PMID- 34059041 OWN - NLM STAT- MEDLINE DCOM- 20211206 LR - 20211214 IS - 1472-6823 (Electronic) IS - 1472-6823 (Linking) VI - 21 IP - 1 DP - 2021 May 31 TI - Habitual intake of dietary L-arginine in relation to risk of type 2 diabetes: a prospective study. PG - 113 LID - 10.1186/s12902-021-00774-x [doi] LID - 113 AB - BACKGROUND: There are insufficient data in case of the potential association of habitual dietary L-arginine and the risk of type 2 diabetes mellitus (T2DM) incidence. Here we aimed to examine the potential effect of dietary L-arginine on the T2DM incidence. METHODS: For this cohort study, 2139 T2DM-free adults from the participations of Tehran Lipid and Glucose Study (TLGS) were recruited. Follow up period was approximately 5.8 years. Daily intakes of protein and L-arginine were estimated using a validated food frequency questionnaire with 168 food item. Hazard Ratios (HRs) and 95% confidence intervals (CIs), adjusted for sex, age, smoking, diabetes risk score, physical activity levels, and total energy intakes as well as carbohydrate, fiber, fats and lysine, were calculated for L-arginine as both absolute intake and its ratio from total protein. RESULTS: Mean (+/-SD) age of the participants was 38.9 (+/-12.6) years and 54.6% were women. Mean (+/-SD) intake of dietary protein and L-arginine was 77.2 (+/-22.4) and 4.05 (+/-1.50) g/d, respectively. An increased risk of T2DM (HR = 2.71, 95% CI = 1.20-6.09) was observed among participants with higher intakes of L-arginine (median intake of > 5.4 vs. 2.69 g/d). Total protein intake and the ratio of L-arginine to total protein intakes were not related to incidence of T2DM in both crude and adjusted models. CONCLUSION: We found that higher dietary L-arginine levels may increase risk of T2DM and it may have an independent role in T2DM development. FAU - Mirmiran, Parvin AU - Mirmiran P AD - Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O. Box: 19395-4763, No. 24, Sahid-Erabi St, Yemen St, Chamran Exp, Tehran, Iran. FAU - Bahadoran, Zahra AU - Bahadoran Z AD - Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O. Box: 19395-4763, No. 24, Sahid-Erabi St, Yemen St, Chamran Exp, Tehran, Iran. zahrabahadoran@yahoo.com. FAU - Gaeini, Zahra AU - Gaeini Z AD - Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O. Box: 19395-4763, No. 24, Sahid-Erabi St, Yemen St, Chamran Exp, Tehran, Iran. FAU - Azizi, Fereidoun AU - Azizi F AD - Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article DEP - 20210531 PL - England TA - BMC Endocr Disord JT - BMC endocrine disorders JID - 101088676 RN - 94ZLA3W45F (Arginine) SB - IM MH - Adult MH - Arginine/administration & dosage/*adverse effects MH - Diabetes Mellitus, Type 2/*epidemiology/etiology/pathology MH - *Diet MH - Female MH - Follow-Up Studies MH - Humans MH - Incidence MH - Iran/epidemiology MH - Male MH - Prognosis MH - Prospective Studies MH - Risk Factors PMC - PMC8165802 OTO - NOTNLM OT - Dietary protein OT - L-arginine OT - Type 2 diabetes COIS- The authors declare that they have no competing of interests. Dr. Zahra Bahadoran is a member of the editorial board of BMC Endocrine Disorders. EDAT- 2021/06/02 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/05/31 CRDT- 2021/06/01 05:40 PHST- 2020/07/25 00:00 [received] PHST- 2021/05/20 00:00 [accepted] PHST- 2021/06/01 05:40 [entrez] PHST- 2021/06/02 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/05/31 00:00 [pmc-release] AID - 10.1186/s12902-021-00774-x [pii] AID - 774 [pii] AID - 10.1186/s12902-021-00774-x [doi] PST - epublish SO - BMC Endocr Disord. 2021 May 31;21(1):113. doi: 10.1186/s12902-021-00774-x.