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Healthy diet and lifestyle clustering and glucose intolerance

Published online by Cambridge University Press:  05 March 2007

I. J. Perry
I. J. Perry
Affiliation:
Department of Epidemiology and Public Health, University College Cork, Distillery House, North Mall, Cork, Republic of Ireland
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Abstract

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Glucose intolerance represents a spectrum of abnormalities, including impaired fasting glucose, impaired glucose tolerance and type 2 diabetes. It is a major public health challenge worldwide, with rapidly increasing prevalence rates in both developed and developing countries. This global epidemic of diabetes is largely driven by the globalisation of Western culture and lifestyles. Specifically, there is now evidence from large-scale observational studies, and from intervention studies, of powerful synergistic interactions between diet, obesity, exercise, smoking and alcohol in the development of glucose intolerance. It is estimated that > 90 % of cases of type 2 diabetes in the population could be prevented with the adoption of a prudent diet (high in cereal fibre and polyunsaturated fatty acids and low in trans-fatty acids and glycaemic load), avoidance of overweight and obesity (BMI < 25 kg/m2), engagement in moderate to vigorous physical activity for at least 05 h/d, non-smoking and moderate alcohol consumption. These findings are biologically plausible and have major public health implications. They form the basis for a clear, simple and coherent message for health promotion and public policy. However, to make progress on these issues health will need to be placed at the centre of public policy and relevant vested interests tackled, notably in the food, entertainment, tobacco and automobile industries.

Keywords

DietLifestyleType 2 diabetesGlucose intolerance
Type
Meeting Report
Information
Proceedings of the Nutrition Society , Volume 61 , Issue 4 , November 2002 , pp. 543 - 551
Copyright
Copyright © The Nutrition Society 2002

