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Research Article| Volume 23, ISSUE 9, P816-821, September 2013

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Higher regular fat dairy consumption is associated with lower incidence of metabolic syndrome but not type 2 diabetes

  • J.C.Y. Louie
    Affiliations
    Cluster for Public Health Nutrition, Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, NSW 2006, Australia

    Centre for Vision Research, Department of Ophthalmology, Westmead Millennium Institute, The University of Sydney, NSW 2006, Australia

    School of Health Sciences, Faculty of Health and Behavioural Sciences, The University of Wollongong, NSW 2522, Australia
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  • V.M. Flood
    Correspondence
    Corresponding author. School of Health Sciences, Faculty of Health and Behavioural Sciences, The University of Wollongong, NSW 2522, Australia. Tel.: +61 2 4221 3947; fax: +61 2 4221 5945.
    Affiliations
    Cluster for Public Health Nutrition, Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, NSW 2006, Australia

    Centre for Vision Research, Department of Ophthalmology, Westmead Millennium Institute, The University of Sydney, NSW 2006, Australia

    School of Health Sciences, Faculty of Health and Behavioural Sciences, The University of Wollongong, NSW 2522, Australia
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  • A.M. Rangan
    Affiliations
    Cluster for Public Health Nutrition, Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, NSW 2006, Australia

    Discipline of Nutrition and Metabolism, School of Molecular Biosciences, The University of Sydney, NSW 2006, Australia
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  • G. Burlutsky
    Affiliations
    Centre for Vision Research, Department of Ophthalmology, Westmead Millennium Institute, The University of Sydney, NSW 2006, Australia
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  • T.P. Gill
    Affiliations
    Cluster for Public Health Nutrition, Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, NSW 2006, Australia
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  • B. Gopinath
    Affiliations
    Centre for Vision Research, Department of Ophthalmology, Westmead Millennium Institute, The University of Sydney, NSW 2006, Australia
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  • P. Mitchell
    Affiliations
    Centre for Vision Research, Department of Ophthalmology, Westmead Millennium Institute, The University of Sydney, NSW 2006, Australia
    Search for articles by this author
Published:October 01, 2012DOI:https://doi.org/10.1016/j.numecd.2012.08.004

      Abstract

      Background and aims

      Limited evidence suggests habitual dairy consumption to be protective against metabolic syndrome (MetSyn) and type 2 diabetes among older adults. We assessed the association of baseline consumption of dairy products with the incidence of MetSyn and type 2 diabetes among a cohort of Australian adults aged 49 years and over.

      Methods and results

      A validated 145-item semi-quantitative food frequency questionnaire was used to assess food and nutrient intake at baseline. Ten-year incidence of MetSyn and type 2 diabetes were obtained from 1807 and 1824 subjects respectively. Odds ratios (OR) were calculated by discrete time logistic regression modelling. Compared with subjects in the lowest intake quartile of regular fat dairy products, those in the highest quartile had a 59% lower risk of MetSyn (multivariate adjusted OR: 0.41; 95% CI: 0.23–0.71; ptrend = 0.004), after adjustment for risk factors. Among obese subjects, an association between a high intake of regular fat dairy foods and reduced risk of type 2 diabetes was also found (age and sex adjusted OR 0.37; 95% CI: 0.16–0.88; ptrend = 0.030), but the association did not persist after adjustment for additional confounders. There was no association between total dairy consumption and risk of MetSyn or type 2 diabetes.

      Conclusions

      We found an inverse association between regular fat dairy consumption and risk of MetSyn among Australian older adults. Further studies are warranted to examine the association between weight status, dairy consumption and risk of type 2 diabetes.

