Association between dietary carbohydrate intake and risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies.
Asia
Carbohydrate
Diabetes
Meta-analysis
Systematic review
Journal
Diabetology international
ISSN: 2190-1678
Titre abrégé: Diabetol Int
Pays: Japan
ID NLM: 101553224
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
13
04
2022
accepted:
22
05
2023
pmc-release:
04
07
2024
medline:
2
10
2023
pubmed:
2
10
2023
entrez:
2
10
2023
Statut:
epublish
Résumé
Previous meta-analyses have assessed the relationship between carbohydrate intake and type 2 diabetes (T2D) risk; however, they included few studies of Asian populations who have a higher carbohydrate intake and lower insulin secretory capacity than non-Asians. Since the publication of the previous meta-analyses, three further studies of Asian populations have been conducted. Based on this background, the present study aimed to perform an updated systematically examine observational studies concerning the link between dietary carbohydrate intake and T2D risk. We conducted a systematic search for cohort studies that investigated the target association. For each analyzed study, parameter-adjusted risk ratios were used to compare the lowest and highest carbohydrate-intake groups in terms of their risk of incident T2D. The risk ratios were calculated using a random-effects model. Ten publications were analyzed. Overall, carbohydrate intake was found not to be associated with increased risk ratios of incident T2D (risk ratio [RR] = 1.07; 95% confidence interval [95% CI] = 0.94, 1.21; P < 0.01, I This updated meta-analysis showed that, overall, carbohydrate intake is not associated with the risk of T2D; nevertheless, a significant association exists among Asian populations. To confirm the association between dietary carbohydrate intake and T2D risk observed in this study, further evidence from long-term observational studies of Asian populations is required. The online version contains supplementary material available at 10.1007/s13340-023-00642-0.
Sections du résumé
Background
UNASSIGNED
Previous meta-analyses have assessed the relationship between carbohydrate intake and type 2 diabetes (T2D) risk; however, they included few studies of Asian populations who have a higher carbohydrate intake and lower insulin secretory capacity than non-Asians. Since the publication of the previous meta-analyses, three further studies of Asian populations have been conducted. Based on this background, the present study aimed to perform an updated systematically examine observational studies concerning the link between dietary carbohydrate intake and T2D risk.
Methods
UNASSIGNED
We conducted a systematic search for cohort studies that investigated the target association. For each analyzed study, parameter-adjusted risk ratios were used to compare the lowest and highest carbohydrate-intake groups in terms of their risk of incident T2D. The risk ratios were calculated using a random-effects model.
Results
UNASSIGNED
Ten publications were analyzed. Overall, carbohydrate intake was found not to be associated with increased risk ratios of incident T2D (risk ratio [RR] = 1.07; 95% confidence interval [95% CI] = 0.94, 1.21; P < 0.01, I
Conclusions
UNASSIGNED
This updated meta-analysis showed that, overall, carbohydrate intake is not associated with the risk of T2D; nevertheless, a significant association exists among Asian populations. To confirm the association between dietary carbohydrate intake and T2D risk observed in this study, further evidence from long-term observational studies of Asian populations is required.
Supplementary Information
UNASSIGNED
The online version contains supplementary material available at 10.1007/s13340-023-00642-0.
Identifiants
pubmed: 37781458
doi: 10.1007/s13340-023-00642-0
pii: 642
pmc: PMC10533437
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
327-338Informations de copyright
© The Japan Diabetes Society 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
Déclaration de conflit d'intérêts
Conflict of interestThe authors declare no conflict of interest.
Références
Crit Rev Food Sci Nutr. 2019;59(7):1058-1070
pubmed: 29190114
Diabetes Res Clin Pract. 2019 Feb;148:254-261
pubmed: 30703429
Diabetologia. 1984 Jan;26(1):44-9
pubmed: 6368299
PLoS One. 2014 Sep 24;9(9):e108467
pubmed: 25250617
Diabetes Res Clin Pract. 2018 Apr;138:271-281
pubmed: 29496507
Public Health Nutr. 2014 Jul;17(7):1587-94
pubmed: 23866795
Am J Clin Nutr. 2015 Dec;102(6):1543-53
pubmed: 26537938
J Diabetes Investig. 2016 May;7(3):343-51
pubmed: 27330720
Lancet. 2006 Nov 11;368(9548):1681-8
pubmed: 17098087
J Hum Hypertens. 2003 Sep;17(9):623-30
pubmed: 13679952
Diabetes Res Clin Pract. 2020 Feb;160:108007
pubmed: 31953108
Physiol Behav. 2014 Jul;134:44-50
pubmed: 24467926
N Engl J Med. 2002 Feb 7;346(6):393-403
pubmed: 11832527
PLoS One. 2015 Feb 19;10(2):e0118377
pubmed: 25695497
Eur J Clin Nutr. 2012 Jun;66(6):716-21
pubmed: 22378225
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
N Engl J Med. 2001 Sep 13;345(11):790-7
pubmed: 11556298
Obesity (Silver Spring). 2009 Nov;17(11):2100-2
pubmed: 19730426
Lancet. 2017 Nov 4;390(10107):2050-2062
pubmed: 28864332
Br J Nutr. 2008 May;99(5):1107-16
pubmed: 17988431
Diabetologia. 1991 Dec;34(12):891-8
pubmed: 1778354
Am J Clin Nutr. 2000 Apr;71(4):921-30
pubmed: 10731498
Arch Intern Med. 2007 Nov 26;167(21):2310-6
pubmed: 18039989