1. Modifying effect of metabotype on diet–diabetes associations
- Author
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Hannelore Daniel, Konstantin Strauch, Nina Wawro, Wolfgang Koenig, Christa Meisinger, Hans Hauner, Jakob Linseisen, Barbara Thorand, Cornelia Huth, Christian Gieger, Anne S. Quante, Wolfgang Rathmann, Anna Riedl, and Annette Peters
- Subjects
Adult ,Male ,0301 basic medicine ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,Logistic regression ,Diet Surveys ,Anthropometric parameters ,Metabotype ,03 medical and health sciences ,0302 clinical medicine ,German population ,Germany ,Environmental health ,Diabetes mellitus ,Diabetes Mellitus ,medicine ,Humans ,ddc:610 ,Oral glucose tolerance ,Aged ,Aged, 80 and over ,American diabetes association ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Diabetes ,enable-Cluster ,Original Contribution ,Middle Aged ,Metabolic phenotype ,medicine.disease ,Diet ,ddc ,Cross-Sectional Studies ,Homogeneous ,Population study ,Female ,business - Abstract
Purpose Inter-individual metabolic differences may be a reason for previously inconsistent results in diet–diabetes associations. We aimed to investigate associations between dietary intake and diabetes for metabolically homogeneous subgroups (‘metabotypes’) in a large cross-sectional study. Methods We used data of 1517 adults aged 38–87 years from the German population-based KORA FF4 study (2013/2014). Dietary intake was estimated based on the combination of a food frequency questionnaire and multiple 24-h food lists. Glucose tolerance status was classified based on an oral glucose tolerance test in participants without a previous diabetes diagnosis using American Diabetes Association criteria. Logistic regression was applied to examine the associations between dietary intake and diabetes for two distinct metabotypes, which were identified based on 16 biochemical and anthropometric parameters. Results A low intake of fruits and a high intake of total meat, processed meat and sugar-sweetened beverages (SSB) were significantly associated with diabetes in the total study population. Stratified by metabotype, associations with diabetes remained significant for intake of total meat (OR 1.67, 95% CI 1.04–2.67) and processed meat (OR 2.23, 95% CI 1.24–4.04) in the metabotypes with rather favorable metabolic characteristics, and for intake of fruits (OR 0.83, 95% CI 0.68–0.99) and SSB (OR:1.21, 95% CI 1.09–1.35) in the more unfavorable metabotype. However, only the association between SSB intake and diabetes differed significantly by metabotype (p value for interaction = 0.01). Conclusions Our findings suggest an influence of metabolic characteristics on diet–diabetes associations, which may help to explain inconsistent previous results. The causality of the observed associations needs to be confirmed in prospective and intervention studies. Electronic supplementary material The online version of this article (10.1007/s00394-019-01988-5) contains supplementary material, which is available to authorized users.
- Published
- 2019