Incident type 2 diabetes attributable to suboptimal diet in 184 countries
4
Issued Date
2023-04-01
Resource Type
ISSN
10788956
eISSN
1546170X
Scopus ID
2-s2.0-85153120908
Pubmed ID
37069363
Journal Title
Nature Medicine
Volume
29
Issue
4
Start Page
982
End Page
995
Rights Holder(s)
SCOPUS
Bibliographic Citation
Nature Medicine Vol.29 No.4 (2023) , 982-995
Suggested Citation
O’Hearn M., Lara-Castor L., Cudhea F., Miller V., Reedy J., Shi P., Zhang J., Wong J.B., Economos C.D., Micha R., Mozaffarian D., Bas M., Ali J.H., Abumweis S., Krishnan A., Misra P., Hwalla N.C., Janakiram C., Liputo N.I., Musaiger A., Pourfarzi F., Alam I., DeRidder K., Termote C., Memon A., Turrini A., Lupotto E., Piccinelli R., Sette S., Anzid K., Vossenaar M., Mazumdar P., Rached I., Rovirosa A., Zapata M.E., Asayehu T.T., Oduor F., Boedecker J., Aluso L., Ortiz-Ulloa J., Meenakshi J.V., Castro M., Grosso G., Waskiewicz A., Khan U.S., Thanopoulou A., Malekzadeh R., Calleja N., Ocke M., Etemad Z., Nsour M.A., Waswa L.M., Nurk E., Arsenault J., Lopez-Jaramillo P., Sibai A.M., Damasceno A., Arambepola C., Lopes C., Severo M., Lunet N., Torres D., Tapanainen H., Lindstrom J., Virtanen S., Palacios C., Roos E., Agdeppa I.A., Desnacido J., Capanzana M., Misra A., Khouw I., Ng S.A., Delgado E.G., Caballero M., Otero J., Lee H.J., Koksal E., Guessous I., Lachat C., De Henauw S., Rahbar A.R., Tedstone A., Naska A., Mathee A., Ling A., Tedla B., Hopping B., Ginnela B., Leclercq C., Duante C., Haerpfer C., Hotz C., Pitsavos C., Rehm C., van Oosterhout C., Cerdena C., Bradshaw D., Trichopoulos D., Gauci D. Incident type 2 diabetes attributable to suboptimal diet in 184 countries. Nature Medicine Vol.29 No.4 (2023) , 982-995. 995. doi:10.1038/s41591-023-02278-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/82748
Title
Incident type 2 diabetes attributable to suboptimal diet in 184 countries
Author(s)
O’Hearn M.
Lara-Castor L.
Cudhea F.
Miller V.
Reedy J.
Shi P.
Zhang J.
Wong J.B.
Economos C.D.
Micha R.
Mozaffarian D.
Bas M.
Ali J.H.
Abumweis S.
Krishnan A.
Misra P.
Hwalla N.C.
Janakiram C.
Liputo N.I.
Musaiger A.
Pourfarzi F.
Alam I.
DeRidder K.
Termote C.
Memon A.
Turrini A.
Lupotto E.
Piccinelli R.
Sette S.
Anzid K.
Vossenaar M.
Mazumdar P.
Rached I.
Rovirosa A.
Zapata M.E.
Asayehu T.T.
Oduor F.
Boedecker J.
Aluso L.
Ortiz-Ulloa J.
Meenakshi J.V.
Castro M.
Grosso G.
Waskiewicz A.
Khan U.S.
Thanopoulou A.
Malekzadeh R.
Calleja N.
Ocke M.
Etemad Z.
Nsour M.A.
Waswa L.M.
Nurk E.
Arsenault J.
Lopez-Jaramillo P.
Sibai A.M.
Damasceno A.
Arambepola C.
Lopes C.
Severo M.
Lunet N.
Torres D.
Tapanainen H.
Lindstrom J.
Virtanen S.
Palacios C.
Roos E.
Agdeppa I.A.
Desnacido J.
Capanzana M.
Misra A.
Khouw I.
Ng S.A.
Delgado E.G.
Caballero M.
Otero J.
Lee H.J.
Koksal E.
Guessous I.
Lachat C.
De Henauw S.
Rahbar A.R.
Tedstone A.
Naska A.
Mathee A.
Ling A.
Tedla B.
Hopping B.
Ginnela B.
Leclercq C.
Duante C.
Haerpfer C.
Hotz C.
Pitsavos C.
Rehm C.
van Oosterhout C.
Cerdena C.
Bradshaw D.
Trichopoulos D.
Gauci D.
Lara-Castor L.
Cudhea F.
Miller V.
Reedy J.
Shi P.
Zhang J.
Wong J.B.
Economos C.D.
Micha R.
Mozaffarian D.
Bas M.
Ali J.H.
Abumweis S.
Krishnan A.
Misra P.
Hwalla N.C.
Janakiram C.
Liputo N.I.
Musaiger A.
Pourfarzi F.
Alam I.
DeRidder K.
Termote C.
Memon A.
Turrini A.
Lupotto E.
Piccinelli R.
Sette S.
Anzid K.
Vossenaar M.
Mazumdar P.
Rached I.
Rovirosa A.
Zapata M.E.
Asayehu T.T.
Oduor F.
Boedecker J.
Aluso L.
Ortiz-Ulloa J.
Meenakshi J.V.
Castro M.
Grosso G.
Waskiewicz A.
Khan U.S.
Thanopoulou A.
Malekzadeh R.
