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Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes
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Zeitschriftentitel: | Diabetes Care |
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Personen und Körperschaften: | , , , |
In: | Diabetes Care, 32, 2009, 5, S. 791-796 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
American Diabetes Association
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Schlagwörter: |
author_facet |
Tonstad, Serena Butler, Terry Yan, Ru Fraser, Gary E. Tonstad, Serena Butler, Terry Yan, Ru Fraser, Gary E. |
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author |
Tonstad, Serena Butler, Terry Yan, Ru Fraser, Gary E. |
spellingShingle |
Tonstad, Serena Butler, Terry Yan, Ru Fraser, Gary E. Diabetes Care Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine |
author_sort |
tonstad, serena |
spelling |
Tonstad, Serena Butler, Terry Yan, Ru Fraser, Gary E. 0149-5992 1935-5548 American Diabetes Association Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/dc08-1886 <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>We assessed the prevalence of type 2 diabetes in people following different types of vegetarian diets compared with that in nonvegetarians.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>The study population comprised 22,434 men and 38,469 women who participated in the Adventist Health Study-2 conducted in 2002–2006. We collected self-reported demographic, anthropometric, medical history, and lifestyle data from Seventh-Day Adventist church members across North America. The type of vegetarian diet was categorized based on a food-frequency questionnaire. We calculated odds ratios (ORs) and 95% CIs using multivariate-adjusted logistic regression.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Mean BMI was lowest in vegans (23.6 kg/m2) and incrementally higher in lacto-ovo vegetarians (25.7 kg/m2), pesco-vegetarians (26.3 kg/m2), semi-vegetarians (27.3 kg/m2), and nonvegetarians (28.8 kg/m2). Prevalence of type 2 diabetes increased from 2.9% in vegans to 7.6% in nonvegetarians; the prevalence was intermediate in participants consuming lacto-ovo (3.2%), pesco (4.8%), or semi-vegetarian (6.1%) diets. After adjustment for age, sex, ethnicity, education, income, physical activity, television watching, sleep habits, alcohol use, and BMI, vegans (OR 0.51 [95% CI 0.40–0.66]), lacto-ovo vegetarians (0.54 [0.49–0.60]), pesco-vegetarians (0.70 [0.61–0.80]), and semi-vegetarians (0.76 [0.65–0.90]) had a lower risk of type 2 diabetes than nonvegetarians.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>The 5-unit BMI difference between vegans and nonvegetarians indicates a substantial potential of vegetarianism to protect against obesity. Increased conformity to vegetarian diets protected against risk of type 2 diabetes after lifestyle characteristics and BMI were taken into account. Pesco- and semi-vegetarian diets afforded intermediate protection.</jats:p> </jats:sec> Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes Diabetes Care |
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title |
Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_unstemmed |
Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_full |
Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_fullStr |
Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_full_unstemmed |
Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_short |
Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_sort |
type of vegetarian diet, body weight, and prevalence of type 2 diabetes |
topic |
Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine |
url |
http://dx.doi.org/10.2337/dc08-1886 |
publishDate |
2009 |
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791-796 |
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<jats:sec>
<jats:title>OBJECTIVE</jats:title>
<jats:p>We assessed the prevalence of type 2 diabetes in people following different types of vegetarian diets compared with that in nonvegetarians.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESEARCH DESIGN AND METHODS</jats:title>
<jats:p>The study population comprised 22,434 men and 38,469 women who participated in the Adventist Health Study-2 conducted in 2002–2006. We collected self-reported demographic, anthropometric, medical history, and lifestyle data from Seventh-Day Adventist church members across North America. The type of vegetarian diet was categorized based on a food-frequency questionnaire. We calculated odds ratios (ORs) and 95% CIs using multivariate-adjusted logistic regression.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESULTS</jats:title>
<jats:p>Mean BMI was lowest in vegans (23.6 kg/m2) and incrementally higher in lacto-ovo vegetarians (25.7 kg/m2), pesco-vegetarians (26.3 kg/m2), semi-vegetarians (27.3 kg/m2), and nonvegetarians (28.8 kg/m2). Prevalence of type 2 diabetes increased from 2.9% in vegans to 7.6% in nonvegetarians; the prevalence was intermediate in participants consuming lacto-ovo (3.2%), pesco (4.8%), or semi-vegetarian (6.1%) diets. After adjustment for age, sex, ethnicity, education, income, physical activity, television watching, sleep habits, alcohol use, and BMI, vegans (OR 0.51 [95% CI 0.40–0.66]), lacto-ovo vegetarians (0.54 [0.49–0.60]), pesco-vegetarians (0.70 [0.61–0.80]), and semi-vegetarians (0.76 [0.65–0.90]) had a lower risk of type 2 diabetes than nonvegetarians.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>CONCLUSIONS</jats:title>
