PMID- 37074405 OWN - NLM STAT- MEDLINE DCOM- 20230717 LR - 20230718 IS - 1436-6215 (Electronic) IS - 1436-6207 (Linking) VI - 62 IP - 5 DP - 2023 Aug TI - Shifts in dietary patterns and risk of type-2 diabetes in a Caribbean adult population: ways to address diabetes burden. PG - 2233-2243 LID - 10.1007/s00394-023-03144-6 [doi] AB - PURPOSE: As the French West Indies are facing an ongoing nutrition transition with increasing type-2 diabetes mellitus (T2DM) prevalence, our study aimed to evaluate the effect of potential shifts in dietary patterns on T2DM risk in French West Indian adults according to several scenarios. METHODS: We used a cross-sectional multistage sampling survey on dietary intake conducted in 2013 on a representative sample of Guadeloupeans and Martinicans adults (n = 1063). From previously identified current dietary patterns, we used PRIME-Diabetes, a comparative risk assessment model, to estimate the effect of potential shifts from the "transitioning" pattern to the "convenient," the "prudent," and the "traditional" ones on T2DM risks. RESULTS: Potential shift in dietary intakes from the "transitioning" pattern to the "traditional" one reduced the T2DM risk in women (- 16% [- 22; - 10]) and in men - 14% [- 21; - 7]), as the shift in dietary intakes toward the "prudent" pattern (- 23% [- 29; - 17] and - 19% - 23; - 14], respectively). These risk reductions were mostly driven by increased whole grains, fruits, green leafy vegetable intakes, and decreases in potatoes, red meats, processed meats, and sugar-sweetened beverages. The shift in dietary intakes toward the "convenient" pattern did not affect the T2DM risks. CONCLUSION: To curb the increase in T2DM prevalence and reduce this burden, one public health action could be to target transitioning adults and help them to shift towards a diet associated with a reduced risk of T2DM as a prudent or a traditional diet. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany. FAU - Colombet, Zoe AU - Colombet Z AUID- ORCID: 0000-0001-6179-7517 AD - UMR 1110 MOISA, MOISA, Univ Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Montpellier SupAgro, 2 Place Pierre-Viala, 34000, Montpellier, France. zoe.colombet@inrae.fr. FAU - Leroy, Pascal AU - Leroy P AD - INRAE 1303, ALISS, Ivry-Sur-Seine, France. FAU - Soler, Louis-Georges AU - Soler LG AD - INRAE 1303, ALISS, Ivry-Sur-Seine, France. FAU - Mejean, Caroline AU - Mejean C AD - UMR 1110 MOISA, MOISA, Univ Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Montpellier SupAgro, 2 Place Pierre-Viala, 34000, Montpellier, France. LA - eng GR - ANR-16-CE21-0009/Agence Nationale de la Recherche/ PT - Journal Article DEP - 20230419 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 SB - IM MH - Male MH - Humans MH - Adult MH - Female MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/epidemiology/prevention & control MH - Diet MH - Vegetables MH - Fruit MH - Risk Factors OTO - NOTNLM OT - Diabetes OT - Dietary changes OT - French West Indies OT - PRIME EDAT- 2023/04/19 12:41 MHDA- 2023/07/17 06:42 CRDT- 2023/04/19 11:14 PHST- 2022/06/29 00:00 [received] PHST- 2023/04/03 00:00 [accepted] PHST- 2023/07/17 06:42 [medline] PHST- 2023/04/19 12:41 [pubmed] PHST- 2023/04/19 11:14 [entrez] AID - 10.1007/s00394-023-03144-6 [pii] AID - 10.1007/s00394-023-03144-6 [doi] PST - ppublish SO - Eur J Nutr. 2023 Aug;62(5):2233-2243. doi: 10.1007/s00394-023-03144-6. Epub 2023 Apr 19.