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乳制品亚组替代与2型糖尿病风险:丹麦饮食、癌症与健康队列研究

Substitutions between dairy product subgroups and risk of type 2 diabetes: the Danish Diet, Cancer and Health cohort.

作者信息

Ibsen Daniel B, Laursen Anne Sofie D, Lauritzen Lotte, Tjønneland Anne, Overvad Kim, Jakobsen Marianne U

机构信息

1Department of Public Health,Section for Epidemiology,Aarhus University,DK-8000, Aarhus C,Denmark.

2Department of Nutrition, Exercise and Sports,University of Copenhagen,DK-1958, Frederiksberg C,Denmark.

出版信息

Br J Nutr. 2017 Dec;118(11):989-997. doi: 10.1017/S0007114517002896. Epub 2017 Nov 27.

Abstract

The aim of this study was to investigate the associations for specified substitutions between different subgroups of dairy products and the risk of type 2 diabetes. We used data from the Danish Diet, Cancer and Health cohort including 54 277 men and women aged 50-64 years at baseline. Information regarding intake of dairy products was obtained from a validated FFQ, and cases of type 2 diabetes were identified through the Danish National Diabetes Register. Cox proportional hazards regressions were used to estimate associations. During a median follow-up of 15·3 years, 7137 cases were identified. Low-fat yogurt products in place of whole-fat yogurt products were associated with a higher rate of type 2 diabetes (hazard ratio (HR) 1·17; 95 % CI 1·06, 1·29) per serving/d substituted. Whole-fat yogurt products in place of low-fat milk, whole-fat milk or buttermilk were associated with a lower rate of type 2 diabetes (HR 0·89; 95 % CI 0·83, 0·96; HR 0·89; 95 % CI 0·82, 0·96; HR 0·89; 95 % CI 0·81, 0·97; per serving/d substituted, respectively). The pattern of associations was similar when intake was expressed as kJ/d (kcal/d). These findings suggest that intake of whole-fat yogurt products in place of low-fat yogurt products, low-fat milk, whole-fat milk and buttermilk are associated with a lower rate of type 2 diabetes.

摘要

本研究的目的是调查特定乳制品亚组之间的替代与2型糖尿病风险的关联。我们使用了丹麦饮食、癌症与健康队列的数据,该队列基线时包括54277名年龄在50 - 64岁之间的男性和女性。关于乳制品摄入量的信息通过经过验证的食物频率问卷获得,2型糖尿病病例通过丹麦国家糖尿病登记处确定。使用Cox比例风险回归来估计关联。在中位随访15.3年期间,共确定了7137例病例。用低脂酸奶产品替代全脂酸奶产品,每份/天替代量与2型糖尿病发病率较高相关(风险比(HR)1.17;95%置信区间1.06,1.29)。用全脂酸奶产品替代低脂牛奶、全脂牛奶或酪乳,每份/天替代量分别与2型糖尿病发病率较低相关(HR 0.89;95%置信区间0.83,0.96;HR 0.89;95%置信区间0.82,0.96;HR 0.89;95%置信区间0.81,0.97)。当摄入量以千焦/天(千卡/天)表示时,关联模式相似。这些发现表明,用全脂酸奶产品替代低脂酸奶产品、低脂牛奶、全脂牛奶和酪乳与2型糖尿病发病率较低相关。

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