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White Rice Intake and Incident Diabetes: A Study of 132,373 Participants in 21 Countries Publisher Pubmed



Bhavadharini B1 ; Mohan V2 ; Dehghan M1 ; Rangarajan S1 ; Swaminathan S3 ; Rosengren A4, 5 ; Wielgosz A6 ; Avezum A7 ; Lopezjaramillo P8 ; Lanas F9 ; Dans AL10 ; Yeates K11 ; Poirier P12 ; Chifamba J13 Show All Authors
Authors
  1. Bhavadharini B1
  2. Mohan V2
  3. Dehghan M1
  4. Rangarajan S1
  5. Swaminathan S3
  6. Rosengren A4, 5
  7. Wielgosz A6
  8. Avezum A7
  9. Lopezjaramillo P8
  10. Lanas F9
  11. Dans AL10
  12. Yeates K11
  13. Poirier P12
  14. Chifamba J13
  15. Alhabib KF14
  16. Mohammadifard N15
  17. Zatonska K16
  18. Khatib R17
  19. Keskinler MV18
  20. Wei L19
  21. Wang C19
  22. Liu X19
  23. Iqbal R20
  24. Yusuf R21
  25. Wentzelviljoen E22
  26. Yusufali A23
  27. Diaz R24
  28. Keat NK25, 26
  29. Lakshmi PVM27
  30. Ismail N28
  31. Gupta R29
  32. Palileovillanueva LM30
  33. Sheridan P1
  34. Mente A1
  35. Yusuf S1

Source: Diabetes Care Published:2020


Abstract

OBJECTIVE Previous prospective studies on the association of white rice intake with incident diabetes have shown contradictory results but were conducted in single countries and predominantly in Asia. We report on the association of white rice with risk of diabetes in the multinational Prospective Urban Rural Epidemiology (PURE) study. RESEARCH DESIGN AND METHODS Data on 132,373 individuals aged 35–70 years from 21 countries were analyzed. White rice consumption (cooked) was categorized as <150, ≥150 to <300, ≥300 to <450, and ≥450 g/day, based on one cup of cooked rice 5 150 g. The primary outcome was incident diabetes. Hazard ratios (HRs) were calculated using a multivariable Cox frailty model. RESULTS During a mean follow-up period of 9.5 years, 6,129 individuals without baseline diabetes developed incident diabetes. In the overall cohort, higher intake of white rice (≥450 g/day compared with <150 g/day) was associated with increased risk of diabetes (HR 1.20; 95% CI 1.02–1.40; P for trend 5 0.003). However, the highest risk was seen in South Asia (HR 1.61; 95% CI 1.13–2.30; P for trend 5 0.02), followed by other regions of the world (which included South East Asia, Middle East, South America, North America, Europe, and Africa) (HR 1.41; 95% CI 1.08–1.86; P for trend 5 0.01), while in China there was no significant association (HR 1.04; 95% CI 0.77–1.40; P for trend 5 0.38). CONCLUSIONS Higher consumption of white rice is associated with an increased risk of incident diabetes with the strongest association being observed in South Asia, while in other regions, a modest, nonsignificant association was seen. © 2020 by the American Diabetes Association.
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