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Published Online: 1 December 2010

Prevention of Type 2 Diabetes by Dietary Patterns: A Systematic Review of Prospective Studies and Meta-Analysis

Publication: Metabolic Syndrome and Related Disorders
Volume 8, Issue Number 6

Abstract

Lifestyle intervention may reduce the risk of type 2 diabetes. The aim of this study was to investigate the role of dietary patterns in the prevention of type 2 diabetes. We did an electronic search through November 30, 2009, for prospective studies that evaluated the role of dietary patterns in type 2 diabetes prevention. Ten large prospective studies were identified, comprising more than 190,000 subjects free of diabetes at baseline, followed for a time ranging from 2 to 23 years, and 8,932 cases of incident diabetes. All ten studies showed consistent results: Relative risk reduction of type 2 diabetes ranged from 83% to 15%. Overall, adherence to a healthy dietary pattern was associated with reduced risk of developing type 2 diabetes: Combined mean difference = −0.39, 95% confidence interval (CI) −0.54 to −0.24. The reduced risk of developing type 2 diabetes was still present after sensitivity analysis (−0.34, 95% CI −0.44 to −0.24). Dietary patterns characterized by high consumption of fruit and vegetables, whole grains, fish, and poultry, and by decreased consumption of red meat, processed foods, sugar-sweetened beverages, and starchy foods may retard the progression of type 2 diabetes. Healthy diets can help people to live more years without type 2 diabetes.

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cover image Metabolic Syndrome and Related Disorders
Metabolic Syndrome and Related Disorders
Volume 8Issue Number 6December 2010
Pages: 471 - 476
PubMed: 20958207

History

Published in print: December 2010
Published online: 1 December 2010
Published ahead of print: 19 October 2010

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Katherine Esposito, M.D., Ph.D.
Department of Geriatrics and Metabolic Diseases, Second University of Naples, Naples, Italy.
Christina-Maria Kastorini, M.Sc.
Department of Geriatrics and Metabolic Diseases, Second University of Naples, Naples, Italy.
Demosthenes B. Panagiotakos, Ph.D.
Department of Geriatrics and Metabolic Diseases, Second University of Naples, Naples, Italy.
Dario Giugliano, M.D., Ph.D.
Department of Nutrition-Dietetics, Harokopio University of Athens, Athens, Greece.

Notes

Address correspondence to:Katherine Esposito, M.D., Ph.D.Division of Diabetes and Metabolic DiseasesPoliclinico Seconda Università di NapoliPiazza L. MiragliaNaples, 80138Italy
E-mail: [email protected]

Author Disclosure Statement

The authors have no conflicts of interest to report.

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