Type 2 & other diabetes

Dietary patterns, socioeconomic disparities, and risk of type 2 diabetes in the Sister Study

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

Weaker associations among women with lower socioeconomic status and higher neighborhood deprivation suggests that other factors play a larger role in T2D incidence than diet quality among individuals with low SES.

Study context

Population
Sister Study participants aged 35 to 74 years, enrolled 2003–2009
Participants
40,243 participants
Exposure
Healthy eating index scores by socioeconomic status
Outcome
Incident T2D (self-reported physician's diagnosis or use of anti-diabetic medications)
Methodological detailsmultivariable-adjusted Cox proportional hazards models
  • Multivariable-adjusted Cox proportional hazards models

Main finding

As reported in the abstract

Incident T2D by dietary index, stratified by socioeconomic status
Q4 vs Q1Estimate (95% CI)P value
Low ADI
aHR (HEI-2015, low ADI) 0.44(0.35–0.56)
High ADI
aHR (HEI-2015, high ADI) 0.75(0.63–0.90)
pinteraction: 0.0007

Observational data: associations, not effects.

Original publication

Dietary patterns, socioeconomic disparities, and risk of type 2 diabetes in the Sister Study. Diabetes Res Clin Pract. Published 12 September 2023. doi:10.1016/j.diabres.2023.110906

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