Dietary protein intake and incidence of type 2 diabetes in Europe: the EPIC-InterAct Case-Cohort Study

M Van Nielen, EJM Feskens, M Mensink, I Sluijs… - Diabetes …, 2014 - Am Diabetes Assoc
M Van Nielen, EJM Feskens, M Mensink, I Sluijs, E Molina, P Amiano, E Ardanaz, B Balkau
Diabetes care, 2014Am Diabetes Assoc
OBJECTIVE The long-term association between dietary protein and type 2 diabetes
incidence is uncertain. We aimed to investigate the association between total, animal, and
plant protein intake and the incidence of type 2 diabetes. RESEARCH DESIGN AND
METHODS The prospective European Prospective Investigation into Cancer and Nutrition
(EPIC)-InterAct case-cohort study consists of 12,403 incident type 2 diabetes cases and a
stratified subcohort of 16,154 individuals from eight European countries, with an average …
OBJECTIVE
The long-term association between dietary protein and type 2 diabetes incidence is uncertain. We aimed to investigate the association between total, animal, and plant protein intake and the incidence of type 2 diabetes.
RESEARCH DESIGN AND METHODS
The prospective European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohort study consists of 12,403 incident type 2 diabetes cases and a stratified subcohort of 16,154 individuals from eight European countries, with an average follow-up time of 12.0 years. Pooled country-specific hazard ratios (HRs) and 95% CI of prentice-weighted Cox regression analyses were used to estimate type 2 diabetes incidence according to protein intake.
RESULTS
After adjustment for important diabetes risk factors and dietary factors, the incidence of type 2 diabetes was higher in those with high intake of total protein (per 10 g: HR 1.06 [95% CI 1.02–1.09], Ptrend < 0.001) and animal protein (per 10 g: 1.05 [1.02–1.08], Ptrend = 0.001). Effect modification by sex (P < 0.001) and BMI among women (P < 0.001) was observed. Compared with the overall analyses, associations were stronger in women, more specifically obese women with a BMI >30 kg/m2 (per 10 g animal protein: 1.19 [1.09–1.32]), and nonsignificant in men. Plant protein intake was not associated with type 2 diabetes (per 10 g: 1.04 [0.93–1.16], Ptrend = 0.098).
CONCLUSIONS
High total and animal protein intake was associated with a modest elevated risk of type 2 diabetes in a large cohort of European adults. In view of the rapidly increasing prevalence of type 2 diabetes, limiting iso-energetic diets high in dietary proteins, particularly from animal sources, should be considered.
Am Diabetes Assoc