White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran

White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran Publisher Pubmed

Golozar A^{1, 2} ; Khalili D³ ; Etemadi A^{1, 4} ; Poustchi H¹ ; Fazeltabar A¹ ; Hosseini F⁵ ; Kamangar F⁶ ; Khoshnia M⁷ ; Islami F⁸ ; Hadaegh F³ ; Brennan P⁹ ; Boffetta P¹⁰ ; Abnet CC⁴ ; Dawsey SM⁴ Show All Authors

Golozar A^{1, 2}
Khalili D³
Etemadi A^{1, 4}
Poustchi H¹
Fazeltabar A¹
Hosseini F⁵
Kamangar F⁶
Khoshnia M⁷
Islami F⁸
Hadaegh F³
Brennan P⁹
Boffetta P¹⁰
Abnet CC⁴
Dawsey SM⁴
Azizi F¹¹
Malekzadeh R¹
Danaei G^{12, 13, 14}

Show Affiliations

1. Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, 14117, Iran
2. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, 21205, MD, United States
3. Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, 17413, Iran
4. Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, 20850, MD, United States
5. Nutrition and Endocrine Research Center, Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Science, Tehran, 17413, Iran
6. School of Community Health and Policy, Morgan State University, Baltimore, 21251, MD, United States
7. Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, 0619, Golestan, Iran
8. Surveillance and Health Services Research, American Cancer Society, Atlanta, 30303, Georgia, United States
9. International Agency for Research on Cancer, Lyon, 69008, France
10. Tisch Cancer Institute, Institute for Translational Epidemiology, Mount Sinai School of Medicine, New York, 10029, NY, United States
11. Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, 17413, Iran
12. Department of Global Health and Population, Harvard School of Public Health, 677 Huntington Avenue, Bldg 1, Boston, 02115, MA, United States
13. Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Bldg 1, Boston, 02115, MA, United States
14. SAPHIR, Scientific Association for Public Health in Iran, Boston, 02132, United States

Source: BMC Public Health Published:2017

Abstract

Background: Refined grains and white rice have been associated with elevated risk of type 2 diabetes mellitus (T2DM). In this study, we sought to quantify the effect of white rice intake on incident T2DM in two prospective population-based cohort studies from Iran, where white rice is one of the main staple. Methods: We used follow-up data from 9,182 participants from Golestan Cohort Study (GCS, 2004-2007, conducted mainly in rural areas) and 2,173 from Tehran Lipid and Glucose Study (TLGS, 2004-2006) who did not have T2DM and other chronic diseases at baseline. Diet was assessed using validated food frequency questionnaires. Multivariable logistic regression models were used to estimate adjusted odds ratios (ORs) for incident T2DM. Results: We documented 902 new cases of T2DM in GCS and 81 in TLGS. Age-standardized cumulative incidence of T2DM was 9.9% in Golestan and 8.0% in Tehran. Daily white rice intake was significantly higher among residents of Tehran compared to Golestan (median daily intake: 250 vs. 120 grams; P-value < 0.001). After adjustment for potential confounders, there was no significant association between daily white rice intake and incident T2DM in GCS. In TLGS, the adjusted OR (95% confidence interval (CI)) was 2.1 (1.1, 3.9) comparing participants with daily white rice intake of >250 grams/day to those with <250. Conclusions: We observed an increased lieklihood of T2DM associated with high white rice intake among residents of Tehran and no association in Golestan. Our findings, if further supported by other studies, have important public health implications especially for countries where white rice is a major staple and diabetes is increasing rapidly incidence is high. Further research is needed to investigate lack of an association between lower levels of white rice intake and T2DM. © 2017 The Author(s).

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Hossein Poustchi (85)

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Style	Citing Format
MLA	Golozar A, et al.. "White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran." BMC Public Health, vol. 17, no. 1, 2017, pp. 1-11.
APA	Golozar A, Khalili D, Etemadi A, Poustchi H, Fazeltabar A, Hosseini F, Kamangar F, Khoshnia M, Islami F, Hadaegh F, Brennan P, Boffetta P, Abnet CC, Dawsey SM, Azizi F, Malekzadeh R, Danaei G (2017). White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran. BMC Public Health, 17(1), 1-11.
Chicago	Golozar A, Khalili D, Etemadi A, Poustchi H, Fazeltabar A, Hosseini F, Kamangar F, et al.. "White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran." BMC Public Health 17, no. 1 (2017): 1-11.
Harvard	Golozar A et al. (2017) 'White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran', BMC Public Health, 17(1), pp. 1-11.
Vancouver	Golozar A, Khalili D, Etemadi A, Poustchi H, Fazeltabar A, Hosseini F, et al.. White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran. BMC Public Health. 2017;17(1):1-11.
BibTex	@article{ author = {Golozar A and Khalili D and Etemadi A and Poustchi H and Fazeltabar A and Hosseini F and Kamangar F and Khoshnia M and Islami F and Hadaegh F and Brennan P and Boffetta P and Abnet CC and Dawsey SM and Azizi F and Malekzadeh R and Danaei G}, title = {White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran}, journal = {BMC Public Health}, volume = {17}, number = {1}, pages = {1-11}, year = {2017} }
RIS	TY - JOUR AU - Golozar A AU - Khalili D AU - Etemadi A AU - Poustchi H AU - Fazeltabar A AU - Hosseini F AU - Kamangar F AU - Khoshnia M AU - Islami F AU - Hadaegh F AU - Brennan P AU - Boffetta P AU - Abnet CC AU - Dawsey SM AU - Azizi F AU - Malekzadeh R AU - Danaei G TI - White Rice Intake and Incidence of Type-2 Diabetes: Analysis of Two Prospective Cohort Studies From Iran JO - BMC Public Health VL - 17 IS - 1 SP - 1 EP - 11 PY - 2017 ER -

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