References

Ajani, UA, Hennekens, CH, Spelsberg, A & Manson, JE (2000) Alcohol consumption and risk of type 2 diabetes mellitus among US male physicians. Archives of Internal Medicine 160, 1025–1030.CrossRefGoogle ScholarPubMed
Akin, JS, Guilkey, DK, Popkin, BM & Fanelli, MT (1986) Cluster analysis of food consumption patterns of older Americans. Journal of the American Dietetic Association 86, 616–624.CrossRefGoogle ScholarPubMed
Attvall, S, Fowelin, J, Lager, I, Von, Schenck H & Smith, U (1993) Smoking induces insulin resistance - a potential link with the insulin resistance syndrome. Journal of Internal Medicine 233, 327–332.CrossRefGoogle ScholarPubMed
Bray, GA (1998) Obesity: a time bomb to be defused. Lancet 352, 160–161.CrossRefGoogle ScholarPubMed
Burchfiel, CM, Sharp, DS, Curb, JD, Rodriguez, BL, Hwang, LJ, Marcus, EB & Yano, K (1995) Physical activity and incidence of diabetes: the Honolulu Heart Program. American Journal of Epidemiology 141, 360–368.CrossRefGoogle ScholarPubMed
Chisholm, DJ, Campbell, LV & Kraegen, EW (1997) Pathogenesis of the insulin resistance syndrome (syndrome X). Clinical and Experimental Pharmacology and Physiology 24, 782–784.CrossRefGoogle ScholarPubMed
Colditz, GA, Manson, JE, Stampfer, MJ, Rosner, B, Willett, WC & Speizer, FE (1992) Diet and risk of clinical diabetes in women. American Journal of Clinical Nutrition 55, 1018–1023.CrossRefGoogle ScholarPubMed
Colditz, GA, Willett, WC, Rotnitzky, A & Manson, JE (1995) Weight gain as a risk factor for clinical diabetes mellitus in women. Annals of Internal Medicine 122, 481–486.CrossRefGoogle ScholarPubMed
Colditz, GA, Willett, WC, Stampfer, MJ, Manson, JE, Hennekens, CH, Arky, RA & Speizer, FE (1990) Weight as a risk factor for clinical diabetes in women. American Journal of Epidemiology 132, 501–513.CrossRefGoogle ScholarPubMed
Creagh, D, Neilson, S, Collins, A, Colwell, N, Hinchion, R, Drew, C, O'Halloran, DJ & Perry, IJ (2002) The prevalence of cardiovascular risk factors and cardiovascular disease in a primary care population of middle-aged Irish men and women. Irish Medical Journal (In the Press).Google Scholar
Dunstan, DW, Zimmet, PZ, Welborn, TA, De, Courten MP, Cameron, AJ, Sicree, RA, Dwyer, T, Colagiuri, S, Jolley, D, Knuiman, M, Atkins, R & Shaw, JE (2002) The rising prevalence of diabetes and impaired glucose tolerance: the Australian Diabetes, Obesity and Lifestyle Study. Diabetes Care 25, 829–834.CrossRefGoogle ScholarPubMed
Ebbeling, CB, Pawlak, DB & Ludwig, DS (2002) Childhood obesity: public-health crisis, common sense cure. Lancet 360, 473–482.CrossRefGoogle ScholarPubMed
Eriksson, KF & Lindgarde, F (1991) Prevention of type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise. The 6-year Malmo feasibility study. Diabetologia 34, 891–898.CrossRefGoogle ScholarPubMed
Facchini, FS, Hollenbeck, CB, Jeppesen, J, Chen, YD & Reaven, GM (1992) Insulin resistance and cigarette smoking. Lancet 339, 1128–1130.CrossRefGoogle ScholarPubMed
Feskens, EJ, Bowles, CH & Kromhout, D (1991) Inverse association between fish intake and risk of glucose intolerance in normoglycemic elderly men and women. Diabetes Care 14, 935–941.CrossRefGoogle ScholarPubMed
Feskens, EJ, Virtanen, SM, Rasanen, L, Tuomilehto, J, Stengard, J, Pekkanen, J, Nissinen, A & Kromhout, D (1995) Dietary factors determining diabetes and impaired glucose tolerance. A 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study. Diabetes Care 18, 1104–1112.CrossRefGoogle ScholarPubMed
Flegal, KM, Carroll, MD, Kuczmarski, RJ & Johnson, CL (1998) Overweight and obesity in the United States: prevalence and trends, 1960-1994. International Journal of Obesity and Related Disorders 22, 39–47.CrossRefGoogle ScholarPubMed
Gittelsohn, J, Wolever, TM, Harris, SB, Harris-Giraldo, R, Hanley, AJ & Zinman, B (1998) Specific patterns of food consumption and preparation are associated with diabetes and obesity in a Native Canadian community. Journal of Nutrition 128, 541–547.CrossRefGoogle Scholar
Helmrich, SP, Ragland, DR, Leung, RW & Paffenbarger, RS Jr (1991) Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. New England Journal of Medicine 325, 147–152.CrossRefGoogle ScholarPubMed
