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Meat intake and type 2 diabetes among Japanese workers: a prospective study

Published online by Cambridge University Press:  23 September 2024

Akiko Nanri*
Affiliation:
Graduate School of Health and Environmental Sciences, Fukuoka Women’s University, Fukuoka, Japan Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
Sakiho Irie
Affiliation:
Graduate School of Health and Environmental Sciences, Fukuoka Women’s University, Fukuoka, Japan
Takeshi Kochi
Affiliation:
Department of Health Administration, Furukawa Electric Corporation, Tokyo, Japan
Isamu Kabe
Affiliation:
Kubota Corporation, Tsukubamirai, Japan
Maki Konishi
Affiliation:
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
Tetsuya Mizoue
Affiliation:
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
*
*Corresponding author: Akiko Nanri, email [email protected]

Abstract

Red meat and processed meat intake has been linked to increased risk of type 2 diabetes; however, evidence from Asia is limited and inconsistent. We prospectively examined the association of intake of total meat and its subtype with type 2 diabetes in a Japanese working population. Participants were 2709 workers aged 18–78 years who reported no history of diabetes when they responded to a health survey for the first time between 2012 and 2019. Dietary intake was assessed using a validated self-administered diet history questionnaire. The incidence of type 2 diabetes was assessed via annual health checkups from baseline through March 2023. Type 2 diabetes was defined as fasting blood glucose ≥ 126 mg/dl, casual blood glucose ≥ 200 mg/dl, HbA1c ≥ 6·5 %, self-report of diabetes or current use of anti-diabetic drugs. Hazard ratios according to tertile of meat intake were estimated using Cox proportional hazards regression. During 16 119 person-years of follow-up, 135 (5·0 %) workers developed type 2 diabetes. Intakes of total meat, red meat, processed meat and poultry were not associated with risk of type 2 diabetes. After adjustment for covariates, hazard ratios for the highest v. lowest tertile of meat intake were 1·01 (95 % CI 0·63, 1·62) for total meat, 1·02 (95 % CI 0·66, 1·58) for red meat, 0·99 (95 % CI 0·65, 1·49) for processed meat and 1·13 (95 % CI 0·71, 1·80) for poultry. Our findings suggest that meat intake is not associated with the risk of type 2 diabetes among Japanese workers.

