PMID- 37394447 OWN - NLM STAT- MEDLINE DCOM- 20230704 LR - 20230705 IS - 1472-6823 (Electronic) IS - 1472-6823 (Linking) VI - 23 IP - 1 DP - 2023 Jul 3 TI - Insulinaemic potential of diet and lifestyle and risk of type 2 diabetes in the Iranian adults: result from Yazd health study. PG - 136 LID - 10.1186/s12902-023-01364-9 [doi] LID - 136 AB - BACKGROUND: Previous studies have shown that insulin directly affects the risk of type 2 diabetes mellitus (T2DM) but the relationship between insulinaemic potential of diet and lifestyle and the T2DM risk is still unknown. Accordingly, we aimed to investigate the relationship between the insulinaemic potential of diet and lifestyle based on indices including empirical dietary index for hyperinsulinaemia (EDIH), empirical lifestyle index for hyperinsulinaemia (ELIH), empirical dietary index for insulin resistance (EDIR) and empirical lifestyle index for insulin resistance (ELIR) and the T2DM risk in the Iranian adults. METHODS: This study was performed on data of enrollment phase of the Yazd Health Study (YaHS) and TAghzieh Mardom-e-Yazd (Yazd Nutrition Study) (TaMYZ) on 5714 adults aged 20-70 years (mean: 36.29 years). A validated food frequency questionnaire and clinical tests were used to assess food intake and T2DM ascertainment, respectively. We used the Cox regression analysis for determining the relationship between the indices and T2DM risk. RESULTS: After adjusting for confounding variables, our findings showed that diet with higher ELIH score is 2.28 times more likely for T2DM risk (RR 2.28 [95% CI 1.69-2.56]), but there was no significant relationship between the EDIH, ELIR and EDIR scores and T2DM risk in adults, in the entire study population. CONCLUSIONS: Our findings suggest that diets with higher ELIH score increases the T2DM risk, but there was no significant relationship between the EDIH, ELIR and EDIR scores and T2DM risk. Further epidemiological studies are needed to confirm our findings. CI - (c) 2023. The Author(s). FAU - Omrani, Morteza AU - Omrani M AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. FAU - Hosseinzadeh, Mahdieh AU - Hosseinzadeh M AD - Nutrition and Food Security Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. AD - Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. FAU - Shab Bidar, Sakineh AU - Shab Bidar S AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Mirzaei, Masoud AU - Mirzaei M AD - Yazd Cardiovascular Research Center, Yazd Non-communicable Disease Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. FAU - Teymoori, Farshad AU - Teymoori F AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. AD - Nutrition and Endocrine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Nadjarzadeh, Azadeh AU - Nadjarzadeh A AD - Nutrition and Food Security Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. FAU - Firouzabadi, Fatemeh Dehghani AU - Firouzabadi FD AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Rahideh, Seyedeh Tayebeh AU - Rahideh ST AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. rahide.t@iums.ac.ir. LA - eng PT - Journal Article DEP - 20230703 PL - England TA - BMC Endocr Disord JT - BMC endocrine disorders JID - 101088676 RN - 0 (Insulin) SB - IM MH - Humans MH - Adult MH - *Diabetes Mellitus, Type 2/epidemiology/etiology MH - Iran/epidemiology MH - *Insulin Resistance MH - Diet/adverse effects MH - Insulin MH - Risk Factors PMC - PMC10316619 OTO - NOTNLM OT - Empirical dietary index for hyperinsulinaemia OT - Empirical dietary index for insulin resistance OT - Empirical dietary indices for lifestyle OT - Empirical lifestyle index for insulin resistance OT - Type 2 diabetes COIS- The authors declare that they have no conflict of interest. EDAT- 2023/07/03 00:41 MHDA- 2023/07/04 06:42 PMCR- 2023/07/03 CRDT- 2023/07/02 23:31 PHST- 2022/11/07 00:00 [received] PHST- 2023/05/09 00:00 [accepted] PHST- 2023/07/04 06:42 [medline] PHST- 2023/07/03 00:41 [pubmed] PHST- 2023/07/02 23:31 [entrez] PHST- 2023/07/03 00:00 [pmc-release] AID - 10.1186/s12902-023-01364-9 [pii] AID - 1364 [pii] AID - 10.1186/s12902-023-01364-9 [doi] PST - epublish SO - BMC Endocr Disord. 2023 Jul 3;23(1):136. doi: 10.1186/s12902-023-01364-9.