Holbrook, TL, Barrett-Connor, E & Wingard, DL (1990) A prospective population-based study of alcohol use and non-insulin-dependent diabetes mellitus. American Journal of Epidemiology 132, 902–909.CrossRefGoogle ScholarPubMed
Hu, FB, Manson, JE, Stampfer, MJ, Colditz, G, Liu, S, Solomon, CG & Willett, WC (2001a) Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. New England Journal of Medicine 345, 790–797.CrossRefGoogle ScholarPubMed
Hu, FB, van Dam, RM & Liu, S (2001b) Diet and risk of Type II diabetes: the role of types of fat and carbohydrate. Diabetologia 44, 805–817.CrossRefGoogle ScholarPubMed
Jarrett, RJ, Shipley, MJ & Hunt, R (1986) Physical activity, glucose tolerance, and diabetes mellitus: the Whitehall Study. Diabetes and Medicine 3, 549–551.CrossRefGoogle ScholarPubMed
King, H, Aubert, RE & Herman, WH (1998) Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care 21, 1414–1431.CrossRefGoogle ScholarPubMed
Knowler, WC, Barrett-Connor, E, Fowler, SE, Hamman, RF, Lachin, JM, Walker, EA & Nathan, DM (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 346, 393–403.Google ScholarPubMed
Liu, S, Manson, JE, Stampfer, MJ, Hu, FB, Giovannucci, E, Colditz, GA, Hennekens, CH & Willett, WC (2000) A prospective study of whole-grain intake and risk of type 2 diabetes mellitus in US women. American Journal of Public Health 90, 1409–1415.Google ScholarPubMed
McCarthy, SN, Gibney, MJ, Flynn, A & Livingstone, MBE (2002) Overweight, obesity and physical activity levels in Irish adults: evidence from the North/South Ireland Food Consumption Survey. Proceedings of the Nutrition Society 61, 3–7.CrossRefGoogle ScholarPubMed
Manson, JE, Nathan, DM, Krolewski, AS, Stampfer, MJ, Willett, WC & Hennekens, CH (1992) A prospective study of exercise and incidence of diabetes among US male physicians. Journal of the American Medical Association 268, 63–67.CrossRefGoogle ScholarPubMed
Manson, JE, Rimm, EB, Stampfer, MJ, Colditz, GA, Willett, WC, Krolewski, AS, Rosner, B, Hennekens, CH & Speizer, FE (1991) Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet 338, 774–778.CrossRefGoogle ScholarPubMed
Manson, JE & Spelsberg, A (1994) Primary prevention of non-insulin-dependent diabetes mellitus. American Journal of Preventive Medicine 10, 172–184.CrossRefGoogle ScholarPubMed
Matthews, DR, Hosker, JP, Rudenski, AS, Naylor, BA, Treacher, DF & Turner, RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28, 412–419.CrossRefGoogle ScholarPubMed
Meyer, KA, Kushi, LH, Jacobs, DR Jr & Folsom, AR (2001) Dietary fat and incidence of type 2 diabetes in older Iowa women. Diabetes Care 24, 1528–1535.CrossRefGoogle ScholarPubMed
Meyer, KA, Kushi, LH, Jacobs, DR Jr, Slavin, J, Sellers, TA & Folsom, AR (2000) Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. American Journal of Clinical Nutrition 71, 921–930.CrossRefGoogle ScholarPubMed
Millen, BE, Quatromoni, PA, Copenhafer, DL, Demissie, S, O'Horo, CE & D'Agostino, RB (2001) Validation of a dietary pattern approach for evaluating nutritional risk: the Framingham Nutrition Studies. Journal of the American Dietetic Association 101, 187–194.CrossRefGoogle ScholarPubMed
Nakanishi, N, Nakamura, K, Matsuo, Y, Suzuki, K & Tatara, K (2000) Cigarette smoking and risk for impaired fasting glucose and type 2 diabetes in middle-aged Japanese men. Annals of Internal Medicine 133, 183–191.CrossRefGoogle ScholarPubMed
Pan, XR, Li, GW, Hu, YH, Wang, JX, Yang, WY, An, ZX, Hu, ZX, Lin, J, Xiao, JZ, Cao, HB, Liu, PA, Jiang, XG, Jiang, YY, Wang, JP, Zheng, H, Zhang, H, Bennett, PH & Howard, BV (1997) Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 20, 537–544.CrossRefGoogle Scholar
Perry, IJ (2001) Commentary: smoking and diabetes - accumulating evidence of a causal link. International Journal of Epidemiology 30, 554–555.CrossRefGoogle ScholarPubMed
Perry, IJ, Wannamethee, SG, Walker, MK, Thomson, AG, Whincup, PH & Shaper, AG (1995) Prospective study of risk factors for development of non-insulin dependent diabetes in middle aged British men. British Medical Journal 310, 560–564.CrossRefGoogle ScholarPubMed
Rimm, EB, Chan, J, Stampfer, MJ, Colditz, GA & Willett, WC (1995) Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men. British Medical Journal 310, 555–559.CrossRefGoogle ScholarPubMed
Rimm, EB, Manson, JE, Stampfer, MJ, Colditz, GA, Willett, WC, Rosner, B, Hennekens, CH & Speizer, FE (1993) Cigarette smoking and the risk of diabetes in women. American Journal of Public Health 83, 211–214.CrossRefGoogle ScholarPubMed
