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@article{Ibsen:2020:10.2337/dc20-1038,
author = {Ibsen, DB and Steur, M and Imamura, F and Overvad, K and Schulze, MB and Bendinelli, B and Guevara, M and Agudo, A and Amiano, P and Aune, D and Barricarte, A and Ericson, U and Fagherazzi, G and Franks, PW and Freisling, H and Quiros, JR and Grioni, S and Heath, AK and Huybrechts, I and Katze, V and Laouali, N and Mancini, F and Masala, G and Olsen, A and Papier, K and Ramne, S and Rolandsson, O and Sacerdote, C and Sanchez, M-J and Santiuste, C and Simeon, V and Spijkerman, AMW and Srour, B and Tjonneland, A and Tong, TYN and Tumino, R and van, der Schouw YT and Weiderpass, E and Wittenbecher, C and Sharp, SJ and Riboli, E and Forouhi, NG and Wareham, NJ},
doi = {10.2337/dc20-1038},
journal = {Diabetes Care},
pages = {2660--2667},
title = {Replacement of red and processed meat with other food sources of protein and the risk of type 2 diabetes in European populations: The EPIC-interAct study},
url = {http://dx.doi.org/10.2337/dc20-1038},
volume = {43},
year = {2020}
}

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TY  - JOUR
AB  - OBJECTIVE There is sparse evidence for the association of suitable food substitutions for red and processed meat on the risk of type 2 diabetes. We modeled the association between replacing red and processed meat with other protein sources and the risk of type 2 diabetes and estimated its population impact.RESEARCH DESIGN AND METHODS The European Prospective Investigation into Cancer (EPIC)-InterAct case cohort included 11,741 individuals with type 2 diabetes and a subcohort of 15,450 participants in eight countries. We modeled the replacement of self-reported red and processed meat with poultry, fish, eggs, legumes, cheese, cereals, yogurt, milk, and nuts. Country-specific hazard ratios (HRs) for incident type 2 diabetes were estimated by Prentice-weighted Cox regression and pooled using random-effects meta-analysis.RESULTS There was a lower hazard for type 2 diabetes for the modeled replacement of red and processed meat (50 g/day) with cheese (HR 0.90, 95% CI 0.83–0.97) (30 g/day), yogurt (0.90, 0.86–0.95) (70 g/day), nuts (0.90, 0.84–0.96) (10 g/day), or cereals (0.92, 0.88–0.96) (30 g/day) but not for replacements with poultry, fish, eggs, legumes, or milk. If a causal association is assumed, replacing red and processed meat with cheese, yogurt, or nuts could prevent 8.8%, 8.3%, or 7.5%, respectively, of new cases of type 2 diabetes.CONCLUSIONS Replacement of red and processed meat with cheese, yogurt, nuts, or cereals was associated with a lower rate of type 2 diabetes. Substituting red and processed meat by other protein sources may contribute to the prevention of incident type 2 diabetes in European populations.
AU  - Ibsen,DB
AU  - Steur,M
AU  - Imamura,F
AU  - Overvad,K
AU  - Schulze,MB
AU  - Bendinelli,B
AU  - Guevara,M
AU  - Agudo,A
AU  - Amiano,P
AU  - Aune,D
AU  - Barricarte,A
AU  - Ericson,U
AU  - Fagherazzi,G
AU  - Franks,PW
AU  - Freisling,H
AU  - Quiros,JR
AU  - Grioni,S
AU  - Heath,AK
AU  - Huybrechts,I
AU  - Katze,V
AU  - Laouali,N
AU  - Mancini,F
AU  - Masala,G
AU  - Olsen,A
AU  - Papier,K
AU  - Ramne,S
AU  - Rolandsson,O
AU  - Sacerdote,C
AU  - Sanchez,M-J
AU  - Santiuste,C
AU  - Simeon,V
AU  - Spijkerman,AMW
AU  - Srour,B
AU  - Tjonneland,A
AU  - Tong,TYN
AU  - Tumino,R
AU  - van,der Schouw YT
AU  - Weiderpass,E
AU  - Wittenbecher,C
AU  - Sharp,SJ
AU  - Riboli,E
AU  - Forouhi,NG
AU  - Wareham,NJ
DO  - 10.2337/dc20-1038
EP  - 2667
PY  - 2020///
SN  - 0149-5992
SP  - 2660
TI  - Replacement of red and processed meat with other food sources of protein and the risk of type 2 diabetes in European populations: The EPIC-interAct study
T2  - Diabetes Care
UR  - http://dx.doi.org/10.2337/dc20-1038
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000579855400019&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://care.diabetesjournals.org/content/43/11/2660
UR  - http://hdl.handle.net/10044/1/87277
VL  - 43
ER  -

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