Intake of fruit, vegetables, and fruit juices and risk of diabetes in women
Lydia A Bazzano, Tricia Y Li, Kamudi J Joshipura, Frank B Hu, Lydia A Bazzano, Tricia Y Li, Kamudi J Joshipura, Frank B Hu
Abstract
Objective: The purpose of this study was to examine the association between fruit, vegetable, and fruit juice intake and development of type 2 diabetes.
Research design and methods: A total of 71,346 female nurses aged 38-63 years who were free of cardiovascular disease, cancer, and diabetes in 1984 were followed for 18 years, and dietary information was collected using a semiquantitative food frequency questionnaire every 4 years. Diagnosis of diabetes was self-reported.
Results: During follow-up, 4,529 cases of diabetes were documented, and the cumulative incidence of diabetes was 7.4%. An increase of three servings/day in total fruit and vegetable consumption was not associated with development of diabetes (multivariate-adjusted hazard ratio 0.99 [95% CI 0.94-1.05]), whereas the same increase in whole fruit consumption was associated with a lower hazard of diabetes (0.82 [0.72-0.94]). An increase of 1 serving/day in green leafy vegetable consumption was associated with a modestly lower hazard of diabetes (0.91 [0.84-0.98]), whereas the same change in fruit juice intake was associated with an increased hazard of diabetes (1.18 [1.10-1.26]).
Conclusions: Consumption of green leafy vegetables and fruit was associated with a lower hazard of diabetes, whereas consumption of fruit juices may be associated with an increased hazard among women.
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References
- World Health Organization: Global Burden of Disease, Diabetes Mellitus. Geneva: World Health Org., 2003
- He K, Hu FB, Colditz GA, Manson JE, Willett WC, Liu S: Changes in intake of fruits and vegetables in relation to risk of obesity and weight gain among middle-aged women. Int J Obes Relat Metab Disord 28:1569–1574, 2004
- Hung HC, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, Colditz GA, Rosner B, Spiegelman D, Willett WC: Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst 96:1577–1584, 2004
- Joshipura KJ, Ascherio A, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, Hennekens CH, Spiegelman D, Willett WC: Fruit and vegetable intake in relation to risk of ischemic stroke. JAMA 282:1233–1239, 1999
- Colditz GA, Manson JE, Stampfer MJ, Rosner B, Willett WC, Speizer FE: Diet and risk of clinical diabetes in women. Am J Clin Nutr 55:1018–1023, 1992
- Feskens EJ, Virtanen SM, Räsänen L, Tuomilehto J, Stengård J, Pekkanen J, Nissinen A, Kromhout D: Dietary factors determining diabetes and impaired glucose tolerance: a 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study. Diabetes Care 18:1104–1112, 1995
- Meyer KA, Kushi LH, Jacobs DR Jr, Slavin J, Sellers TA, Folsom AR: Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. Am J Clin Nutr 71:921–930, 2000
- Ford ES, Mokdad AH: Fruit and vegetable consumption and diabetes mellitus incidence among U.S. adults. Prev Med 32:33–39, 2001
- Liu S, Serdula M, Janket SJ, Cook NR, Sesso HD, Willett WC, Manson JE, Buring JE: A prospective study of fruit and vegetable intake and the risk of type 2 diabetes in women. Diabetes Care 27:2993–2996, 2004
- Montonen J, Jarvinen R, Heliovaara M, Reunanen A, Aromaa A, Knekt P: Food consumption and the incidence of type II diabetes mellitus. Eur J Clin Nutr 59:441–448, 2005
- Kris-Etherton PM, Hecker KD, Bonanome A, Coval SM, Binkoski AE, Hilpert KF, Griel AE, Etherton TD: Bioactive compounds in foods: their role in the prevention of cardiovascular disease and cancer. Am J Med 113 (Suppl. 9B):71S–88S, 2002
- Nurse's Health Study Semi-Quantitative Food Frequency Questionnaire [article online]. Available from . Accessed on 25 February 2008
- Steinmetz KA, Potter JD, Folsom AR: Vegetables, fruit, and lung cancer in the Iowa Women's Health Study. Cancer Res 53:536–543, 1993
- Willett WC, Sampson L, Stampfer MJ, Rosner B, Bain C, Witschi J, Hennekens CH, Speizer FE: Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol 122:51–65, 1985
- Salvini S, Hunter DJ, Sampson L, Stampfer MJ, Colditz GA, Rosner B, Willett WC: Food-based validation of a dietary questionnaire: the effects of week-to-week variation in food consumption. Int J Epidemiol 18:858–867, 1989
- Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance: National Diabetes Data Group. Diabetes 28:1039–1057, 1979
- Manson JE, Rimm EB, Stampfer MJ, Colditz GA, Willett WC, Krolewski AS, Rosner B, Hennekens CH, Speizer FE: Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet 338:774–778, 1991
- Hu FB, Stampfer MJ, Rimm E, Ascherio A, Rosner BA, Spiegelman D, Willett WC: Dietary fat and coronary heart disease: a comparison of approaches for adjusting for total energy intake and modeling repeated dietary measurements. Am J Epidemiol 149:531–540, 1999
- Fung TT, Schulze M, Manson JE, Willett WC, Hu FB: Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med 164:2235–2240, 2004
- Halton TL, Willett WC, Liu S, Manson JE, Stampfer MJ, Hu FB: Potato and french fry consumption and risk of type 2 diabetes in women. Am J Clin Nutr 83:284–290, 2006
- Jiang R, Manson JE, Stampfer MJ, Liu S, Willett WC, Hu FB: Nut and peanut butter consumption and risk of type 2 diabetes in women. JAMA 288:2554–2560, 2002
- Salazar-Martinez E, Willett WC, Ascherio A, Manson JE, Leitzmann MF, Stampfer MJ, Hu FB: Coffee consumption and risk for type 2 diabetes mellitus. Ann Intern Med 140:1–8, 2004
- Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, Willett WC, Hu FB: Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 292:927–934, 2004
- de Munter JS, Hu FB, Spiegelman D, Franz M, van Dam RM: Whole grain, bran, and germ intake and risk of type 2 diabetes: a prospective cohort study and systematic review. PLoS Med 8:e261, 2007
- Elliott SS, Keim NL, Stern JS, Teff K, Havel PJ: Fructose, weight gain, and the insulin resistance syndrome. Am J Clin Nutr 76:911–922, 2002
- Teff KL, Elliott SS, Tschöp M, Kieffer TJ, Rader D, Heiman M, Townsend RR, Keim NL, D'Alessio D, Havel PJ: Dietary fructose reduces circulating insulin and leptin, attenuates postprandial suppression of ghrelin, and increases triglycerides in women. J Clin Endocrinol Metab 89:2963–2972, 2004
- Salmeron J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC: Dietary fiber glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 277:472–477, 1997
- Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L, Whelton PK: Fruit and vegetable intake and risk of cardiovascular disease in US adults: the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr 76:93–99, 2002
- U.S. Department of Health and Human Services and U.S. Department of Agriculture: Dietary Guidelines for Americans, 2005. 6th ed. Washington, DC, U.S. Govt. Printing Office, 2005
- Hu FB, Willett WC: Optimal diets for prevention of coronary heart disease. JAMA 288:2569–2578, 2002
- Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, Willett WC: Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med 345:790–797, 2001
Source: PubMed