Type 2 & other diabetes

Carbohydrate Intake Variability, Weight Change and Type 2 Diabetes Risk: A Prospective Cohort Study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Greater variability in carbohydrate-related intake was associated with modestly greater long-term weight gain and a modestly higher risk of incident T2D.

Study context

Population
UK Biobank participants with ≥3 24-h dietary assessments; mean age 56 years
Participants
53,691 participants
Exposure
Per 1-SD increment in coefficient of variation (CV) of carbohydrate, fibre and sugar intake
Outcome
Body weight change and incident T2D
Methodological detailsUK Biobank, 24-h dietary data, ≥3 assessments, multivariable linear regression, Cox proportional hazards models, mediation analysis
  • UK Biobank
  • 24-h dietary data, ≥3 assessments
  • Multivariable linear regression
  • Cox proportional hazards models
  • Mediation analysis

Main finding

As reported in the abstract

Greater weight gain per 1-SD increment in CV of total carbohydrate, dietary fibre and sugar intake (median 6.6-year follow-up; all p < 0.001)

0.20-0.24 kg

Incident T2D per 1-SD increase in fibre intake variability, HR

1.05

95% CI 1.00–1.10; median follow-up 10.3 years

Incident T2D per 1-SD increase in sugar intake variability, HR

1.09

95% CI 1.04–1.14; median follow-up 10.3 years

Observational data: associations, not effects.

Further findings

Mediation by weight gain of associations with incident T2D

Proportion mediated, fibre intake variability
7%
Proportion mediated, sugar intake variability
5%

Original publication

Carbohydrate Intake Variability, Weight Change and Type 2 Diabetes Risk: A Prospective Cohort Study. Diabetes Obes Metab. Published 29 September 2026. doi:10.1111/dom.71389

Composed by AI from the published abstract and checked against it. How Briefs are made →

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