Salmeron, J, Ascherio, A, Rimm, EB, Colditz, GA, Spiegelman, D, Jenkins, DJ, Stampfer, MJ, Wing, AL & Willett, WC (1997a) Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care 20, 545–550.CrossRefGoogle ScholarPubMed
Salmeron, J, Hu, FB, Manson, JE, Stampfer, MJ, Colditz, GA, Rimm, EB & Willett, WC (2001) Dietary fat intake and risk of type 2 diabetes in women. American Journal of Clinical Nutrition 73, 1019–1026.CrossRefGoogle ScholarPubMed
Salmeron, J, Manson, JE, Stampfer, MJ, Colditz, GA, Wing, AL & Willett, WC (1997b) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. Journal of the American Medical Association 277, 472–477.CrossRefGoogle ScholarPubMed
Schwerin, HS, Stanton, JL, Smith, JL, Riley, AM Jr & Brett, BE (1982) Food, eating habits, and health: a further examination of the relationship between food eating patterns and nutritional health. American Journal of Clinical Nutrition 35, 1319–1325.CrossRefGoogle Scholar
Spelsberg, A & Manson, JE (1993) Towards prevention of non-insulin dependent diabetes mellitus. In Causes of Diabetes, pp. 319–345 [ Leslie, RDG, editor ]. Chichester, West Sussex: John Wiley & Sons.Google Scholar
Stampfer, MJ, Colditz, GA, Willett, WC, Manson, JE, Arky, RA, Hennekens, CH & Speizer, FE (1988) A prospective study of moderate alcohol drinking and risk of diabetes in women. American Journal of Epidemiology 128, 549–558.CrossRefGoogle ScholarPubMed
Stern, MP (1995) Diabetes and cardiovascular disease. The ‘common soil’ hypothesis. Diabetes 44, 369–374.CrossRefGoogle ScholarPubMed
Tuomilehto, J, Lindstrom, J, Eriksson, JG, Valle, TT, Hamalainen, H, Ilanne-Parikka, P, Keinanen-Kiukaanniemi, S, Laakso, M, Louheranta, A, Rastas, M, Salminen, V & Uusitupa, M (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine 344, 1343–1350.CrossRefGoogle ScholarPubMed
van Dam, RM, Rimm, EB, Willett, WC, Stampfer, MJ & Hu, FB (2002a) Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. Annals of Internal Medicine 136, 201–209.CrossRefGoogle ScholarPubMed
van Dam, RM, Willett, WC, Rimm, EB, Stampfer, MJ & Hu, FB (2002b) Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care 25, 417–424.CrossRefGoogle ScholarPubMed
Wannamethee, SG & Shaper, AG (1999) Weight change and duration of overweight and obesity in the incidence of type 2 diabetes. Diabetes Care 22, 1266–1272.CrossRefGoogle ScholarPubMed
Wannamethee, SG, Shaper, AG & Perry, IJ (2001) Smoking as a modifiable risk factor for type 2 diabetes in middle-aged men. Diabetes Care 24, 1590–1595.CrossRefGoogle ScholarPubMed
Wannamethee, SG, Shaper, AG, Perry, IJ & Alberti, KG (2002) Alcohol consumption and the incidence of type II diabetes. Journal of Epidemiology and Community Health 56, 542–548.CrossRefGoogle ScholarPubMed
Wei, M, Gibbons, LW, Mitchell, TL, Kampert, JB & Blair, SN (2000) Alcohol intake and incidence of type 2 diabetes in men. Diabetes Care 23, 18–22.CrossRefGoogle ScholarPubMed
Wilding, J (1997) Science, medicine, and the future. Obesity treatment. British Medical Journal 315, 997–1000.CrossRefGoogle ScholarPubMed
Will, JC, Galuska, DA, Ford, ES, Mokdad, A & Calle, EE (2001) Cigarette smoking and diabetes mellitus: evidence of a positive association from a large prospective cohort study. International Journal of Epidemiology 30, 540–546.CrossRefGoogle ScholarPubMed
Willet, W (1990) Nutritional Epidemiology. New York: Oxford University Press Inc.Google Scholar
Williams, DE, Prevost, AT, Whichelow, MJ, Cox, BD, Day, NE & Wareham, NJ (2000) A cross-sectional study of dietary patterns with glucose intolerance and other features of the metabolic syndrome. British Journal of Nutrition 83, 257–266.CrossRefGoogle ScholarPubMed
Williams, DE, Wareham, NJ, Cox, BD, Byrne, CD, Hales, CN & Day, NE (1999) Frequent salad vegetable consumption is associated with a reduction in the risk of diabetes mellitus. Journal of Clinical Epidemiology 52, 329–335.CrossRefGoogle ScholarPubMed
World Health Organization (1999) Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Geneva: WHO.Google Scholar
Zimmet, P, Alberti, KG & Shaw, J (2001) Global and societal implications of the diabetes epidemic. Nature 414, 782–787.CrossRefGoogle ScholarPubMed