (22.3–27.2%)) and excess processed meat intake (20.3% (18.3–23.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.4–87.7%)) and Latin America and the Caribbean (81.8% (80.1–83.4%)); and lowest proportional burdens were in South Asia (55.4% (52.1–60.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally.
AB - The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.8–14.4 million) incident T2D cases, representing 70.3% (68.8–71.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.0–27.1%)), excess refined rice and wheat intake (24.6% (22.3–27.2%)) and excess processed meat intake (20.3% (18.3–23.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.4–87.7%)) and Latin America and the Caribbean (81.8% (80.1–83.4%)); and lowest proportional burdens were in South Asia (55.4% (52.1–60.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally.
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UR - http://www.scopus.com/inward/citedby.url?scp=85153120908&partnerID=8YFLogxK
U2 - 10.1038/s41591-023-02278-8
DO - 10.1038/s41591-023-02278-8
M3 - Article
C2 - 37069363
AN - SCOPUS:85153120908
SN - 1078-8956
VL - 29
SP - 982
EP - 995
JO - Nature Medicine
JF - Nature Medicine
IS - 4
ER -