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Metaanálisis2023

Dietary cholesterol consumption and incidence of type 2 diabetes mellitus: A dose-response meta-analysis of prospective cohort studies

Li Y, Pei H, Zhou C, Lou Y

Nutrition, metabolism, and cardiovascular diseases : NMCD · 9 citas

Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Natural Science Foundation of China
Universidad u hospital
Peking Union Medical College
Gobierno
Fundamental Research Funds for the Central Universities
Subvenciones
National Natural Science Foundation of China (81970290); Fundamental Research Funds for the Central Universities (2017320009); National Natural Science Foundation of China (81760096)

Según 3 financiadores declarados.

Publicación

Publicado
2022-08-31 · Nutr Metab Cardiovasc Dis · vol. 33 · número 1 · págs. 2–10
Editorial
Elsevier BV
Citado
14 citas · más que el 61% de estudios similares · 0.7× el promedio de su campo
Referencias
38 trabajos
Acceso
De pago
Áreas de investigación
Nutritional Studies and Diet · Diabetes, Cardiovascular Risks, and Lipoproteins · Consumer Attitudes and Food Labeling
Palabras clave
Medicine, Subgroup analysis, Prospective cohort study, Meta-analysis, Type 2 Diabetes Mellitus, Incidence (geometry), Internal medicine, Type 2 diabetes, Confidence interval, Relative risk, Random effects model, Diabetes mellitus, Cohort study, Demography, Endocrinology, Mathematics
MeSH
humans, diabetes mellitus, type 2, cholesterol, dietary, incidence, risk factors, prospective studies

4 autores

  • Yuehua Li🇨🇳Chinese Academy of Medical Sciences & Peking Union Medical College
  • Hanjun Pei🇨🇳Baotou Medical College
  • Chenghui Zhou🇨🇳Chinese Academy of Medical Sciences & Peking Union Medical College
  • Ying Lou🇨🇳 · autor de correspondenciaChinese Academy of Medical Sciences & Peking Union Medical College; Fu Wai Hospital

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background and aim

The purpose of this meta-analysis was to evaluate the dose-response relationship between dietary cholesterol (DC) consumption and the incidence of type 2 diabetes mellitus (T2DM).

Methods and results

Prospective studies with the endpoint of T2DM were included. The Random-effect model weighted by inverse variance was used. Meta-regression and subgroup analyses were conducted to explore the potential sources of heterogeneity by specified study characteristics. Restricted cubic splines regression models were used to estimate the dose-response relationship. 11 prospective studies comprising of 355 230 subjects were included. Compared to lowest DC consumption, highest DC consumption was associated with an increased risk of T2DM (RR 1.15, 95% CI 1.03 to 1.28, P = 0.012; chi-squared = 31.41, I-squared 58.6%, P heterogeneity = 0.003). Subgroup analyses have shown that this positive association was more evident in western countries than in eastern countries (RR 1.19, 95% CI 1.06 to 1.36 VS 1.34, 95% CI 0.84 to 1.29; P subgroup difference = 0.02). For 100 mg/d increment in DC intake, the pooled RR was 1.05, (95% CI 1.04 to 1.07, Plinearity = 0.000, Pnonlinearity = 0.02), 1.06 (95% CI 1.04 to 1.07, Plinearity=0.000), and 1.01 (95% CI 0.98 to 1.05, Plinearity = 0.525) for the incidence of T2DM, in western and eastern countries, respectively.

Conclusions

Our study suggests that there is a positive dose-response association between DC consumption and the incidence of T2DM, especially in western countries.

Systematic review registration

PROSPERO CRD42020216318.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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