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Incident Type 2 Diabetes Attributable to Suboptimal Diet in 184 Countries Publisher Pubmed



Ohearn M1, 2 ; Laracastor L1 ; Cudhea F1 ; Miller V1, 3, 4 ; Reedy J1 ; Shi P1 ; Zhang J1 ; Wong JB5, 6 ; Economos CD1 ; Micha R1, 7 ; Mozaffarian D1, 5, 6 ; Bas M8 ; Ali JH9 ; Abumweis S10 Show All Authors
Authors
  1. Ohearn M1, 2
  2. Laracastor L1
  3. Cudhea F1
  4. Miller V1, 3, 4
  5. Reedy J1
  6. Shi P1
  7. Zhang J1
  8. Wong JB5, 6
  9. Economos CD1
  10. Micha R1, 7
  11. Mozaffarian D1, 5, 6
  12. Bas M8
  13. Ali JH9
  14. Abumweis S10
  15. Krishnan A11
  16. Misra P11
  17. Hwalla NC12
  18. Janakiram C13
  19. Liputo NI14
  20. Musaiger A15
  21. Pourfarzi F16
  22. Alam I17
  23. Deridder K18
  24. Termote C19
  25. Memon A20
  26. Turrini A21
  27. Lupotto E21
  28. Piccinelli R21
  29. Sette S21
  30. Anzid K22
  31. Vossenaar M23
  32. Mazumdar P24
  33. Rached I25
  34. Rovirosa A26
  35. Zapata ME26
  36. Asayehu TT27
  37. Oduor F28
  38. Boedecker J28
  39. Aluso L28
  40. Ortizulloa J29
  41. Meenakshi JV30
  42. Castro M31
  43. Grosso G32
  44. Waskiewicz A33
  45. Khan US34
  46. Thanopoulou A35
  47. Malekzadeh R36
  48. Calleja N37
  49. Ocke M38
  50. Etemad Z38
  51. Nsour MA39
  52. Waswa LM40
  53. Nurk E41
  54. Arsenault J42
  55. Lopezjaramillo P43
  56. Sibai AM44
  57. Damasceno A45
  58. Arambepola C46
  59. Lopes C47
  60. Severo M47
  61. Lunet N47
  62. Torres D48
  63. Tapanainen H49
  64. Lindstrom J49
  65. Virtanen S49
  66. Palacios C50
  67. Roos E51
  68. Agdeppa IA52
  69. Desnacido J52
  70. Capanzana M53
  71. Misra A54
  72. Khouw I55
  73. Ng SA55
  74. Delgado EG56
  75. Caballero M57
  76. Otero J58
  77. Lee HJ59
  78. Koksal E60
  79. Guessous I61
  80. Lachat C62
  81. De Henauw S62
  82. Rahbar AR63
  83. Tedstone A63
  84. Naska A63
  85. Mathee A63
  86. Ling A63
  87. Tedla B63
  88. Hopping B63
  89. Ginnela B63
  90. Leclercq C63
  91. Duante C63
  92. Haerpfer C63
  93. Hotz C63
  94. Pitsavos C63
  95. Rehm C63
  96. Van Oosterhout C63
  97. Cerdena C63
  98. Bradshaw D63
  99. Trichopoulos D63
  100. Gauci D63
  101. Fernando D63
  102. Sygnowska E63
  103. Vartiainen E63
  104. Farzadfar F63
  105. Zajkas G63
  106. Swan G63
  107. Ma G63
  108. Pekcan G63
  109. Ibrahim HM63
  110. Sinkko H63
  111. Barbieri HE63
  112. Sioen I63
  113. Myhre J63
  114. Gaspoz JM63
  115. Odenkirk J63
  116. Bundhamcharoen K63
  117. Nelis K63
  118. Zarina K63
  119. Biro L63
  120. Johansson L63
  121. Steingrimsdottir L63
  122. Riley L63
  123. Yap M63
  124. Inoue M63
  125. Szabo M63
  126. Ovaskainen ML63
  127. Lee MS63
  128. Chan MF63
  129. Cowan M63
  130. Kandiah M63
  131. Kally O63
  132. Jonsdottir O63
  133. Palmer P63
  134. Vollenweider P63
  135. Orfanos P63
  136. Asciak R63
  137. Templeton R63
  138. Don R63
  139. Yaakub R63
  140. Selamat R63
  141. Yusof S63
  142. Alzenki S63
  143. Hung SY63
  144. Beerborst S63
  145. Wu S63
  146. Lukito W63
  147. Hadden W63
  148. Becker W63
  149. Cao X63
  150. Ma Y63
  151. Lai Y63
  152. Hjdaud Z63
  153. Ali J64
  154. Gravel R64
  155. Tao T64
  156. Veerman JL65
  157. Chiplonkar S66
  158. Arici M67
  159. Ngoan LT68
  160. Panagiotakos D69
  161. Li Y70
  162. Trichopoulou A71
  163. Barengo N72
  164. Khadilkar A73
  165. Ekbote V73
  166. Mohammadifard N74
  167. Kovalskys I75
  168. Laxmaiah A76
  169. Rachakulla H76
  170. Rajkumar H76
  171. Meshram I76
  172. Avula L76
  173. Arlappa N76
  174. Lacoviello L77, 78
  175. Bonaccio M77
  176. Costanzo S77
  177. Martinprevel Y79
  178. Castetbon K80
  179. Jitnarin N81
  180. Hsieh YT82
  181. Olivares S83
  182. Tejeda G84
  183. Hadziomeragic A85
  184. De Moura Souza A86
  185. Pan WH82
  186. Huybrechts I87
  187. De Brauw A88
  188. Moursi M88
  189. Maghroun M89
  190. Zeba AN90
  191. Sarrafzadegan N91
  192. Keinanboker L92
