PMID- 29525890 OWN - NLM STAT- MEDLINE DCOM- 20190903 LR - 20210109 IS - 1436-6215 (Electronic) IS - 1436-6207 (Print) IS - 1436-6207 (Linking) VI - 58 IP - 2 DP - 2019 Mar TI - Prospective associations of dietary carbohydrate, fat, and protein intake with beta-cell function in the CODAM study. PG - 597-608 LID - 10.1007/s00394-018-1644-y [doi] AB - PURPOSE: Type 2 diabetes mellitus (T2DM) is characterized by both impaired pancreatic beta-cell function (BCF) and insulin resistance. In the etiology of T2DM, BCF basically determines whether a person with a certain degree of insulin resistance develops T2DM, as beta-cells are able to compensatorily increase insulin secretion. The effects of dietary intake on BCF are largely unknown. Our study aim was to investigate whether dietary macronutrient intake predicts BCF. METHODS: Prospective data (median follow-up 7 years) of 303 individuals recruited from the CODAM study population (aged 40-70 years, 39% women) were analyzed. BCF was measured by C-peptide deconvolution and physiological modeling of data from a 5-point, 75-g, 2-h oral glucose tolerance test. Macronutrient intake was estimated by a 178-item Food Frequency Questionnaire. RESULTS: Associations adjusted for relevant covariates of baseline macronutrient intake with model-derived parameters describing BCF (glucose sensitivity, rate sensitivity or potentiation) or C-peptidogenic index were detected for trans fat [standardized regression coefficient (95%-CI) glucose sensitivity - 0.14 (- 0.26, - 0.01)] per g, cholesterol [potentiation 0.20 (0.02, 0.37)] per 100 mg, dietary fiber [glucose sensitivity 0.21 (0.08, 0.33)] per 10 g, MUFA glucose sensitivity 0.16 (0.02, 0.31) per 10 g, and polysaccharide [potentiation - 0.24 (- 0.43, - 0.05), C-peptidogenic index - 0.16 (- 0.29 - 0.03); odds ratio lowest versus highest tertile (95%-CI) rate sensitivity 1.51 (1.06, 2.15)) per 50 g. CONCLUSIONS: In this population at high risk for developing T2DM, polysaccharide and trans fat intake were associated with worse BCF, whereas increased intake of MUFA, dietary cholesterol, and fiber were associated with better BCF. FAU - den Biggelaar, Louise J C J AU - den Biggelaar LJCJ AD - Department of Epidemiology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Eussen, Simone J P M AU - Eussen SJPM AUID- ORCID: 0000-0003-0559-6838 AD - Department of Epidemiology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. simone.eussen@maastrichtuniversity.nl. AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. simone.eussen@maastrichtuniversity.nl. AD - Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands. simone.eussen@maastrichtuniversity.nl. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. simone.eussen@maastrichtuniversity.nl. FAU - Sep, Simone J S AU - Sep SJS AD - Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands. AD - Centre of Expertise in Rehabilitation and Audiology, Adelante, Hoensbroek, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Mari, Andrea AU - Mari A AD - CNR Institute of Clinical Physiology, Pisa, Italy. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Ferrannini, Ele AU - Ferrannini E AD - CNR Institute of Neuroscience, Padova, Italy. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - van Greevenbroek, Marleen M AU - van Greevenbroek MM AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - van der Kallen, Carla J AU - van der Kallen CJ AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Schalkwijk, Casper G AU - Schalkwijk CG AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Arts, Ilja C W AU - Arts ICW AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Maastricht Centre for Systems Biology (MaCSBio), Maastricht University, Maastricht, The Netherlands. FAU - Stehouwer, Coen D A AU - Stehouwer CDA AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Dagnelie, Pieter C AU - Dagnelie PC AD - Department of Epidemiology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. AD - School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands. AD - Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands. AD - Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. LA - eng PT - Journal Article DEP - 20180310 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Dietary Proteins) SB - IM MH - Adult MH - Aged MH - Cohort Studies MH - Diabetes Mellitus, Type 2/*metabolism MH - Dietary Carbohydrates/metabolism/*pharmacology MH - Dietary Fats/metabolism/*pharmacology MH - Dietary Proteins/metabolism/*pharmacology MH - Female MH - Follow-Up Studies MH - Humans MH - Insulin-Secreting Cells/*metabolism MH - Male MH - Middle Aged MH - Prospective Studies PMC - PMC6437317 OTO - NOTNLM OT - Carbohydrate OT - Fat OT - Protein OT - Type 2 diabetes mellitus OT - beta-Cell function COIS- The authors declare that they have no conflict of interest. EDAT- 2018/03/12 06:00 MHDA- 2019/09/04 06:00 PMCR- 2018/03/10 CRDT- 2018/03/12 06:00 PHST- 2017/07/20 00:00 [received] PHST- 2018/02/19 00:00 [accepted] PHST- 2018/03/12 06:00 [pubmed] PHST- 2019/09/04 06:00 [medline] PHST- 2018/03/12 06:00 [entrez] PHST- 2018/03/10 00:00 [pmc-release] AID - 10.1007/s00394-018-1644-y [pii] AID - 1644 [pii] AID - 10.1007/s00394-018-1644-y [doi] PST - ppublish SO - Eur J Nutr. 2019 Mar;58(2):597-608. doi: 10.1007/s00394-018-1644-y. Epub 2018 Mar 10.