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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
Show Affiliations
Authors Affiliations
  1. 1. Population Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada
  2. 2. Madras Diabetes Research Foundation and Dr. Mohan’s Diabetes Specialities Centre, Chennai, India
  3. 3. Division of Nutrition, St. John’s Research Institute, Bangalore, India
  4. 4. Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
  5. 5. Region Vastra Gotaland, Sahlgrenska University Hospital, Gothenburg, Sweden
  6. 6. University of Ottawa, Ottawa, Canada
  7. 7. Hospital Alemao Oswaldo Cruz, Sao Paulo, Brazil
  8. 8. Instituto Masira, Medical School, Universidad de Santander, and Fundacion Oftalmologica de Santander-Clinica Carlos Ardila Lulle, Bucaramanga, Colombia
  9. 9. Universidad de La Frontera, Temuco, Chile
  10. 10. University of the Philippines College of Medicine, Manila, Philippines
  11. 11. Department of Medicine, Queen’s University, Kingston, Canada
  12. 12. Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Quebec, Canada
  13. 13. Department of Physiology, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe
  14. 14. Department of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  15. 15. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  16. 16. Department of Social Medicine, Wroclaw Medical University, Wroclaw, Poland
  17. 17. Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
  18. 18. Department of Internal Medicine, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey
  19. 19. State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China
  20. 20. Department of Community Health Sciences and Medicine, Aga Khan University, Karachi, Pakistan
  21. 21. Independent University, Dhaka, Bangladesh
  22. 22. Centre of Excellence for Nutrition, North-West University, Potchefstroom, South Africa
  23. 23. Hatta Hospital, Dubai Medical University, Dubai Health Authority, Dubai, United Arab Emirates
  24. 24. Estudios Clinicos Latinoamerica, Rosario, Santa Fe, Argentina
  25. 25. Universiti Teknologi MARA, Sungai Buloh, Malaysia
  26. 26. University College Sedaya International University, Cheras, Malaysia
  27. 27. School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  28. 28. Department of Community Health, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  29. 29. Eternal Heart Care Centre and Research Institute, Jaipur, India
  30. 30. University of the Philippines College of Medicine, University of the Philippines Manila, Manila, Philippines

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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