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Association between adherence to the French dietary guidelines and the risk of type 2 diabetes

Type de document
journalArticle
Langue source
Anglais
Titre français
Titre anglais
Association between adherence to the French dietary guidelines and the risk of type 2 diabetes
Auteur(s)
  • KESSE-GUYOT Emmanuelle
  • DAN Chaltiel
  • FEZEU Léopold K.
  • BAUDRY Julia
  • DRUESNE-PECOLLO Nathalie
  • GALAN Pilar
  • DESCHAMPS Valérie
  • TOUVIER Mathilde
  • JULIA Chantal
  • HERCBERG Serge
Editeur(s)
Autre(s)
Id
TK9ZTSLK
Version
2296
Url zotero
https://www.zotero.org/groups/2567444/items/TK9ZTSLK
Date ajout
5 janvier 2021 18:09
Date modification
5 janvier 2021 18:09
Résumé anglais
Objective : French food-based dietary guidelines (FBDG) have been updated in 2017. The objective of this prospective study was to estimate the associations between the PNNS-GS2 (Programme National Nutrition Santé - guidelines score 2), reflecting the level of adherence to the 2017 FBDG, and the risk of type 2-diabetes (T2D). Methods : A total of 79,205 French adult participants (mean age: 41.5 years (SD=14.5) 78.5% women, 65% were postgraduate) from the NutriNet-Santé cohort (2009-2019) were included. Dietary intakes were collected using repeated 24-hour dietary records. The PNNS-GS2 (theorical range: -∞ to 14.25), including 6 adequacy components and 7 moderation components as well as a penalization on energy intake, was computed. The association between the PNNS-GS2 (as quintiles (Q)) and T2D risk was estimated using multivariable Cox proportional hazard models accounting for sociodemographic, anthropometric, lifestyle and health-related factors. Results : During an average follow-up of 6.7y (536,679 person-years), 676 T2D cases occurred. In the multi-adjusted model, participants with the highest PNNS-GS2 (higher adherence to the 2017 FBDG), compared to those with the lowest (lower adherence to FBDG), exhibited a 49% reduction in risk of T2D (HRQ5 vs Q1: 0.51, 95%CI: 0.37, 0.69). Body mass index accounted for up to 27% of the main association. The healthy profiles of cohort's participants may have reduced statistical power. Conclusions : In this large prospective cohort study, a higher adherence to the French 2017 FBDG was strongly and inversely associated with the risk of developing type 2 diabetes. Such analysis should be confirmed in other settings but in terms of public health and nutritional policy, this study supports the relevance of the 2017 French food-based dietary guidelines.
Note
None
CRAW tags
  • AB - Modalité bio
  • FREDO alimentation humaine
  • FREDO santé humaine
  • GEO France
WEB tags
Titre de la publication
Nutrition
Pages
111107
Date caractères
December 5, 2020
Date publication
5 décembre 2020
Doi
10.1016/j.nut.2020.111107 Le DOI est une URL unique de référencement d'une publication. Il est donc plus fiable et permanent qu'une URL classique
Issn
0899-9007 L’ISSN est un code de 8 chiffres servant à identifier les journaux, revues, magazines, périodiques de toute nature et sur tous supports, papier comme électronique.
Url publication
http://www.sciencedirect.com/science/article/pii/S0899900720303907