PMID- 31212252 OWN - NLM STAT- MEDLINE DCOM- 20200930 LR - 20200930 IS - 1873-1244 (Electronic) IS - 0899-9007 (Linking) VI - 66 DP - 2019 Oct TI - Relationship between dietary non-enzymatic antioxidant capacity and type 2 diabetes risk in the Japan Public Health Center-based Prospective Study. PG - 62-69 LID - S0899-9007(18)30673-7 [pii] LID - 10.1016/j.nut.2019.03.011 [doi] AB - OBJECTIVE: Intake of antioxidants may reduce the risk for type 2 diabetes (T2D) by reducing oxidative stress. However, it is unclear whether dietary non-enzymatic antioxidant capacity (NEAC), which represents the cumulative action of dietary antioxidants and their synergistic effects in foods, is associated with decreased T2D risk. The aim of this study was to investigate the associations between dietary NEAC and T2D. METHODS: The study included 64 660 adults (27 809 men and 36 851 women), 44 to 76 y of age without history of T2D in the Japan Public Health Center-based Prospective Study. Dietary NEAC was estimated using databases of NEAC measurements compiled from results for three different assays: ferric reducing-antioxidant power (FRAP), oxygen radical absorbance capacity (ORAC), and total radical-trapping antioxidant parameter (TRAP). A multiple logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of self-reported physician-diagnosed T2D over 5 y with adjustment for potential confounders. RESULTS: In all, 1191 cases of newly diagnosed T2D were reported. Dietary NEACs were not significantly associated with T2D. The multivariate-adjusted ORs were 1.04 (95% CI, 0.88-1.23; P(trend) = 0.56) for FRAP, 1.11 (95% CI, 0.93-1.32; P(trend) = 0.26) for ORAC, and 0.99 (95% CI, 0.84-1.18; P(trend) = 0.84) for TRAP. Similar associations were observed in men and women (P(interaction) = 0.46 for FRAP, 0.35 for ORAC, and 0.63 for TRAP). In stratified analyses of major prooxidant factors, no notable associations with smoking and obesity status were observed. CONCLUSIONS: This finding suggests that dietary NEAC may not be appreciably associated with T2D in Japanese adults. CI - Copyright (c) 2019. Published by Elsevier Inc. FAU - Kashino, Ikuko AU - Kashino I AD - Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan. Electronic address: ikukokashino@gmail.com. FAU - Serafini, Mauro AU - Serafini M AD - Functional Foods and Metabolic Stress Prevention Laboratory, Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy. FAU - Kurotani, Kayo AU - Kurotani K AD - Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan; Department of Nutritional Epidemiology and Shokuiku, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan. FAU - Akter, Shamima AU - Akter S AD - Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan. FAU - Mizoue, Tetsuya AU - Mizoue T AD - Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan. FAU - Ishihara, Junko AU - Ishihara J AD - Department of Food and Life Science School of Life and Environmental Science, Azabu University, Kanagawa, Japan. FAU - Kotemori, Ayaka AU - Kotemori A AD - Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. FAU - Sawada, Norie AU - Sawada N AD - Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. FAU - Inoue, Manami AU - Inoue M AD - Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. FAU - Iwasaki, Motoki AU - Iwasaki M AD - Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. FAU - Noda, Mitsushiko AU - Noda M AD - Department of Endocrinology and Diabetes, Saitama Medical University, Saitama, Japan. FAU - Tsugane, Shoichiro AU - Tsugane S AD - Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. CN - Japan Public Health Center-based Prospective Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190329 PL - United States TA - Nutrition JT - Nutrition (Burbank, Los Angeles County, Calif.) JID - 8802712 RN - 0 (Antioxidants) SB - IM MH - Adult MH - Aged MH - Antioxidants/*metabolism MH - Diabetes Mellitus, Type 2/*metabolism MH - Diet/*methods MH - Female MH - Humans MH - Japan MH - Male MH - Middle Aged MH - Prospective Studies MH - Public Health OTO - NOTNLM OT - Antioxidant OT - Antioxidant capacity OT - Cohort study OT - Diabetes OT - NEAC OT - TAC EDAT- 2019/06/19 06:00 MHDA- 2020/10/02 06:00 CRDT- 2019/06/19 06:00 PHST- 2018/07/25 00:00 [received] PHST- 2019/01/02 00:00 [revised] PHST- 2019/03/26 00:00 [accepted] PHST- 2019/06/19 06:00 [pubmed] PHST- 2020/10/02 06:00 [medline] PHST- 2019/06/19 06:00 [entrez] AID - S0899-9007(18)30673-7 [pii] AID - 10.1016/j.nut.2019.03.011 [doi] PST - ppublish SO - Nutrition. 2019 Oct;66:62-69. doi: 10.1016/j.nut.2019.03.011. Epub 2019 Mar 29.