  193. Goldsmith R92
  194. Shimony T92
  195. Jordan I93
  196. Mastiholi SC94
  197. Mwangi M95
  198. Kombe Y95
  199. Bukania Z95
  200. Alissa E96
  201. Aldaghri N97
  202. Sabico S97
  203. Gulliford M98
  204. Diba TS99
  205. Oh K100
  206. Kweon S100
  207. Park S100
  208. Cho Y101
  209. Alhooti S102
  210. Luangphaxay C103
  211. Douangvichit D103
  212. Siengsounthone L103
  213. Marquesvidal P104
  214. Rybak C105
  215. Luke A106
  216. Piaseu N107
  217. Rojroongwasinkul N108
  218. Sundram K109
  219. Baykova D110
  220. Abedi P111
  221. Sandjaja S112
  222. Fadzil F113
  223. Bukhary NBI114
  224. Bovet P115, 116
  225. Chen Y117
  226. Sawada N118
  227. Tsugane S118
  228. Rangelova L119
  229. Petrova S119
  230. Duleva V119
  231. Lindroos AK120
  232. Sipinen JP120
  233. Moraeus L120
  234. Bergman P120
  235. Siamusantu W121
  236. Szponar L122
  237. Chang HY123
  238. Sekiyama M124
  239. Le Nguyen Bao K125
  240. Nagalla B126
  241. Polasa K126
  242. Boindala S126
  243. El Ati J127
  244. Silva IR128
  245. Dommarco JR128
  246. Barquera S128
  247. Rodriguezramirez S128
  248. Illescaszarate D129
  249. Sanchezromero LM129
  250. Ikeda N130
  251. Zaghloul S131
  252. Houshiarrad A132
  253. Mohammadinasrabadi F132
  254. Abdollahi M132
  255. Chuah KA133
  256. Mahdy ZA133
  257. Eldridge A134
  258. Ding EL135
  259. Kruger H136
  260. Henjum S137
  261. Fernandez A138
  262. Suarezortegon MF139
  263. Alhamad N140
  264. Janska V141
  265. Tayyem R142
  266. Mirmiran P143
  267. Kelishadi R144
  268. Lemming EW145
  269. Richter A146
  270. Mensink G146
  271. Wieler L146
  272. Hoffman D147
  273. Salanave B148
  274. Kim CI149
  275. Kuriyanraj R150
  276. Swaminathan S150
  277. Garriguet D151
  278. Dastgiri S152
  279. Vaask S153
  280. Karupaiah T154
  281. Zohoori FV155
  282. Esteghamati A156
  283. Hashemian M156, 157
  284. Noshad S156
  285. Mwaniki E158
  286. Yakesjimenez E159
  287. Chileshe J160
  288. Mwanza S160
  289. Marques LL161
  290. Preston AM162
  291. Aguero SD163
  292. Oleas M164
  293. Posada L165
  294. Ochoa A166
  295. Shamsuddin K167
  296. Shariff ZM168
  297. Jan Bin Jan Mohamed H169
  298. Manan W169
  299. Nicolau A170
  300. Tudorie C170
  301. Poh BK171
  302. Abbott P172
  303. Pakseresht M173
  304. Sharma S173
  305. Strand T174
  306. Alexy U175
  307. Nothlings U175
  308. Carmikle J176
  309. Brown K176
  310. Koster J177
  311. Waidyatilaka I178
  312. Lanerolle P178
  313. Jayawardena R178
  314. Long JM179
  315. Hambidge KM179
  316. Krebs NF179
  317. Haque A180
  318. Keding GB181
  319. Korkalo L182
  320. Erkkola M182
  321. Freese R182
  322. Eleraky L183
  323. Stuetz W183
  324. Thorsdottir I184
  325. Gunnarsdottir I184
  326. Serramajem L185
  327. Moy FM186
  328. Anderson S187
  329. Jeewon R188
  330. Zugravu CA189
  331. Adair L190
  332. Ng SW190
  333. Skeaff S191
  334. Marchioni D192
  335. Fisberg R192
  336. Henry C193
  337. Ersino G193
  338. Zello G193
  339. Meyer A194
  340. Elmadfa I194
  341. Mitchell C195
  342. Balfour D195
  343. Geleijnse JM196
  344. Manary M197
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  346. Nikiema L199
  347. Mirzaei M200
  348. Hakeem R201

Source: Nature Medicine Published:2023


Abstract

The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.8–14.4 million) incident T2D cases, representing 70.3% (68.8–71.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.0–27.1%)), excess refined rice and wheat intake (24.6% (22.3–27.2%)) and excess processed meat intake (20.3% (18.3–23.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.4–87.7%)) and Latin America and the Caribbean (81.8% (80.1–83.4%)); and lowest proportional burdens were in South Asia (55.4% (52.1–60.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally. © 2023, The Author(s).
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