PMID- 36047956 OWN - NLM STAT- MEDLINE DCOM- 20221228 LR - 20230629 IS - 2156-5376 (Electronic) IS - 2161-8313 (Print) IS - 2161-8313 (Linking) VI - 13 IP - 6 DP - 2022 Dec 22 TI - Consumption of Dairy Products and the Risk of Overweight or Obesity, Hypertension, and Type 2 Diabetes Mellitus: A Dose-Response Meta-Analysis and Systematic Review of Cohort Studies. PG - 2165-2179 LID - 10.1093/advances/nmac096 [doi] AB - Dairy products have been suggested to be related to the prevention of overweight or obesity, hypertension, and type 2 diabetes mellitus (T2DM). These associations are currently controversial, however, and a systematic quantitative meta-analysis is lacking. In this study, we examined the associations between dairy products and the risk of overweight or obesity, hypertension, and T2DM and tested for dose-response relations. We comprehensively searched PubMed, Embase, and Web of Science up to April 2021. Cohort studies were included if dairy food consumption was reported at a minimum of 3 levels or as continuous variables, and the associations were assessed with overweight or obesity, hypertension, and T2DM. Summary RRs and 95% CIs were estimated for the dose-response association. Restricted cubic splines were used to evaluate the linear or nonlinear relations. Among the 9887 articles retrieved, 42 articles were included. For overweight or obesity, a linear association was observed for total dairy, milk, and yogurt. The risk decreased by 25%, 7%, and 12% per 200-g/d increase for total dairy, high-fat dairy, and milk, respectively, and by 13% per 50-g/d increment of yogurt. For hypertension, a nonlinear association was observed with total dairy, whereas significant inverse associations were found for low-fat dairy (RR: 0.94; 95% CI: 0.90, 0.98) and milk (RR: 0.94; 95% CI: 0.92, 0.97) per 200-g/d intake increase. For T2DM, all types of dairy food consumption except for milk and low-fat dairy products showed nonlinear associations, with total dairy and yogurt intake associated with 3% and 7% lower risk per 200-g/d and 50-g/d intake increase, respectively. In conclusion, our study suggests that total dairy is associated with a low risk of overweight or obesity, hypertension, and T2DM, especially milk and yogurt for overweight or obesity, low-fat dairy and milk for hypertension, and yogurt for T2DM. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition. FAU - Feng, Yifei AU - Feng Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Zhao, Yang AU - Zhao Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Liu, Jiong AU - Liu J AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Huang, Zelin AU - Huang Z AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Yang, Xingjin AU - Yang X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China. FAU - Qin, Pei AU - Qin P AD - Department of Medical Record Management, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, People's Republic of China. FAU - Chen, Chuanqi AU - Chen C AD - Department of Endocrinology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, People's Republic of China. FAU - Luo, Xinping AU - Luo X AD - Guangdong Provincial Key Laboratory of Regional Immunity and Diseases, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Li, Yang AU - Li Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Wu, Yuying AU - Wu Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Li, Xi AU - Li X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China. FAU - Huang, Hao AU - Huang H AD - Department of General Practice, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Hu, Fulan AU - Hu F AUID- ORCID: 0000-0002-2386-1503 AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Hu, Dongsheng AU - Hu D AUID- ORCID: 0000-0002-9998-8041 AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China. AD - Department of General Practice, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Liu, Yu AU - Liu Y AD - Department of General Practice, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. FAU - Zhang, Ming AU - Zhang M AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Health Science Center, Shenzhen, Guangdong, People's Republic of China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review PL - United States TA - Adv Nutr JT - Advances in nutrition (Bethesda, Md.) JID - 101540874 SB - IM MH - Animals MH - Humans MH - Cohort Studies MH - Dairy Products MH - *Diabetes Mellitus, Type 2/epidemiology/etiology/prevention & control MH - Diet MH - *Hypertension/epidemiology/etiology MH - Milk MH - Obesity/epidemiology/etiology MH - Overweight/etiology MH - Risk Factors PMC - PMC9776648 OTO - NOTNLM OT - cohort studies OT - dairy OT - hypertension OT - meta-analysis OT - overweight/obesity OT - type 2 diabetes mellitus EDAT- 2022/09/02 06:00 MHDA- 2022/12/27 06:00 PMCR- 2022/09/01 CRDT- 2022/09/01 10:06 PHST- 2022/05/17 00:00 [received] PHST- 2022/07/12 00:00 [revised] PHST- 2022/08/30 00:00 [accepted] PHST- 2022/09/02 06:00 [pubmed] PHST- 2022/12/27 06:00 [medline] PHST- 2022/09/01 10:06 [entrez] PHST- 2022/09/01 00:00 [pmc-release] AID - S2161-8313(23)00070-4 [pii] AID - nmac096 [pii] AID - 10.1093/advances/nmac096 [doi] PST - ppublish SO - Adv Nutr. 2022 Dec 22;13(6):2165-2179. doi: 10.1093/advances/nmac096.