      Keywords

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      References

        • Alberti K.G.
        • Zimmet P.Z.
        Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation.
        Diabet Med. 1998; 15: 539-553
        • Alberti K.G.M.M.
        • Zimmet P.
        • Shaw J.
        The metabolic syndrome–a new worldwide definition.
        The Lancet. 2005; 366: 1059-1062
        • Grundy S.M.
        • Brewer Jr., H.B.
        • Cleeman J.I.
        • Smith Jr., S.C.
        • Lenfant C.
        • for the Conference P
        Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association Conference on Scientific issues related to definition.
        Circulation. 2004; 109: 433-438
        • International Diabetes Federation
        The IDF consensus worldwide definition of the metabolic syndrome.
        International Diabetes Federation, Brussels2006
        • Elwood P.C.
        • Pickering J.E.
        • Fehily A.M.
        Milk and dairy consumption, diabetes and the metabolic syndrome: the Caerphilly prospective study.
        J Epidemiol Community Health. 2007; 61: 695-698
        • Foreyt J.P.
        Need for lifestyle intervention: how to begin.
        Am J Cardiol. 2005; 96: 11-14
        • Lutsey P.L.
        • Steffen L.M.
        • Stevens J.
        Dietary intake and the development of the metabolic syndrome: the atherosclerosis risk in communities study.
        Circulation. 2008; 117: 754-761
        • Australian Institute of Health and Welfare
        Diabetes: Australian facts 2008. Diabetes series.
        AIHW, Canberra2008
        • Reinehr T.
        • Kleber M.
        • Toschke A.M.
        Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence.
        Atherosclerosis. 2009; 207: 174-180
        • Cho Y.A.
        • Kim J.
        • Cho E.R.
        • Shin A.
        Dietary patterns and the prevalence of metabolic syndrome in Korean women.
        Nutr Metab Cardiovasc Dis. 2011; 21: 893-900
        • Horton E.S.
        Effects of lifestyle changes to reduce risks of diabetes and associated cardiovascular risks: results from large scale efficacy trials.
        Obesity (Silver Spring). 2009; 17: S43-S48
        • Salas-Salvado J.
        • Martinez-Gonzalez M.A.
        • Bullo M.
        • Ros E.
        The role of diet in the prevention of type 2 diabetes.
        Nutr Metab Cardiovasc Dis. 2011; 21: B32-B48
        • Crichton G.E.
        • Bryan J.
        • Buckley J.
        • Murphy K.J.
        Dairy consumption and metabolic syndrome: a systematic review of findings and methodological issues.
        Obes Rev. 2011; 12: e190-e201
        • Snijder M.B.
        • van Dam R.M.
        • Stehouwer C.D.A.
        • Hiddink G.J.
        • Heine R.J.
        • Dekker J.M.
        A prospective study of dairy consumption in relation to changes in metabolic risk factors: the Hoorn Study.
        Obesity (Silver Spring). 2008; 16: 706-709
        • Pereira M.A.
        • Jacobs Jr., D.R.
        • Van Horn L.
        • Slattery M.L.
        • Kartashov A.I.
        • Ludwig D.S.
        Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study.
        JAMA. 2002; 287: 2081-2089
        • Fumeron F.
        • Lamri A.
        • Abi Khalil C.
        • Jaziri R.
        • Porchay-Baldérelli I.
        • Lantieri O.
        • et al.
        Dairy consumption and the incidence of hyperglycemia and the metabolic syndrome.
        Diabetes Care. 2011; 34: 813-817
        • van Dam R.M.
        • Hu F.B.
        • Rosenberg L.
        • Krishnan S.
        • Palmer J.R.
        Dietary calcium and magnesium, major food sources, and risk of type 2 diabetes in U.S. black women.
        Diabetes Care. 2006; 29: 2238-2243
        • Tong X.
        • Dong J.Y.
        • Wu Z.W.
        • Li W.
        • Qin L.Q.
        Dairy consumption and risk of type 2 diabetes mellitus: a meta-analysis of cohort studies.
        Eur J Clin Nutr. 2011; 65: 1027-1031
        • Liu S.
        • Choi H.K.
        • Ford E.
        • Song Y.
        • Klevak A.
        • Buring J.E.
        • et al.
        A prospective study of dairy intake and the risk of type 2 diabetes in women.
        Diabetes Care. 2006; 29: 1579-1584
        • Choi H.K.
        • Willett W.C.
