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AuthorO’Hearn, Meghan
AuthorLara-Castor, Laura
AuthorCudhea, Frederick
AuthorMiller, Victoria
AuthorReedy, Julia
AuthorShi, Peilin
AuthorZhang, Jianyi
AuthorWong, John B.
AuthorEconomos, Christina D.
AuthorMicha, Renata
AuthorMozaffarian, Dariush
AuthorBas, Murat
AuthorAli, Jemal Haidar
AuthorAbumweis, Suhad
AuthorKrishnan, Anand
AuthorMisra, Puneet
AuthorHwalla, Nahla Chawkat
AuthorJanakiram, Chandrashekar
AuthorLiputo, Nur Indrawaty
AuthorMusaiger, Abdulrahman
AuthorPourfarzi, Farhad
AuthorAlam, Iftikhar
AuthorDeRidder, Karin
AuthorTermote, Celine
AuthorMemon, Anjum
AuthorTurrini, Aida
AuthorLupotto, Elisabetta
AuthorPiccinelli, Raffaela
AuthorSette, Stefania
AuthorAnzid, Karim
AuthorVossenaar, Marieke
AuthorMazumdar, Paramita
AuthorRached, Ingrid
AuthorRovirosa, Alicia
AuthorZapata, María Elisa
AuthorAsayehu, Tamene Taye
AuthorOduor, Francis
AuthorBoedecker, Julia
AuthorAluso, Lilian
AuthorOrtiz-Ulloa, Johana
AuthorMeenakshi, J. V.
AuthorCastro, Michelle
AuthorGrosso, Giuseppe
AuthorWaskiewicz, Anna
AuthorKhan, Umber S.
AuthorThanopoulou, Anastasia
AuthorMalekzadeh, Reza
AuthorCalleja, Neville
AuthorOcke, Marga
AuthorEtemad, Zohreh
AuthorNsour, Mohannad Al
AuthorWaswa, Lydiah M.
AuthorNurk, Eha
AuthorArsenault, Joanne
AuthorLopez-Jaramillo, Patricio
AuthorSibai, Abla Mehio
AuthorDamasceno, Albertino
AuthorArambepola, Carukshi
AuthorLopes, Carla
AuthorSevero, Milton
AuthorLunet, Nuno
AuthorTorres, Duarte
AuthorTapanainen, Heli
AuthorLindstrom, Jaana
AuthorVirtanen, Suvi
AuthorPalacios, Cristina
AuthorRoos, Eva
AuthorAgdeppa, Imelda Angeles
AuthorDesnacido, Josie
AuthorCapanzana, Mario
AuthorMisra, Anoop
AuthorKhouw, Ilse
AuthorNg, Swee Ai
AuthorDelgado, Edna Gamboa
AuthorCaballero, Mauricio
AuthorOtero, Johanna
AuthorLee, Hae Jeung
AuthorKoksal, Eda
AuthorGuessous, Idris
AuthorLachat, Carl
AuthorDe Henauw, Stefaan
AuthorRahbar, Ali Reza
AuthorTedstone, Alison
AuthorNaska, Androniki
AuthorMathee, Angie
AuthorLing, Annie
AuthorTedla, Bemnet
AuthorHopping, Beth
AuthorGinnela, Brahmam
AuthorLeclercq, Catherine
AuthorDuante, Charmaine
AuthorHaerpfer, Christian
AuthorHotz, Christine
AuthorPitsavos, Christos
AuthorRehm, Colin
Authorvan Oosterhout, Coline
AuthorCerdena, Corazon
AuthorBradshaw, Debbie
AuthorTrichopoulos, Dimitrios
AuthorGauci, Dorothy
Available date2023-06-21T08:30:20Z
Publication Date2023-04-17
Publication NameNature Medicine
Identifierhttp://dx.doi.org/10.1038/s41591-023-02278-8
CitationO’Hearn, M., Lara-Castor, L., Cudhea, F., Miller, V., Reedy, J., Shi, P., ... & Mozaffarian, D. (2023). Incident type 2 diabetes attributable to suboptimal diet in 184 countries. Nature Medicine, 1-14.
ISSN1078-8956
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85153120908&origin=inward
URIhttp://hdl.handle.net/10576/44647
AbstractThe 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.
SponsorThe Bill and Melina Gates Foundation (grant OPP1176682 to D. Mozaffarian). The National Science Foundation under grant number 2018149.
Languageen
PublisherSpringer Nature
SubjectDiabetes Mellitus
Type 2
Diet
TitleIncident type 2 diabetes attributable to suboptimal diet in 184 countries
TypeArticle
Pagination1-14
Issue Number4
Volume Number29
ESSN1546-170X
dc.accessType Open Access


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