Adherence to a Healthy Nordic Food Index Is Associated with a Lower Risk of Type-2 Diabetes: The Danish Diet, Cancer and Health Cohort Study
Research output: Contribution to journal › Journal article › Research › peer-review
Sandra Amalie Lacoppidan, Cecilie Kyrø, Steffen Loft, Anne Helnæs, Jane Christensen, Camilla Plambeck Hansen, Christina Catherine Dahm, Kim Overvad, Anne Tjønneland, Anja Olsen
BACKGROUND: Type-2 diabetes (T2D) prevalence is rapidly increasing worldwide. Lifestyle factors, in particular obesity, diet, and physical activity play a significant role in the etiology of the disease. Of dietary patterns, particularly the Mediterranean diet has been studied, and generally a protective association has been identified. However, other regional diets are less explored.
OBJECTIVE: The aim of the present study was to investigate the association between adherence to a healthy Nordic food index and the risk of T2D. The index consists of six food items: fish, cabbage, rye bread, oatmeal, apples and pears, and root vegetables.
METHODS: Data was obtained from a prospective cohort study of 57,053 Danish men and women aged 50-64 years, at baseline, of whom 7366 developed T2D (median follow-up: 15.3 years). The Cox proportional hazards model was used to assess the association between the healthy Nordic food index and risk of T2D, adjusted for potential confounders.
RESULTS: Greater adherence to the healthy Nordic food index was significantly associated with lower risk of T2D after adjusting for potential confounders. An index score of 5-6 points (high adherence) was associated with a statistically significantly 25% lower T2D risk in women (HR: 0.75, 95%CI: 0.61-0.92) and 38% in men (HR: 0.62; 95%CI: 0.53-0.71) compared to those with an index score of 0 points (poor adherence).
CONCLUSION: Adherence to a healthy Nordic food index was found to be inversely associated with risk of T2D, suggesting that regional diets other than the Mediterranean may also be recommended for prevention of T2D.
|Number of pages||12|
|Publication status||Published - 21 Oct 2015|