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Dietary Patterns and Risk for Type 2 Diabetes Mellitus in U.S. Men

Rob M. van Dam, MSc; Eric B. Rimm, ScD; Walter C. Willett, MD; Meir J. Stampfer, MD; and Frank B. Hu, MD
[+] Article and Author Information

From Harvard School of Public Health, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts, and National Institute for Public Health and the Environment, the Netherlands.


Grant Support: By CA 55075 and HL 35464 from the U.S. National Institutes of Health. Dr. Hu was supported in part by a Research Award from the American Diabetes Association.

Requests for Single Reprints: Frank B. Hu, MD, Department of Nutrition, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115; e-mail, frank.hu@channing.harvard.edu.

Current Author Addresses: Mr. Van Dam: Department of Chronic Diseases Epidemiology, National Institute for Public Health and the Environment, Box 1, 3720 BA Bilthoven, the Netherlands.

Drs. Rimm, Willett, Hu, and Stampfer: Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115.

Author Contributions: Conception and design: R.M. van Dam, E.B. Rimm, W.C. Willett, F.B. Hu.

Analysis and interpretation of the data: R.M. van Dam, E.B. Rimm, W.C. Willett, M.J. Stampfer, F.B. Hu.

Drafting of the article: R.M. van Dam, F.B. Hu.

Critical revision of the article for important intellectual content: R.M. van Dam, E.B. Rimm, W.C. Willett, M.J. Stampfer, F.B. Hu.

Final approval of the article: R.M. van Dam, E.B. Rimm, W.C. Willett, M.J. Stampfer, F.B. Hu.

Provision of study materials or patients: W.C. Willett.

Statistical expertise: R.M. van Dam, W.C. Willett, F.B. Hu.

Obtaining of funding: E.B. Rimm, W.C. Willett, F.B. Hu.

Administrative, technical, or logistic support: E.B. Rimm, W.C. Willett, F.B. Hu.

Collection and assembly of data: E.B. Rimm, W.C. Willett.


Ann Intern Med. 2002;136(3):201-209. doi:10.7326/0003-4819-136-3-200202050-00008
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The prevalence of type 2 diabetes mellitus is rapidly increasing in the United States (12) and worldwide (3). Ecologic studies (4), migration studies (45), and analyses of secular trends (4, 6) suggest that adoption of a western diet may be associated with increased incidence of type 2 diabetes. However, these studies could not separate the effects of diet from those of other risk factors, such as obesity and physical activity.

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Figure.
Relative riskRRfor type 2 diabetes mellitus, according to combinations of the western dietary pattern score and other risk factors.Table 3

( ) Data are from the Health Professionals Follow-up Study, 1986–1998. Relative risks were multivariate adjusted for the variables listed in the text below , except the stratifying variable. BMI = body mass index.

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Summary for Patients

Dietary Patterns and the Risk for Type 2 Diabetes in U.S. Men

The summary below is from the full report titled “Dietary Patterns and Risk for Type 2 Diabetes Mellitus in U.S. Men.” It is in the 5 February 2002 issue of Annals of Internal Medicine (volume 136, pages 201-209). The authors are RM van Dam, EB Rimm, WC Willett, MJ Stampfer, and FB Hu.

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