Calleja N.
Ocke M.
Etemad Z.
Nsour M.A.
Waswa L.M.
Nurk E.
Arsenault J.
Lopez-Jaramillo P.
Sibai A.M.
Damasceno A.
Arambepola C.
Lopes C.
Severo M.
Lunet N.
Torres D.
Tapanainen H.
Lindstrom J.
Virtanen S.
Palacios C.
Roos E.
Agdeppa I.A.
Desnacido J.
Capanzana M.
Misra A.
Khouw I.
Ng S.A.
Delgado E.G.
Caballero M.
Otero J.
Lee H.J.
Koksal E.
Guessous I.
Lachat C.
De Henauw S.
Rahbar A.R.
Tedstone A.
Naska A.
Mathee A.
Ling A.
Tedla B.
Hopping B.
Ginnela B.
Leclercq C.
Duante C.
Haerpfer C.
Hotz C.
Pitsavos C.
Rehm C.
van Oosterhout C.
Cerdena C.
Bradshaw D.
Trichopoulos D.
Gauci D.
Author's Affiliation
Gachon University
Digestive Diseases Research Institute
FHI 360
Addis Ababa Science and Technology University
CGIAR System Organization
Fundación Oftalmológica de Santander
Universidad de Santander
Bacha Khan University
Acibadem Mehmet Ali Aydinlar Universitesi
Al Ain University
FrieslandCampina
Brighton and Sussex Medical School
Population Health Research Institute, Ontario
Instytut Kardiologii im. Prymasa Tysiaclecia Stefana Kardynała Wyszynskiego
Fundación Cardiovascular de Colombia
Amrita School of Dentistry
Universidade Eduardo Mondlane
Center for Studies of Sensory Impairment, Aging and Metabolism Guatemala
University of Cuenca
Food and Nutrition Research Institute Manila
Addis Ababa University
University of Colombo Faculty of Medicine
Delhi School of Economics
Universitas Andalas
Tervise Arengu Instituut
American University of Beirut
The Aga Khan University
Egerton University
Universiteit Gent
McMaster University
National and Kapodistrian University of Athens
Ardabil University of Medical Sciences
National Institute for Public Health and the Environment
University of Thessaly
Tufts University
Faculdade de Medicina da Universidade do Porto (FMUP)
Tufts University School of Medicine
Florida International University
Gazi Üniversitesi
Università degli Studi di Catania
Hôpitaux Universitaires de Genève
All India Institute of Medical Sciences, New Delhi
Universidade do Porto
Consejo Nacional de Investigaciones Científicas y Técnicas
Université Cadi Ayyad
Folkhälsan
Tufts Medical Center
Global Dietary Database Consortium
Departamento de Alimentacao Escolar
Centro de Atencion Nutricional Antimano (CANIA)
Directorate for Health Information & Research
Food Systems for the Future Institute
Eastern Mediterranean Public Health Network
Fortis CDOC Center for Diabetes, Metabolic Diseases and Endocrinology
Arab Center for Nutrition
Centre for Media Studies
Finnish Institute for Health and Welfare
Food and Nutrition Research Institute (FNRI)
Biodiversity International
Centro de Estudios sobre Nutrición Infantil
Belgian Institute for Health
CREA-Centro di Ricerca Alimenti e Nutrizione
Digestive Diseases Research Institute
FHI 360
Addis Ababa Science and Technology University
CGIAR System Organization
Fundación Oftalmológica de Santander
Universidad de Santander
Bacha Khan University
Acibadem Mehmet Ali Aydinlar Universitesi
Al Ain University
FrieslandCampina
Brighton and Sussex Medical School
Population Health Research Institute, Ontario
Instytut Kardiologii im. Prymasa Tysiaclecia Stefana Kardynała Wyszynskiego
Fundación Cardiovascular de Colombia
Amrita School of Dentistry
Universidade Eduardo Mondlane
Center for Studies of Sensory Impairment, Aging and Metabolism Guatemala
University of Cuenca
Food and Nutrition Research Institute Manila
Addis Ababa University
University of Colombo Faculty of Medicine
Delhi School of Economics
Universitas Andalas
Tervise Arengu Instituut
American University of Beirut
The Aga Khan University
Egerton University
Universiteit Gent
McMaster University
National and Kapodistrian University of Athens
Ardabil University of Medical Sciences
National Institute for Public Health and the Environment
University of Thessaly
Tufts University
Faculdade de Medicina da Universidade do Porto (FMUP)
Tufts University School of Medicine
Florida International University
Gazi Üniversitesi
Università degli Studi di Catania
Hôpitaux Universitaires de Genève
All India Institute of Medical Sciences, New Delhi
Universidade do Porto
Consejo Nacional de Investigaciones Científicas y Técnicas
Université Cadi Ayyad
Folkhälsan
Tufts Medical Center
Global Dietary Database Consortium
Departamento de Alimentacao Escolar
Centro de Atencion Nutricional Antimano (CANIA)
Directorate for Health Information & Research
Food Systems for the Future Institute
Eastern Mediterranean Public Health Network
Fortis CDOC Center for Diabetes, Metabolic Diseases and Endocrinology
Arab Center for Nutrition
Centre for Media Studies
Finnish Institute for Health and Welfare
Food and Nutrition Research Institute (FNRI)
Biodiversity International
Centro de Estudios sobre Nutrición Infantil
Belgian Institute for Health
CREA-Centro di Ricerca Alimenti e Nutrizione
Other Contributor(s)
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.