Type
Research Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

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References

IDF Diabetes Atlas (2021) Diabetes around the World in 2021. https://diabetesatlas.org/ (accessed May 2024).Google Scholar
Ministry of Health, Labour and Welfare, Japan (2020) The National Health and Nutrition Survey Japan, 2019. https://www.mhlw.go.jp/content/001066903.pdf (accessed May 2024).Google Scholar
Khan, MAB, Hashim, MJ, King, JK, et al. (2020) Epidemiology of type 2 diabetes – global burden of disease and forecasted trends. J Epidemiol Glob Health 10, 107111.CrossRefGoogle ScholarPubMed
World Health Organization (2023) Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes (accessed December 2023).Google Scholar
de Oliveira Otto, MC, Alonso, A, Lee, DH, et al. (2012) Dietary intakes of zinc and heme iron from red meat, but not from other sources, are associated with greater risk of metabolic syndrome and cardiovascular disease. J Nutr 142, 526533.CrossRefGoogle Scholar
Feskens, EJ, Sluik, D & van Woudenbergh, GJ (2013) Meat consumption, diabetes, and its complications. Curr Diab Rep 13, 298306.CrossRefGoogle ScholarPubMed
Peppa, M, Goldberg, T, Cai, W, et al. (2002) Glycotoxins: a missing link in the ‘relationship of dietary fat and meat intake in relation to risk of type 2 diabetes in men’. Diabetes Care 25, 18981899.CrossRefGoogle ScholarPubMed
Risérus, U (2008) Fatty acids and insulin sensitivity. Curr Opin Clin Nutr Metab Care 11, 100105.CrossRefGoogle ScholarPubMed
Neuenschwander, M, Ballon, A, Weber, KS, et al. (2019) Role of diet in type 2 diabetes incidence: umbrella review of meta-analyses of prospective observational studies. BMJ 366, l2368.Google ScholarPubMed
Zeraatkar, D, Guyatt, GH, Alonso-Coello, P, et al. (2020) Red and processed meat consumption and risk for all-cause mortality and cardiometabolic outcomes. Ann Intern Med 172, 511512.CrossRefGoogle ScholarPubMed
OECD (2024) Meat Consumption (Indicator). https://doi.org/10.1787/fa290fd0-en (accessed April 2024).CrossRefGoogle Scholar
Liu, M, Liu, C, Zhang, Z, et al. (2021) Quantity and variety of food groups consumption and the risk of diabetes in adults: a prospective cohort study. Clin Nutr 40, 57105717.CrossRefGoogle ScholarPubMed
Villegas, R, Shu, XO, Gao, YT, et al. (2006) The association of meat intake and the risk of type 2 diabetes may be modified by body weight. Int J Med Sci 3, 152159.CrossRefGoogle ScholarPubMed
Kurotani, K, Nanri, A, Goto, A, et al. (2013) Red meat consumption is associated with the risk of type 2 diabetes in men but not in women: a Japan Public Health Center-based Prospective Study. Br J Nutr 110, 19101918.CrossRefGoogle Scholar
Son, J, Lee, Y & Park, K (2019) Effects of processed red meat consumption on the risk of type 2 diabetes and cardiovascular diseases among Korean adults: the Korean Genome and Epidemiology Study. Eur J Nutr 58, 24772484.CrossRefGoogle ScholarPubMed
Talaei, M, Wang, YL, Yuan, JM, et al. (2017) Meat, dietary Heme iron, and risk of type 2 diabetes mellitus: the Singapore Chinese Health Study. Am J Epidemiol 186, 824833.CrossRefGoogle ScholarPubMed
Ministry of Health, Labour and Welfare, Japan (2019) The National Health and Nutrition Survey in Japan, 2017. Tokyo: Daiichi-Shuppan.Google Scholar
He, Y, Li, Y, Yang, X, et al. (2019) The dietary transition and its association with cardiometabolic mortality among Chinese adults, 1982–2012: a cross-sectional population-based study. Lancet Diabetes Endocrinol 7, 540548.CrossRefGoogle ScholarPubMed
Yun, S, Kim, HJ & Oh, K (2017) Trends in energy intake among Korean adults, 1998–2015: results from the Korea National Health and Nutrition Examination Survey. Nutr Res Pract 11, 147154.CrossRefGoogle ScholarPubMed
Yu, D, Zheng, W, Cai, H, et al. (2018) Long-term diet quality and risk of type 2 diabetes among urban Chinese adults. Diabetes Care 41, 723730.CrossRefGoogle ScholarPubMed
Kobayashi, S, Honda, S, Murakami, K, et al. (2012) Both comprehensive and brief self-administered diet history questionnaires satisfactorily rank nutrient intakes in Japanese adults. J Epidemiol 22, 151159.CrossRefGoogle ScholarPubMed
Kobayashi, S, Murakami, K, Sasaki, S, et al. (2011) Comparison of relative validity of food group intakes estimated by comprehensive and brief-type self-administered diet history questionnaires against 16 d dietary records in Japanese adults. Public Health Nutr 14, 12001211.CrossRefGoogle ScholarPubMed
Ministry of Education, Culture, Sports, Science and Technology, Japan (2010) Standard Tables of Food Composition in Japan, 2010. Tokyo, Japan: All Japan Official Gazette Inc.Google Scholar
Seino, Y, Nanjo, K, Tajima, N, et al. (2010) Report of the committee on the classification and diagnostic criteria of diabetes mellitus. J Diabetes Investig 1, 212228.Google Scholar
Schwingshackl, L, Hoffmann, G, Lampousi, AM, et al. (2017) Food groups and risk of type 2 diabetes mellitus: a systematic review and meta-analysis of prospective studies. Eur J Epidemiol 32, 363375.CrossRefGoogle ScholarPubMed
Yu, H, Zhang, J, Xie, J, et al. (2023) Dose-response meta-analysis on risk of diabetes in relation to red and processed meat consumption – Asian populations, 2006–2021. China CDC Wkly 5, 10121016.CrossRefGoogle ScholarPubMed
Du, H, Guo, Y, Bennett, DA, et al. (2020) Red meat, poultry and fish consumption and risk of diabetes: a 9 year prospective cohort study of the China Kadoorie Biobank. Diabetologia 63, 767779.CrossRefGoogle ScholarPubMed
Ministry of Health and Welfare, Japan (1992) The National Nutrition Survey in Japan, 1990. https://www.nibiohn.go.jp/eiken/chosa/kokumin_eiyou/1990.html (accessed May 2024).Google Scholar
Schulze, MB, Manson, JE, Willett, WC, et al. (2003) Processed meat intake and incidence of Type 2 diabetes in younger and middle-aged women. Diabetologia 46, 14651473.CrossRefGoogle ScholarPubMed
Yang, X, Li, Y, Wang, C, et al. (2020) Meat and fish intake and type 2 diabetes: dose-response meta-analysis of prospective cohort studies. Diabetes Metab 46, 345352.CrossRefGoogle ScholarPubMed
Nanri, A, Shimazu, T, Takachi, R, et al. (2013) Dietary patterns and type 2 diabetes in Japanese men and women: the Japan Public Health Center-based Prospective Study. Eur J Clin Nutr 67, 1824.CrossRefGoogle ScholarPubMed
Nanri, A, Kimura, Y, Matsushita, Y, et al. (2010) Dietary patterns and depressive symptoms among Japanese men and women. Eur J Clin Nutr 64, 832839.CrossRefGoogle ScholarPubMed
Nanri, A, Yoshida, D, Yamaji, T, et al. (2008) Dietary patterns and C-reactive protein in Japanese men and women. Am J Clin Nutr 87, 14881496.CrossRefGoogle ScholarPubMed
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