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000143859 0247_ $$2ISSN$$a0022-3166
000143859 0247_ $$2ISSN$$a1541-6100
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000143859 037__ $$aDKFZ-2019-01421
000143859 041__ $$aeng
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000143859 1001_ $$aJannasch, Franziska$$b0
000143859 245__ $$aGeneralizability of a Diabetes-Associated Country-Specific Exploratory Dietary Pattern Is Feasible Across European Populations.
000143859 260__ $$aBethesda, Md.$$bOxford University Press$$c2019
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000143859 520__ $$aPopulation-specificity of exploratory dietary patterns limits their generalizability in investigations with type 2 diabetes incidence.The aim of this study was to derive country-specific exploratory dietary patterns, investigate their association with type 2 diabetes incidence, and replicate diabetes-associated dietary patterns in other countries.Dietary intake data were used, assessed by country-specific questionnaires at baseline of 11,183 incident diabetes cases and 14,694 subcohort members (mean age 52.9 y) from 8 countries, nested within the European Prospective Investigation into Cancer and Nutrition study (mean follow-up time 6.9 y). Exploratory dietary patterns were derived by principal component analysis. HRs for incident type 2 diabetes were calculated by Prentice-weighted Cox proportional hazard regression models. Diabetes-associated dietary patterns were simplified or replicated to be applicable in other countries. A meta-analysis across all countries evaluated the generalizability of the diabetes-association.Two dietary patterns per country/UK-center, of which overall 3 dietary patterns were diabetes-associated, were identified. A risk-lowering French dietary pattern was not confirmed across other countries: pooled HRFrance per 1 SD: 1.00; 95% CI: 0.90, 1.10. Risk-increasing dietary patterns, derived in Spain and UK-Norfolk, were confirmed, but only the latter statistically significantly: HRSpain: 1.09; 95% CI: 0.97, 1.22 and HRUK-Norfolk: 1.12; 95% CI: 1.04, 1.20. Respectively, this dietary pattern was characterized by relatively high intakes of potatoes, processed meat, vegetable oils, sugar, cake and cookies, and tea.Only few country/center-specific dietary patterns (3 of 18) were statistically significantly associated with diabetes incidence in this multicountry European study population. One pattern, whose association with diabetes was confirmed across other countries, showed overlaps in the food groups potatoes and processed meat with identified diabetes-associated dietary patterns from other studies. The study demonstrates that replication of associations of exploratory patterns with health outcomes is feasible and a necessary step to overcome population-specificity in associations from such analyses.
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000143859 7001_ $$aKröger, Janine$$b1
000143859 7001_ $$aAgnoli, Claudia$$b2
000143859 7001_ $$aBarricarte, Aurelio$$b3
000143859 7001_ $$aBoeing, Heiner$$b4
000143859 7001_ $$aCayssials, Valerie$$b5
000143859 7001_ $$aColorado-Yohar, Sandra$$b6
000143859 7001_ $$aDahm, Christina C$$b7
000143859 7001_ $$aDow, Courtney$$b8
000143859 7001_ $$aFagherazzi, Guy$$b9
000143859 7001_ $$aFranks, Paul W$$b10
000143859 7001_ $$aFreisling, Heinz$$b11
000143859 7001_ $$aGunter, Marc J$$b12
000143859 7001_ $$aKerrison, Nicola D$$b13
000143859 7001_ $$aKey, Timothy J$$b14
000143859 7001_ $$aKhaw, Kay-Tee$$b15
000143859 7001_ $$0P:(DE-He78)0907a10ba1dc8f53f04907f54f6fdcfe$$aKühn, Tilman$$b16$$udkfz
000143859 7001_ $$aKyro, Cecilie$$b17
000143859 7001_ $$aMancini, Francesca Romana$$b18
000143859 7001_ $$aMokoroa, Olatz$$b19
000143859 7001_ $$aNilsson, Peter$$b20
000143859 7001_ $$aOvervad, Kim$$b21
000143859 7001_ $$aPalli, Domenico$$b22
000143859 7001_ $$aPanico, Salvatore$$b23
000143859 7001_ $$aGarcía, Jose Ramón Quirós$$b24
000143859 7001_ $$aRolandsson, Olov$$b25
000143859 7001_ $$aSacerdote, Carlotta$$b26
000143859 7001_ $$aSánchez, Mariá-José$$b27
000143859 7001_ $$aSahrai, Mohammad Sediq$$b28
000143859 7001_ $$0P:(DE-He78)ceb74219d144ab5760a228e71440c5ca$$aSchübel, Ruth$$b29$$udkfz
000143859 7001_ $$aSluijs, Ivonne$$b30
000143859 7001_ $$aSpijkerman, Annemieke M W$$b31
000143859 7001_ $$aTjonneland, Anne$$b32
000143859 7001_ $$aTong, Tammy Y N$$b33
000143859 7001_ $$aTumino, Rosario$$b34
000143859 7001_ $$aRiboli, Elio$$b35
000143859 7001_ $$aLangenberg, Claudia$$b36
000143859 7001_ $$aSharp, Stephen J$$b37
000143859 7001_ $$aForouhi, Nita G$$b38
000143859 7001_ $$aSchulze, Matthias B$$b39
000143859 7001_ $$aWareham, Nicholas J$$b40
000143859 773__ $$0PERI:(DE-600)1469429-3$$a10.1093/jn/nxz031$$gVol. 149, no. 6, p. 1047 - 1055$$n6$$p1047 - 1055$$tThe journal of nutrition$$v149$$x1541-6100$$y2019
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