Prediction of 1976 Diabetes Incidence from 1960 Animal Product Consumption among California Seventh-Day Adventists

<p>The prevalence of diagnosed and undiagnosed diabetes in the US has been estimated at more than 16 million individuals (King, 1998). This has led to research into lifestyle practices (Astrup, 2001; Touomilehto, 2001), which has identified several of primary prevention. High fat diet and type 2 diabetes has been attributed to the wellareas known mechanisms of hyperglycemia, hyperinsulinaemia and insulin resistance (Ferrannini, 1999; Reaven, 1988).</p> <p>We examined the association between all animal product consumption, specific animal product consumption and diabetes incidence among California Seventh-day Adventists who were cohort members of the Adventist Mortality Study (Kahn, 1984) and the Adventist Health Study (Hammond, 1966). This study also enabled us to relate long term vegetarian dietary patterns to diabetes incidence.</p> <p>Respondents who were weekly consumers of all meats were 29% (OR=1.29; 95% Cl: 1.08, 1.55) more likely (relative to zero meat intake) to develop diabetes. Respondents who consumed processed meats were 38% (OR=1.38; 95% Cl: 1.05-1.82) likely to develop diabetes. Long-term adherence to weekly meat intake was associated with a 74% increase (OR=1.74; 95% Cl: 1.36-2.22) in odds of diabetes relative to long-term adherence to a vegetarian diet. Respondents who changed from vegetarian in 1960 to non-vegetarian in 1976 were more than twice as likely (OR=2.66; 95% Cl: 1.79-3.95) to develop diabetes. Body mass index in 1960 and change in weight between 1960 and 1976 attenuated the association of meat intake and diabetes (OR=1.85; more 95% Cl: 1.19-2.89). Increasing meat intake to weekly consumption among vegetarians or occasional meat consumers lead to a 3-fold increase in the likelihood of weight gain of 10 kg or more over a 17-year interval. Eliminating meat intake over a 17-year interval was associated with a two-fold increase in likelihood of a 10 kg weight loss.</p> <p>Our findings raise the possibility that consumption of red meat, poultry, or processed meats, is a dietary risk factor for diabetes. Also, the change in diet patterns may be linked to factors leading to the development of diabetes. Individuals who consume meat products may have a risk for diabetes because adults who consume meat products are not maintaining healthy weight.</p>

Name thesis:degree_name

Doctor of Public Health (DrPH)

Level thesis:degree_level

Dissertation

Year

2003

Author dc:creator

• Vang, Arnold

Contributors dc:contributor

• Jerry W. Lee
• Pramil N. Singh
• Ella H. Haddad
• Charles H. Brinegar

• Preventive Medicine
• Public Health
• Diabetes Mellitus -- diet therapy; Diet, Vegetarian

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/1226

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-2633