PMID- 38360842
OWN - NLM
STAT- MEDLINE
DCOM- 20240219
LR  - 20240220
IS  - 2045-2322 (Electronic)
IS  - 2045-2322 (Linking)
VI  - 14
IP  - 1
DP  - 2024 Feb 15
TI  - Association of plant-based dietary patterns with the risk of type 2 diabetes 
      mellitus using cross-sectional results from RaNCD cohort.
PG  - 3814
LID - 10.1038/s41598-024-52946-z [doi]
LID - 3814
AB  - The prevalence of type 2 diabetes mellitus (T2DM) is increasing in middle- and 
      low-income countries, and this disease is a burden on public health systems. 
      Notably, dietary components are crucial regulatory factors in T2DM. Plant-based 
      dietary patterns and certain food groups, such as whole grains, legumes, nuts, 
      vegetables, and fruits, are inversely correlated with diabetes incidence. We 
      conducted the present study to determine the association between adherence to a 
      plant-based diet and the risk of diabetes among adults. We conducted a 
      cross-sectional, population-based RaNCD cohort study involving 3401 men and 3699 
      women. The plant-based diet index (PDI) was developed using a 118-item food 
      frequency questionnaire (FFQ). Logistic regression models were used to evaluate 
      the association between the PDI score and the risk of T2DM. A total of 7100 
      participants with a mean age of 45.96 +/- 7.78 years were analysed. The mean PDI 
      scores in the first, second, and third tertiles (T) were 47.13 +/- 3.41, 
      54.44 +/- 1.69, and 61.57 +/- 3.24, respectively. A lower PDI was significantly 
      correlated with a greater incidence of T2DM (T1 = 7.50%, T2 = 4.85%, T3 = 4.63%; 
      P value < 0.001). Higher PDI scores were associated with significantly increased 
      intakes of fibre, vegetables, fruits, olives, olive oil, legumes, soy products, 
      tea/coffee, whole grains, nuts, vitamin E, vitamin C, and omega-6 fatty acids (P 
      value < 0.001). After adjusting for confounding variables, the odds of having 
      T2DM were significantly lower (by 30%) at T3 of the PDI than at T1 (OR = 0.70; 
      95% CI = 0.51, 0.96; P value < 0.001). Our data suggest that adhering to 
      plant-based diets comprising whole grains, fruits, vegetables, nuts, legumes, 
      vegetable oils, and tea/coffee can be recommended today to reduce the risk of 
      T2DM.
CI  - (c) 2024. The Author(s).
FAU - Heidarzadeh-Esfahani, Neda
AU  - Heidarzadeh-Esfahani N
AD  - Department of Nutritional Sciences, School of Nutritional Sciences and Food 
      Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
AD  - Ala Cancer Control and Prevention Centre, Isfahan, Iran.
FAU - Darbandi, Mitra
AU  - Darbandi M
AD  - Research Center for Environmental Determinants of Health (RCEDH), Health 
      Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
FAU - Khamoushi, Firoozeh
AU  - Khamoushi F
AD  - Research Center for Environmental Determinants of Health (RCEDH), Health 
      Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
FAU - Najafi, Farid
AU  - Najafi F
AD  - Research Center for Environmental Determinants of Health (RCEDH), Health 
      Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
AD  - Cardiovascular Research Center, Kermanshah University of Medical Sciences, 
      Kermanshah, Iran.
FAU - Soleimani, Davood
AU  - Soleimani D
AD  - Department of Nutritional Sciences, School of Nutritional Sciences and Food 
      Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
FAU - Moradi, Mozhgan
AU  - Moradi M
AD  - Internal Medicine Department, School of Medicine, Kermanshah University of 
      Medical Sciences, Kermanshah, Iran.
FAU - Shakiba, Ebrahim
AU  - Shakiba E
AD  - Social Development and Health Promotion Research Center, Kermanshah University of 
      Medical Sciences, Kermanshah, Iran.
FAU - Pasdar, Yahya
AU  - Pasdar Y
AUID- ORCID: 0000-0001-8682-5721
AD  - Research Center for Environmental Determinants of Health (RCEDH), Health 
      Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. 
      yahya.pasdar@kums.ac.ir.
LA  - eng
PT  - Journal Article
DEP - 20240215
PL  - England
TA  - Sci Rep
JT  - Scientific reports
JID - 101563288
RN  - 0 (Coffee)
RN  - 0 (Tea)
SB  - IM
MH  - Male
MH  - Adult
MH  - Humans
MH  - Female
MH  - Middle Aged
MH  - *Diabetes Mellitus, Type 2/epidemiology/etiology
MH  - Dietary Patterns
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Coffee
MH  - Diet
MH  - Vegetables
MH  - Plants
MH  - *Fabaceae
MH  - Tea
PMC - PMC10869829
COIS- The authors declare no competing interests.
EDAT- 2024/02/16 00:42
MHDA- 2024/02/19 06:42
PMCR- 2024/02/15
CRDT- 2024/02/15 23:49
PHST- 2023/06/24 00:00 [received]
PHST- 2024/01/25 00:00 [accepted]
PHST- 2024/02/19 06:42 [medline]
PHST- 2024/02/16 00:42 [pubmed]
PHST- 2024/02/15 23:49 [entrez]
PHST- 2024/02/15 00:00 [pmc-release]
AID - 10.1038/s41598-024-52946-z [pii]
AID - 52946 [pii]
AID - 10.1038/s41598-024-52946-z [doi]
PST - epublish
SO  - Sci Rep. 2024 Feb 15;14(1):3814. doi: 10.1038/s41598-024-52946-z.