Table 5.
Author | Country/ countries |
Age (yrs)/ sex/ years of follow-up |
Exposure assessment |
Highest intake category/ reference category * |
Number of diabetes cases/ assessment of type 2 diabetes/ assessment criteria (if stated) |
Exclusion criteria | Variables adjusted for in analyses † |
---|---|---|---|---|---|---|---|
Current results from EPIC- InterAct study |
France, Germany, The Netherlands, UK, Italy, Sweden, Denmark, and Spain |
40-79/ men & women/ 11 |
Country specific dietary questionnaires |
FV: 8.71/2.13 Fruit: 5.39/0.75 Veg: 3.94/0.88 GLV: 5.93/0.05 RV: 3.87/0.12 |
10 821/ Self-report (self-report of doctor diagnosed diabetes, anti- diabetic drug use), linkage to primary and secondary care registers, medication use (drug registers), hospital admissions and mortality data with a coding for diabetes, local and national diabetes and pharmaceutical registers |
Incomplete dietary information; extreme values for total energy intake (top or bottom 1% of the original EPIC study sample); missing information on potential confounding variables; diabetes, myocardial infarction or stroke at baseline. |
Age, sex, centre, country, education level, BMI, physical activity level, smoking status, total energy intake, alcohol intake |
Villegas et al, 2008 30 |
China (Shanghai Women’s Health Study) |
40-70/ women/ 4.6 |
77 item food frequency questionnaire. Mean of intake between baseline and follow- up used. |
Fruit: 5.57/1.09 Veg: 5.35/1.52 GLV: 11.91/2.45 RV: 1.51/0.04 |
1 608/ Self-report (self-report of doctor diagnosed diabetes, glucose test history and/or use of hypoglycaemic medication)/ ADA 1997 criteria |
<40 yrs or > 70 yrs; type 2 diabetes, cancer, or cardiovascular disease present at baseline; extreme values for total energy intake (<2,090 or >14,630 KJ/d). |
Age, EI, meat intake, BMI, WHR, smoking, alcohol, PA, income level, education level, occupational status, hypertension |
Bazzano et al, 2008 7 |
USA (Nurses’ Health Study) |
30-55/ women/ 18 |
61 item food frequency questionnaire |
F&V: 7.66/2.35 Fruit: 2.64/0.46 Veg: 5.40/1.61 GLV: 10.36/1.75 |
4 529/ Self-report with questionnaire (asking about symptoms, diagnostic tests, and treatments) / NDDG criteria before 1997, ADA criteria after 1997 |
Extreme values for total energy intake (<600 or >3,500 Kcal/d); ≥12 FFQ items left blank; diabetes or missing data for diabetes, cancer, or cardiovascular disease present at baseline; missing date for diabetes at follow-up |
Age, BMI, PA, family history of diabetes, postmenopausal hormone use, alcohol use, smoking, EI |
Montonen et al, 2005 29 |
Finland (Finnish Mobile Clinic Health Examination Survey) |
40-69/ men & women/ 23 |
Diet history interview |
Fruit: 2.17/0.0 Veg: 1.94/0.30 GLV: 4.55/0.39 |
383/ Social Insurance Institution nationwide register of persons receiving drug reimbursement (for diabetes) |
<40 yrs or > 69 yrs; extreme values for total energy intake (<800 or >6,000 Kcal/d); pregnant women; diabetes at baseline. |
Age, sex, BMI, EI, smoking, family history of diabetes, geographic area |
Liu et al, 2004 10 | USA (Women’s Health Study) |
≥45/ women/ 8.8 |
131 item food frequency questionnaire |
F&V: 10.16/2.54 Fruit: 3.91/0.62 Veg: 6.84/1.47 GLV: 9.94/0.98 RV: 7.00/0.49 |
1 614/ Self-report of doctor diagnosed diabetes (with confirmation from different sources including: bloods, telephone interview, supplementary questionnaire, contact with doctor) |
Diabetes present at baseline | Age, smoking, EI, alcohol use, BMI, PA, history of hypertension, history of high cholesterol, family history of diabetes |
Ford and Mokdad, 2001 8 |
USA (NHANES I) | 25-74/ men & women/ 20 |
24-hour recall | F&V: ≥6.5/0.0 | 1 018/ Self-report of doctor diagnosed diabetes, hospitalisation record ICD-9-CM: 250, death certificate ICD-9: 250 |
Not white or African American; insufficient information of diabetes status; prevalent diabetes; pregnant women; and those with missing data for covariates |
Age, sex, smoking status, systolic BP, cholesterol concentration, antihypertensive medication, recreational exercise, non-recreational activity, alcohol use, BMI, education |
Meyer et al, 2000 11 |
USA (Iowa Women’s Health Study) |
55-69/ women/ 6 |
127 item food frequency questionnaire |
F&V: 8.86/2.57 Fruit: 3.36/0.57 Veg: 5.93/1.57 |
1 141/ Self-report (self-report of doctor diagnosed diabetes, anti- diabetic drug use) |
Extreme values for total energy intake (<2,510 or >20,920 KJ/d); ≥30 FFQ items left blank; diabetes at baseline |
Age, EI, BMI, WHR, education, smoking, alcohol intake, PA |
Veg=vegetables; GLV=green leafy vegetables; RV=root vegetables; F&V, fruit and vegetables are in portions/d; GLV and RV are in portions/week.
BMI=body mass index; EI=energy intake; WHR=waist-to-hip ratio; PA=physical activity; BP=blood pressure.
Note: Harding et al. paper not included in systematic review as those data are included within EPIC-InterAct.