<jats:p>The 5-unit BMI difference between vegans and nonvegetarians indicates a substantial potential of vegetarianism to protect against obesity. Increased conformity to vegetarian diets protected against risk of type 2 diabetes after lifestyle characteristics and BMI were taken into account. Pesco- and semi-vegetarian diets afforded intermediate protection.</jats:p>
</jats:sec> |
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author | Tonstad, Serena, Butler, Terry, Yan, Ru, Fraser, Gary E. |
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description | <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>We assessed the prevalence of type 2 diabetes in people following different types of vegetarian diets compared with that in nonvegetarians.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>The study population comprised 22,434 men and 38,469 women who participated in the Adventist Health Study-2 conducted in 2002–2006. We collected self-reported demographic, anthropometric, medical history, and lifestyle data from Seventh-Day Adventist church members across North America. The type of vegetarian diet was categorized based on a food-frequency questionnaire. We calculated odds ratios (ORs) and 95% CIs using multivariate-adjusted logistic regression.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Mean BMI was lowest in vegans (23.6 kg/m2) and incrementally higher in lacto-ovo vegetarians (25.7 kg/m2), pesco-vegetarians (26.3 kg/m2), semi-vegetarians (27.3 kg/m2), and nonvegetarians (28.8 kg/m2). Prevalence of type 2 diabetes increased from 2.9% in vegans to 7.6% in nonvegetarians; the prevalence was intermediate in participants consuming lacto-ovo (3.2%), pesco (4.8%), or semi-vegetarian (6.1%) diets. After adjustment for age, sex, ethnicity, education, income, physical activity, television watching, sleep habits, alcohol use, and BMI, vegans (OR 0.51 [95% CI 0.40–0.66]), lacto-ovo vegetarians (0.54 [0.49–0.60]), pesco-vegetarians (0.70 [0.61–0.80]), and semi-vegetarians (0.76 [0.65–0.90]) had a lower risk of type 2 diabetes than nonvegetarians.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>The 5-unit BMI difference between vegans and nonvegetarians indicates a substantial potential of vegetarianism to protect against obesity. Increased conformity to vegetarian diets protected against risk of type 2 diabetes after lifestyle characteristics and BMI were taken into account. Pesco- and semi-vegetarian diets afforded intermediate protection.</jats:p> </jats:sec> |
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spelling | Tonstad, Serena Butler, Terry Yan, Ru Fraser, Gary E. 0149-5992 1935-5548 American Diabetes Association Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/dc08-1886 <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>We assessed the prevalence of type 2 diabetes in people following different types of vegetarian diets compared with that in nonvegetarians.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>The study population comprised 22,434 men and 38,469 women who participated in the Adventist Health Study-2 conducted in 2002–2006. We collected self-reported demographic, anthropometric, medical history, and lifestyle data from Seventh-Day Adventist church members across North America. The type of vegetarian diet was categorized based on a food-frequency questionnaire. We calculated odds ratios (ORs) and 95% CIs using multivariate-adjusted logistic regression.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Mean BMI was lowest in vegans (23.6 kg/m2) and incrementally higher in lacto-ovo vegetarians (25.7 kg/m2), pesco-vegetarians (26.3 kg/m2), semi-vegetarians (27.3 kg/m2), and nonvegetarians (28.8 kg/m2). Prevalence of type 2 diabetes increased from 2.9% in vegans to 7.6% in nonvegetarians; the prevalence was intermediate in participants consuming lacto-ovo (3.2%), pesco (4.8%), or semi-vegetarian (6.1%) diets. After adjustment for age, sex, ethnicity, education, income, physical activity, television watching, sleep habits, alcohol use, and BMI, vegans (OR 0.51 [95% CI 0.40–0.66]), lacto-ovo vegetarians (0.54 [0.49–0.60]), pesco-vegetarians (0.70 [0.61–0.80]), and semi-vegetarians (0.76 [0.65–0.90]) had a lower risk of type 2 diabetes than nonvegetarians.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>The 5-unit BMI difference between vegans and nonvegetarians indicates a substantial potential of vegetarianism to protect against obesity. Increased conformity to vegetarian diets protected against risk of type 2 diabetes after lifestyle characteristics and BMI were taken into account. Pesco- and semi-vegetarian diets afforded intermediate protection.</jats:p> </jats:sec> Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes Diabetes Care |
spellingShingle | Tonstad, Serena, Butler, Terry, Yan, Ru, Fraser, Gary E., Diabetes Care, Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes, Advanced and Specialized Nursing, Endocrinology, Diabetes and Metabolism, Internal Medicine |
title | Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_full | Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_fullStr | Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_full_unstemmed | Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_short | Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
title_sort | type of vegetarian diet, body weight, and prevalence of type 2 diabetes |
title_unstemmed | Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes |
topic | Advanced and Specialized Nursing, Endocrinology, Diabetes and Metabolism, Internal Medicine |
url | http://dx.doi.org/10.2337/dc08-1886 |