        • Stampfer M.J.
        • Rimm E.
        • Hu F.B.
        Dairy consumption and risk of type 2 diabetes mellitus in men: a prospective study.
        Arch Intern Med. 2005; 165: 997-1003
        • Flood V.M.
        • Burlutsky G.
        • Webb K.L.
        • Wang J.J.
        • Smith W.T.
        • Mitchell P.
        Food and nutrient consumption trends in older Australians: a 10-year cohort study.
        Eur J Clin Nutr. 2010; 64: 603-613
        • Willett W.C.
        • Sampson L.
        • Browne M.L.
        • Stampfer M.J.
        • Rosner B.
        • Hennekens C.H.
        • et al.
        The use of a self-administered questionnaire to assess diet four years in the past.
        Am J Epidemiol. 1988; 127: 188-199
        • Flood V.M.
        • Smith W.T.
        • Webb K.L.
        • Mitchell P.
        Issues in assessing the validity of nutrient data obtained from a food-frequency questionnaire: folate and vitamin B12 examples.
        Public Health Nutr. 2004; 7: 751-756
        • Smith W.
        • Mitchell P.
        • Reay E.M.
        • Webb K.
        • Harvey P.W.
        Validity and reproducibility of a self-administered food frequency questionnaire in older people.
        Aust N Z J Public Health. 1998; 22: 456-463
        • Foster-Powell K.
        • Holt S.H.
        • Brand-Miller J.C.
        International table of glycemic index and glycemic load values.
        Am J Clin Nutr. 2002; 2002: 5-56
        • Department of Community Services and Health. NUTTAB90
        Nutrient data table for use in Australia.
        Australian Government Publishing Service, Canberra1990
        • McLennan W.
        • Podger A.
        National nutrition survey: nutrient intakes and physical measurements.
        Australian Bureau of Statistics, Canberra1995 (1998)
        • Barclay A.W.
        • Flood V.M.
        • Rochtchina E.
        • Mitchell P.
        • Brand-Miller J.C.
        Glycemic index, dietary fiber, and risk of type 2 diabetes in a cohort of older Australians.
        Diabetes Care. 2007; 30: 2811-2813
        • van Meijl L.E.C.
        • Mensink R.P.
        Low-fat dairy consumption reduces systolic blood pressure, but does not improve other metabolic risk parameters in overweight and obese subjects.
        Nutr Metab Cardiovasc Dis. 2011; 21: 355-361
        • Maron D.J.
        • Fair J.M.
        • Haskell W.L.
        Saturated fat intake and insulin resistance in men with coronary artery disease. The Stanford Coronary Risk Intervention Project Investigators and Staff.
        Circulation. 1991; 84: 2020-2027
        • Aslibekyan S.
        • Campos H.
        • Baylin A.
        Biomarkers of dairy intake and the risk of heart disease.
        Nutr Metab Cardiovasc Dis. 2011;
        • Mozaffarian D.
        • Cao H.
        • King I.B.
        • Lemaitre R.N.
        • Song X.
        • Siscovick D.S.
        • et al.
        Trans-palmitoleic acid, metabolic risk factors, and new-onset diabetes in U.S. adults: a cohort study.
        Ann Intern Med. 2010; 153: 790-799
        • Micha R.
        • King I.B.
        • Lemaitre R.N.
        • Rimm E.B.
        • Sacks F.
        • Song X.
        • et al.
        Food sources of individual plasma phospholipid trans fatty acid isomers: the Cardiovascular Health Study.
        Am J Clin Nutr. 2010; 91: 883-893
        • Lim J.S.
        • Mietus-Snyder M.
        • Valente A.
        • Schwarz J.M.
        • Lustig R.H.
        The role of fructose in the pathogenesis of NAFLD and the metabolic syndrome.
        Nat Rev Gastroenterol Hepatol. 2010; 7: 251-264
        • Faghih S.
        • Abadi A.R.
        • Hedayati M.
        • Kimiagar S.M.
        Comparison of the effects of cows' milk, fortified soy milk, and calcium supplement on weight and fat loss in premenopausal overweight and obese women.
        Nutr Metab Cardiovasc Dis. 2011; 21: 499-503
        • Drouillet P.
        • Balkau B.
        • Charles M.A.
        • Vol S.
        • Bedouet M.
        • Ducimetière P.
        • et al.
        Calcium consumption and insulin resistance syndrome parameters. Data from the epidemiological study on the insulin resistance syndrome (DESIR).
        Nutr Metab Cardiovasc Dis. 2007; 17: 486-492