Articles producció científica> Medicina i Cirurgia

Heme iron intake and risk of new-onset diabetes in a Mediterranean population at high risk of cardiovascular disease: An observational cohort analysis

  • Dades identificatives

    Identificador: imarina:6387565
    Autors:
    Candido Fernandez-Cao, JoseArija, VictoriaAranda, NuriaBullo, MonicaBasora, JosepAngel Martinez-Gonzalez, MiguelDiez-Espino, JavierSalas-Salvado, Jordi
    Resum:
    Background: Several epidemiological studies have observed an increased risk of type 2 diabetes mellitus (T2DM) among subjects with a higher consumption of red and processed meat. Heme iron intake has been directly associated with a higher risk of T2DM in healthy adult Chinese and U.S populations. The objective of the present study was to evaluate the association between heme iron intake and the incidence of T2DM in a Mediterranean population at high cardiovascular risk. Methods. We assessed a subset of participants in the PREDIMED trial as an observational cohort, followed up for a maximum of eight years. We initially included 1073 non-diabetic subjects (57.1% women) aged 67.3 ± 6.0 years, at high cardiovascular risk. Diet was assessed at the study baseline using a validated, semi-quantitative food frequency questionnaire. Results: During the follow-up period 131 diabetics were newly diagnosed. The risk of developing T2DM was assessed using baseline heme iron intake and proportional hazard models, first unadjusted, then adjusted for energy, and finally adjusted for dietary, anthropometric, socio-demographic and lifestyle variables. Significant direct associations with the incidence of T2DM were found for heme iron (Hazard Ratio [HR] 1.30, 95% confidence interval [CI], 1.02 to 1.66). Secondarily, we have also observed that coffee (HR:0.93, 95% CI, 0.89 to 0.98) and alcoholic beverages (HR: 1.02, 95% CI, 1.01 to 1.04) were also found to reduce and increase the risk of T2DM, respectively. Conclusion: High dietary intake of heme iron was associated with an increased risk of developing T2DM in a Mediterranean population at high cardiovascular risk. Trial registration. Identifier: ISRCTN35739639. © 2013 Fernandez-Cao et al.; licensee BioMed Central Ltd.
  • Altres:

    Autor segons l'article: Candido Fernandez-Cao, Jose; Arija, Victoria; Aranda, Nuria; Bullo, Monica; Basora, Josep; Angel Martinez-Gonzalez, Miguel; Diez-Espino, Javier; Salas-Salvado, Jordi
    Departament: Bioquímica i Biotecnologia Ciències Mèdiques Bàsiques Medicina i Cirurgia
    Autor/s de la URV: Aranda Pons, Núria / Arija Val, Maria Victoria / Basora Gallisa, Josep / Bulló Bonet, Mònica / Salas Salvadó, Jorge
    Paraules clau: Zero hunger
    Resum: Background: Several epidemiological studies have observed an increased risk of type 2 diabetes mellitus (T2DM) among subjects with a higher consumption of red and processed meat. Heme iron intake has been directly associated with a higher risk of T2DM in healthy adult Chinese and U.S populations. The objective of the present study was to evaluate the association between heme iron intake and the incidence of T2DM in a Mediterranean population at high cardiovascular risk. Methods. We assessed a subset of participants in the PREDIMED trial as an observational cohort, followed up for a maximum of eight years. We initially included 1073 non-diabetic subjects (57.1% women) aged 67.3 ± 6.0 years, at high cardiovascular risk. Diet was assessed at the study baseline using a validated, semi-quantitative food frequency questionnaire. Results: During the follow-up period 131 diabetics were newly diagnosed. The risk of developing T2DM was assessed using baseline heme iron intake and proportional hazard models, first unadjusted, then adjusted for energy, and finally adjusted for dietary, anthropometric, socio-demographic and lifestyle variables. Significant direct associations with the incidence of T2DM were found for heme iron (Hazard Ratio [HR] 1.30, 95% confidence interval [CI], 1.02 to 1.66). Secondarily, we have also observed that coffee (HR:0.93, 95% CI, 0.89 to 0.98) and alcoholic beverages (HR: 1.02, 95% CI, 1.01 to 1.04) were also found to reduce and increase the risk of T2DM, respectively. Conclusion: High dietary intake of heme iron was associated with an increased risk of developing T2DM in a Mediterranean population at high cardiovascular risk. Trial registration. Identifier: ISRCTN35739639. © 2013 Fernandez-Cao et al.; licensee BioMed Central Ltd.
    Àrees temàtiques: Zootecnia / recursos pesqueiros Sociología Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Planejamento urbano e regional / demografia Odontología Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar Geociências Farmacia Ensino Enfermagem Educação física Educação Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciência de alimentos Biotecnología Astronomia / física Antropologia / arqueologia Administração, ciências contábeis e turismo Administração pública e de empresas, ciências contábeis e turismo
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 14712458
    Adreça de correu electrònic de l'autor: josep.basora@urv.cat nuria.aranda@urv.cat monica.bullo@urv.cat josep.basora@urv.cat jordi.salas@urv.cat victoria.arija@urv.cat
    Identificador de l'autor: 0000-0001-9708-747X 0000-0002-0218-7046 0000-0003-2700-7459 0000-0002-1758-0975
    Data d'alta del registre: 2024-11-16
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-1042
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Bmc Public Health. 13 (1): 1042-
    Referència de l'ítem segons les normes APA: Candido Fernandez-Cao, Jose; Arija, Victoria; Aranda, Nuria; Bullo, Monica; Basora, Josep; Angel Martinez-Gonzalez, Miguel; Diez-Espino, Javier; Salas (2013). Heme iron intake and risk of new-onset diabetes in a Mediterranean population at high risk of cardiovascular disease: An observational cohort analysis. Bmc Public Health, 13(1), 1042-. DOI: 10.1186/1471-2458-13-1042
    DOI de l'article: 10.1186/1471-2458-13-1042
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2013
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Zero hunger
    Zootecnia / recursos pesqueiros
    Sociología
    Serviço social
    Saúde coletiva
    Química
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Planejamento urbano e regional / demografia
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Geociências
    Farmacia
    Ensino
    Enfermagem
    Educação física
    Educação
    Economia
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciência de alimentos
    Biotecnología
    Astronomia / física
    Antropologia / arqueologia
    Administração, ciências contábeis e turismo
    Administração pública e de empresas, ciências contábeis e turismo
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