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

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 Publisher Pubmed

Pastorino S^{1, 2} ; Bishop T¹ ; Sharp SJ¹ ; Pearce M¹ ; Akbaraly T^{3, 4} ; Barbieri NB⁵ ; Besrastrollo M^{6, 7, 8} ; Beulens JWJ^{9, 10} ; Chen Z^{11, 12} ; Du H^{11, 12} ; Duncan BB⁵ ; Goto A¹³ ; Harkanen T¹⁴ ; Hashemian M^{15, 16} Show All Authors

Pastorino S^{1, 2}
Bishop T¹
Sharp SJ¹
Pearce M¹
Akbaraly T^{3, 4}
Barbieri NB⁵
Besrastrollo M^{6, 7, 8}
Beulens JWJ^{9, 10}
Chen Z^{11, 12}
Du H^{11, 12}
Duncan BB⁵
Goto A¹³
Harkanen T¹⁴
Hashemian M^{15, 16}
Kromhout D¹⁷
Jarvinen R¹⁸
Kivimaki M⁴
Knekt P¹⁴
Lin X¹⁹
Lund E^{20, 21}
Magliano DJ²²
Malekzadeh R¹⁵
Martinezgonzalez MA^{6, 7, 8, 23}
Odonoghue G²⁴
Ogorman D²⁵
Poustchi H¹⁵
Rylander C²⁰
Sawada N¹³
Shaw JE²²
Schmidt M⁵
Soedamahmuthu SS^{26, 27}
Sun L¹⁹
Wen W²⁸
Wolk A^{29, 30}
Shu XO²⁸
Zheng W²⁸
Wareham NJ¹
Forouhi NG¹

Show Affiliations

1. MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge Biomedical Campus Cambridge, University of Cambridge, School of Clinical Medicine, Cambridge, CB2 0QQ, United Kingdom
2. Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, United Kingdom
3. Inserm U 1198, Montpellier University, Montpellier, F-34000, France
4. Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom
5. Epidemiology Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, 90040-060, Brazil
6. Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, 31008, Spain
7. CIBERobn, Instituto de Salud Carlos III, Madrid, 28029, Spain
8. Navarraâ€™s Health Research Institute (IdiSNA), Pamplona, 31008, Spain
9. Department of Epidemiology & Data Science, Amsterdam Public Health, Amsterdam Cardiovascular Sciences, Amsterdam UMC-Amsterdam VUMC, Amsterdam, 1081 HV, Netherlands
10. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, 3584 CG, Netherlands
11. MRC Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7LF, United Kingdom
12. Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7LF, United Kingdom
13. Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, 104-0045, Japan
14. Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, FI-00271, Finland
15. Digestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, 1411713135, Iran
16. Biology Department, School of Arts and Sciences, Utica College, Utica, 13502, NY, United States
17. Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, 9713 GZ, Netherlands
18. Institute of Public Health and Nutrition, University of Eastern Finland, Kuopio, FI-70211, Finland
19. CAS Key Laboratory Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, Shanghai, Institutes for Biological Sciences, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
20. Department of Community Medicine, UiT The Arctic University of Norway, Pb. 5060, Tromso, 9037, Norway
21. The Cancer Registry of Norway, Oslo, 0379, Norway
22. Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, 3004, VIC, Australia
23. Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, 02115, MA, United States
24. School of Public Health, Physiotherapy & Sports Science, University College Dublin, Belfield, Dublin, DO4, Ireland
25. School of Health & Human Performance, National Institute for Cellular Biotechnology, Dublin City University, Whitehall, Dublin, DO9, Ireland
26. Center of Research on Psychological and Somatic disorders (CORPS), Department of Medical and Clinical Psychology, Tilburg University, PO Box 90153, Tilburg, 5000 LE, Netherlands
27. Institute for Food, Nutrition and Health, University of Reading, Reading, RG6 6AR, United Kingdom
28. Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Department of Medicine, Division of Epidemiology, Vanderbilt University Medical Center, 2525 West End Avenue, Nashville, 37203-1738, TN, United States
29. Department of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, 751 85, Sweden
30. Institute of Environmental Medicine, Karolinska Institutet, Stockholm, 17177, Sweden

Source: Nutrients Published:2021

Abstract

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 con-founders 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 diabe-tes. 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 pol-lutants, but meanwhile, existing dietary regional, national, or international guidelines should con-tinue to guide fish consumption within overall healthy dietary patterns. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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Style	Citing Format
MLA	Pastorino S, et al.. "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." Nutrients, vol. 13, no. 4, 2021, pp. -.
APA	Pastorino S, Bishop T, Sharp SJ, Pearce M, Akbaraly T, Barbieri NB, Besrastrollo M, Beulens JWJ, Chen Z, Du H, Duncan BB, Goto A, Harkanen T, Hashemian M, Kromhout D, Jarvinen R, Kivimaki M, Knekt P, Lin X, ... Forouhi NG (2021). 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. Nutrients, 13(4), -.
Chicago	Pastorino S, Bishop T, Sharp SJ, Pearce M, Akbaraly T, Barbieri NB, Besrastrollo M, et al.. "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." Nutrients 13, no. 4 (2021): -.
Harvard	Pastorino S et al. (2021) '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', Nutrients, 13(4), pp. -.
Vancouver	Pastorino S, Bishop T, Sharp SJ, Pearce M, Akbaraly T, Barbieri NB, et al.. 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. Nutrients. 2021;13(4):-.
BibTex	@article{ author = {Pastorino S and Bishop T and Sharp SJ and Pearce M and Akbaraly T and Barbieri NB and Besrastrollo M and Beulens JWJ and Chen Z and Du H and Duncan BB and Goto A and Harkanen T and Hashemian M and Kromhout D and Jarvinen R and Kivimaki M and Knekt P and Lin X and Lund E and Magliano DJ and Malekzadeh R and Martinezgonzalez MA and Odonoghue G and Ogorman D and Poustchi H and Rylander C and Sawada N and Shaw JE and Schmidt M and Soedamahmuthu SS and Sun L and Wen W and Wolk A and Shu XO and Zheng W and Wareham NJ and Forouhi NG}, 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}, journal = {Nutrients}, volume = {13}, number = {4}, pages = {-}, year = {2021} }
RIS	TY - JOUR AU - Pastorino S AU - Bishop T AU - Sharp SJ AU - Pearce M AU - Akbaraly T AU - Barbieri NB AU - Besrastrollo M AU - Beulens JWJ AU - Chen Z AU - Du H AU - Duncan BB AU - Goto A AU - Harkanen T AU - Hashemian M AU - Kromhout D AU - Jarvinen R AU - Kivimaki M AU - Knekt P AU - Lin X AU - Lund E AU - Magliano DJ AU - Malekzadeh R AU - Martinezgonzalez MA AU - Odonoghue G AU - Ogorman D AU - Poustchi H AU - Rylander C AU - Sawada N AU - Shaw JE AU - Schmidt M AU - Soedamahmuthu SS AU - Sun L AU - Wen W AU - Wolk A AU - Shu XO AU - Zheng W AU - Wareham NJ AU - Forouhi NG TI - 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 JO - Nutrients VL - 13 IS - 4 SP - EP - PY - 2021 ER -

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