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Metabolic Syndrome and Related Disorders
Prevention of Type 2 Diabetes by Dietary Patterns: A Systematic Review of
Prospective Studies and Meta-Analysis
To cite this article:
Katherine Esposito, Christina-Maria Kastorini, Demosthenes B. Panagiotakos, and Dario Giugliano. Metabolic
Syndrome and Related Disorders. December 2010, 8(6): 471-476. doi:10.1089/met.2010.0009.
Published in Volume: 8 Issue 6: December 1, 2010
Online Ahead of Print: October 19, 2010
Full Text HTML Full Text PDF (134.8 KB) Full Text PDF with Links (152.3 KB)
Author information
Katherine Esposito, M.D., Ph.D.,
1
Christina-Maria Kastorini, M.Sc.,
1
Demosthenes B. Panagiotakos, Ph.D.,
1
and Dario Giugliano, M.D., Ph.D.
2
1
Department of Geriatrics and Metabolic Diseases, Second University of Naples, Naples, Italy.
2
Department of Nutrition-Dietetics, Harokopio University of Athens, Athens, Greece.
Address correspondence to:
Katherine Esposito, M.D., Ph.D.
Division of Diabetes and Metabolic Diseases
Policlinico Seconda Universit di Napoli
Piazza L. Miraglia
Naples, 80138
Italy
E-mail: dario.giugliano@unina2.it
ABSTRACT
Abstract
Lifestyle intervention may reduce the risk of type 2 diabetes. The aim of this study was to investigate the role of
dietary patterns in the prevention of type 2 diabetes. We did an electronic search through November 30, 2009, for
prospective studies that evaluated the role of dietary patterns in type 2 diabetes prevention. Ten large prospective
studies were identified, comprising more than 190,000 subjects free of diabetes at baseline, followed for a time
ranging from 2 to 23 years, and 8,932 cases of incident diabetes. All ten studies showed consistent results:
Relative risk reduction of type 2 diabetes ranged from 83% to 15%. Overall, adherence to a healthy dietary
pattern was associated with reduced risk of developing type 2 diabetes: Combined mean difference=-0.39, 95%
confidence interval (CI) -0.54 to -0.24. The reduced risk of developing type 2 diabetes was still present after
sensitivity analysis (-0.34, 95% CI -0.44 to -0.24). Dietary patterns characterized by high consumption of fruit
and vegetables, whole grains, fish, and poultry, and by decreased consumption of red meat, processed foods,
sugar-sweetened beverages, and starchy foods may retard the progression of type 2 diabetes. Healthy diets can
help people to live more years without type 2 diabetes.
Fruit and vegetable intake and type 2 diabetes: EPIC-InterAct prospective study and meta-analysis
A J Cooper, N G Forouhi, Z Ye, B Buijsse, L Arriola, B Balkau, A Barricarte, J W J Beulens, H Boeing, F L Bchner, C
C Dahm, B de Lauzon-Guillain, G Fagherazzi, P W Franks, C Gonzalez, S Grioni, R Kaaks, T J Key, G Masala, C
Navarro, P Nilsson, K Overvad, S Panico, J Ramn Quirs, O Rolandsson, N Roswall, C Sacerdote, M-J Snchez, N

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