Type 2 & other diabetes

The Portfolio Diet and Incident Type 2 Diabetes: Findings From the Women’s Health Initiative Prospective Cohort Study

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Greater adherence to the plant-predominant Portfolio, DASH, and Mediterranean diets was prospectively associated with lower risk of type 2 diabetes in postmenopausal women.

Study context

Population
Postmenopausal women free of diabetes at baseline, Women's Health Initiative (WHI) Clinical Trials and Observational Study, 1993–202113,943 incident T2D cases
Participants
145,299 women
Exposure
Highest vs lowest quintile of adherence to the Portfolio Diet
Outcome
Incident T2D
Follow-up
Mean 16.0 years
Methodological detailsCox proportional hazards models, adjusted for potential confounders
  • Cox proportional hazards models
  • Adjusted for potential confounders

Main finding

As reported in the abstract

Highest quintile vs Lowest quintileHazard ratio (95% CI)
Portfolio Diet
0.77(0.72–0.82)
DASH diet
0.69(0.64–0.73)
Mediterranean diet
0.78(0.74–0.83)

Observational data: associations, not effects.

Further findings

Incident T2D, additionally adjusted for BMI

Findings attenuated after additional adjustment for BMI
10%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The Portfolio Diet and Incident Type 2 Diabetes: Findings From the Women’s Health Initiative Prospective Cohort Study. Diabetes Care. Published 26 September 2022. doi:10.2337/dc22-1029

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