Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/247696 |
Resumo: | The association between fish consumption and new-onset type 2 diabetes is inconsistent and differs according to geographical location. We examined the association between the total and types of fish consumption and type 2 diabetes using individual participant data from 28 prospective cohort studies from the Americas (6), Europe (15), the Western Pacific (6), and the Eastern Mediterranean (1) comprising 956,122 participants and 48,084 cases of incident type 2 diabetes. Incidence rate ratios (IRRs) for associations of total fish, shellfish, fatty, lean, fried, freshwater, and saltwater fish intake and type 2 diabetes were derived for each study, adjusting for a consistent set of confounders and combined across studies using random-effects meta-analysis. We stratified all analyses by sex due to observed interaction (p = 0.002) on the association between fish and type 2 diabetes. In women, for each 100 g/week higher intake the IRRs (95% CIs) of type 2 diabetes were 1.02 (1.01–1.03, I2 = 61%) for total fish, 1.04 (1.01–1.07, I2 = 46%) for fatty fish, and 1.02 (1.00–1.04, I2 = 33%) for lean fish. In men, all associations were null. In women, we observed variation by geographical location: IRRs for total fish were 1.03 (1.02–1.04, I2 = 0%) in the Americas and null in other regions. In conclusion, we found evidence of a neutral association between total fish intake and type 2 diabetes in men, but there was a modest positive association among women with heterogeneity across studies, which was partly explained by geographical location and types of fish intake. Future research should investigate the role of cooking methods, accompanying foods and environmental pollutants, but meanwhile, existing dietary regional, national, or international guidelines should continue to guide fish consumption within overall healthy dietary patterns. |
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Pastorino, SilviaForouhi, Nita G.Barbieri, Natália BordinDuncan, Bruce BartholowSchmidt, Maria Inês2022-08-21T04:40:07Z20212072-6643http://hdl.handle.net/10183/247696001147140The association between fish consumption and new-onset type 2 diabetes is inconsistent and differs according to geographical location. We examined the association between the total and types of fish consumption and type 2 diabetes using individual participant data from 28 prospective cohort studies from the Americas (6), Europe (15), the Western Pacific (6), and the Eastern Mediterranean (1) comprising 956,122 participants and 48,084 cases of incident type 2 diabetes. Incidence rate ratios (IRRs) for associations of total fish, shellfish, fatty, lean, fried, freshwater, and saltwater fish intake and type 2 diabetes were derived for each study, adjusting for a consistent set of confounders and combined across studies using random-effects meta-analysis. We stratified all analyses by sex due to observed interaction (p = 0.002) on the association between fish and type 2 diabetes. In women, for each 100 g/week higher intake the IRRs (95% CIs) of type 2 diabetes were 1.02 (1.01–1.03, I2 = 61%) for total fish, 1.04 (1.01–1.07, I2 = 46%) for fatty fish, and 1.02 (1.00–1.04, I2 = 33%) for lean fish. In men, all associations were null. In women, we observed variation by geographical location: IRRs for total fish were 1.03 (1.02–1.04, I2 = 0%) in the Americas and null in other regions. In conclusion, we found evidence of a neutral association between total fish intake and type 2 diabetes in men, but there was a modest positive association among women with heterogeneity across studies, which was partly explained by geographical location and types of fish intake. Future research should investigate the role of cooking methods, accompanying foods and environmental pollutants, but meanwhile, existing dietary regional, national, or international guidelines should continue to guide fish consumption within overall healthy dietary patterns.application/pdfengNutrients. Basel. Vol. 13 (2021), 1223, 20 p.Diabetes mellitus tipo 2PeixesMetanáliseEstudos prospectivosType 2 diabetesFishFederated meta-analysisProspective studiesHeterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participantsEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001147140.pdf.txt001147140.pdf.txtExtracted Texttext/plain79109http://www.lume.ufrgs.br/bitstream/10183/247696/2/001147140.pdf.txt1c1ba1894530fbcab981d21de0c4f6dcMD52ORIGINAL001147140.pdfTexto completo (inglês)application/pdf2242526http://www.lume.ufrgs.br/bitstream/10183/247696/1/001147140.pdf5c3c6ad8f14d489915aa6b1efb0148a1MD5110183/2476962022-09-14 04:55:21.754504oai:www.lume.ufrgs.br:10183/247696Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2022-09-14T07:55:21Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
title |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
spellingShingle |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants Pastorino, Silvia Diabetes mellitus tipo 2 Peixes Metanálise Estudos prospectivos Type 2 diabetes Fish Federated meta-analysis Prospective studies |
title_short |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
title_full |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
title_fullStr |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
title_full_unstemmed |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
title_sort |
Heterogeneity of associations between total and types of fish intake and the incidence of type 2 diabetes : federated meta-analysis of 28 prospective studies including 956,122 participants |
author |
Pastorino, Silvia |
author_facet |
Pastorino, Silvia Forouhi, Nita G. Barbieri, Natália Bordin Duncan, Bruce Bartholow Schmidt, Maria Inês |
author_role |
author |
author2 |
Forouhi, Nita G. Barbieri, Natália Bordin Duncan, Bruce Bartholow Schmidt, Maria Inês |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pastorino, Silvia Forouhi, Nita G. Barbieri, Natália Bordin Duncan, Bruce Bartholow Schmidt, Maria Inês |
dc.subject.por.fl_str_mv |
Diabetes mellitus tipo 2 Peixes Metanálise Estudos prospectivos |
topic |
Diabetes mellitus tipo 2 Peixes Metanálise Estudos prospectivos Type 2 diabetes Fish Federated meta-analysis Prospective studies |
dc.subject.eng.fl_str_mv |
Type 2 diabetes Fish Federated meta-analysis Prospective studies |
description |
The association between fish consumption and new-onset type 2 diabetes is inconsistent and differs according to geographical location. We examined the association between the total and types of fish consumption and type 2 diabetes using individual participant data from 28 prospective cohort studies from the Americas (6), Europe (15), the Western Pacific (6), and the Eastern Mediterranean (1) comprising 956,122 participants and 48,084 cases of incident type 2 diabetes. Incidence rate ratios (IRRs) for associations of total fish, shellfish, fatty, lean, fried, freshwater, and saltwater fish intake and type 2 diabetes were derived for each study, adjusting for a consistent set of confounders and combined across studies using random-effects meta-analysis. We stratified all analyses by sex due to observed interaction (p = 0.002) on the association between fish and type 2 diabetes. In women, for each 100 g/week higher intake the IRRs (95% CIs) of type 2 diabetes were 1.02 (1.01–1.03, I2 = 61%) for total fish, 1.04 (1.01–1.07, I2 = 46%) for fatty fish, and 1.02 (1.00–1.04, I2 = 33%) for lean fish. In men, all associations were null. In women, we observed variation by geographical location: IRRs for total fish were 1.03 (1.02–1.04, I2 = 0%) in the Americas and null in other regions. In conclusion, we found evidence of a neutral association between total fish intake and type 2 diabetes in men, but there was a modest positive association among women with heterogeneity across studies, which was partly explained by geographical location and types of fish intake. Future research should investigate the role of cooking methods, accompanying foods and environmental pollutants, but meanwhile, existing dietary regional, national, or international guidelines should continue to guide fish consumption within overall healthy dietary patterns. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
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2022-08-21T04:40:07Z |
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http://hdl.handle.net/10183/247696 |
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2072-6643 |
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001147140 |
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Nutrients. Basel. Vol. 13 (2021), 1223, 20 p. |
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