Ultraprocessed foods and incident type 2 diabetes: analysis of the Hispanic Community Health Study/Study of Latinos
Mendoza K, Marrero A, Tamez M, Espinosa A, Sotres-Alvarez D, McClain AC, Cordero C, Elfassy T, Perreira KM, Mossavar-Rahmani Y, Qi Q, Daviglus M, Van Horn L, Hu FB, Willett WC, Kaplan RC, Mattei J
American journal of epidemiology · 0 citas
Cómo se estudió
- Diseño
- Estudio de cohortes (clasificado por nuestro filtro de IA)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
- Consumo medido con
- Diarios o recordatorios de alimentación
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- University of Miami
- Universidad u hospital
- Northwestern University
- Universidad u hospital
- San Diego State University
- Gobierno
- National Institutes of Health
- Universidad u hospital
- Albert Einstein College of Medicine, Yeshiva University
- Gobierno
- National Heart, Lung, and Blood Institute
- Subvenciones
- San Diego State University (N01-HC65237; K01 HL150406); Northwestern University (N01‐HC65236); National Heart, Lung, and Blood Institute (N01‐HC65233); Albert Einstein College of Medicine, Yeshiva University (N01-HC65235; 1R01DK134672); University of Miami (N01- HC65234); National Institutes of Health (T32HL098048)
Según 6 financiadores declarados.
Publicación
- Publicado
- 2026-06-16 · Am J Epidemiol
- Editorial
- Oxford University Press
- Citado
- 0 citas · más que el 53% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 81 trabajos
- Acceso
- De pago
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Culinary Culture and Tourism
- Palabras clave
- Incidence (geometry), Type 2 diabetes, Poisson regression, Epidemiology, Limiting, Food group, Obesity, Rate ratio
17 autores
- Kenny Mendoza🇺🇸Harvard University; Southwestern Medical Center; The University of Texas Southwestern Medical Center
- Abrania Marrero🇺🇸Harvard University
- Martha Tamez🇺🇸Harvard University
- Alan Espinosa🇺🇸Harvard University
- Daniela Sotres‐Alvarez🇺🇸University of North Carolina at Chapel Hill
- Amanda C. McClain🇺🇸San Diego State University
- Christina Cordero🇺🇸University of Miami
- Tali Elfassy🇺🇸University of Miami
- Krista M Perreira🇺🇸University of North Carolina at Chapel Hill
- Yasmin Mossavar‐Rahmani🇺🇸Albert Einstein College of Medicine
- Qibin Qi🇺🇸Albert Einstein College of Medicine
- Martha Daviglus🇺🇸Illinois College; University of Illinois Chicago; Office of Minority Health
- Linda Van Horn🇺🇸🇵🇭Northwestern University; Northwestern University; Northwestern Medicine
- F M Hu🇺🇸Harvard University
- Walter Churchill Willett🇺🇸Harvard University
- Robert C. Kaplan🇺🇸Albert Einstein College of Medicine
- Josiemer Mattei🇺🇸 · autor de correspondenciaHarvard University
Resumen
El texto original del estudio, en el idioma en que se publicó.
We assessed associations of total and group-specific ultraprocessed food (UPF) intake with type 2 diabetes (T2D) incidence in the Hispanic Community Health Study/Study of Latinos, overall and with a priori stratification by Hispanic/Latino heritage, US nativity, body mass index categories, and diet quality measured by tertiles of the Alternative Healthy Eating Index (AHEI). Data entailed 8010 adults, completing follow-up (2014-2017), and without baseline (2008-2011) diabetes, cardiovascular disease, and/or cancer (mean follow-up: 5.8 years). Baseline 24-hour dietary recalls and food propensity questionnaires assessed UPF intakes (% of diet weight) defined by the Nova framework. Self-report, antidiabetes medications, and standard biomarker thresholds defined incident T2D. Poisson models adjusted for sociodemographic, acculturation, lifestyle, energy intake, and diabetes family history variables estimated incidence rate ratios (95% CI) of T2D per 10 percentage-point increase in total UPF intake and 1-SD increase in inverse normal transformed UPF group intakes. Ultraprocessed food constituted 19.8% of diet weight. Each 10-percentage-point increase in UPF was associated with 1.16 (1.01-1.34) higher T2D incidence overall (1273 cases). In stratified analyses, associations remained only for Puerto Ricans (1.22; 1.01-1.47), US-born persons (1.26; 1.03-1.54), and those with overweight/obesity (1.16; 1.01-1.35). Regarding UPF groups, artificially sweetened beverages and processed poultry/fish were associated with a higher incidence of T2D in the overall sample. Among Puerto Ricans, US-born participants, and persons in the lowest AHEI tertile, ultraprocessed bread/cereals, soft drinks, poultry/fish, and hard liquors were associated with a higher incidence of T2D, whereas ultraprocessed sweet snacks, desserts, and spreads and savory snacks were associated with lower incidence. Limiting UPF is associated with lower T2D incidence among US Hispanics/Latinos, particularly Puerto Rican and US-born participants. Attention to group-specific UPF intake is warranted.
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