Abstract
Prospective association of dietary mushroom consumption with incidence of type 2 diabetes
Hye Won Woo1, Mi Kyung Kim2, Yu Mi Kim2, Min-Ho Shin3, Dong Hoon Shin4, Sang Baek Koh5 and Hyeon Chang Kim6
(1)Seoul, Korea, Republic of (South), (2)Hanyang University College of Medicine, Seoul, Korea, Republic of (South), (3)Chonnam National University Medical School, Gwangju, Korea, Republic of (South), (4)Keimyung University Dongsan Medical Center, Daegu, Korea, Republic of (South), (5)Yonsei University Wonju College of Medicine, Wonju, Korea, Republic of (South), (6)Yonsei University College of Medicine, Seoul, Korea, Republic of (South)
APHA 2021 Annual Meeting and Expo
Despite a beneficial role of mushroom consumption against risk of type 2 diabetes, few studies investigated such associations in a prospective study. This study aimed to evaluate whether habitual mushroom consumption prospectively associate with risk of type 2 diabetes incidence among Korean men and women aged ≥ 40 years. A total of 16,666 participants of the cardiovascular disease association study (CAVAS) who did not have type 2 diabetes were included. Dietary mushroom was calculated using a food frequency questionnaire composed of 106 items. For 96,945 person-years of follow-up, 945 participants developed de novo type 2 diabetes. After adjustment for established diabetes risk factors and a modified Diet Quality Index-International (DQI-I), mushroom consumption was inversely associated with a risk of type 2 diabetes in both men and women (incidence rate ratios (IRR) for the highest vs. lowest quartile: IRR=0.65, 95% CI=0.47–0.90, P trend=0.0427 for men; IRR=0.70, 95% CI=0.54–0.93, P trend=0.1145 for women). These significantly associations remained robust when we adjusted for fasting blood glucose at baseline and excluding the first year of follow-up. In stratified analyses, the association between mushroom consumption and the risk of type 2 diabetes persisted in all subgroups, and no significant effect modification was observed between mushroom consumption and age, education level, regular exercise, smoking status, drinking status, obesity, pre-diabetes condition, or DQI-I score. Our findings indicate that a high dietary intake of mushroom is associated with lower risk of type 2 diabetes in both men and women.
Chronic disease management and prevention Epidemiology