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Open AccessArticle

Does a High Sugar High Fat Dietary Pattern Explain the Unequal Burden in Prevalence of Type 2 Diabetes in a Multi-Ethnic Population in The Netherlands? The HELIUS Study

1
Division of Human Nutrition, Wageningen University, 6700 EV Wageningen, The Netherlands
2
Department of Public Health, Academic Medical Center, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands
3
Center of Research on Psychology in Somatic Diseases (CORPS), Department of Medical and Clinical Psychology, Tilburg University, 5037 AB Tilburg, The Netherlands
4
Biostatistics and Bioinformatics, Academic Medical Center, Department of Clinical Epidemiology, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
These authors contributed equally to this article.
Nutrients 2018, 10(1), 92; https://doi.org/10.3390/nu10010092
Received: 22 December 2017 / Revised: 22 December 2017 / Accepted: 8 January 2018 / Published: 15 January 2018
The risk for type 2 diabetes (T2D) in ethnic minorities in Europe is higher in comparison with their European host populations. The western dietary pattern, characterized by high amounts of sugar and saturated fat (HSHF dietary pattern), has been associated with a higher risk for T2D. Information on this association in minority populations is scarce. Therefore, we aimed to investigate the HSHF dietary pattern and its role in the unequal burden of T2D prevalence in a multi-ethnic population in The Netherlands. We included 4694 participants aged 18–70 years of Dutch, South-Asian Surinamese, African Surinamese, Turkish, and Moroccan origin from the HELIUS study. Dutch participants scored the highest on the HSHF dietary pattern, followed by the Turkish, Moroccan, African Surinamese, and South-Asian Surinamese participants. Prevalence ratios (PR) for T2D were then calculated using multivariate cox regression analyses, adjusted for sociodemographic, anthropometric, and lifestyle factors. Higher adherence to an HSHF diet was not significantly related to T2D prevalence in the total study sample (PR 1.04 high versus low adherence, 95% CI: 0.80–1.35). In line, adjustment for HSHF diet score did not explain the ethnic differences in T2D. For instance, the PR of the South-Asian Surinamese vs. Dutch changed from 2.76 (95% CI: 2.05–3.72) to 2.90 (95% CI: 2.11–3.98) after adjustment for HSHF. To conclude, a western dietary pattern high in sugar and saturated fat was not associated with T2D, and did not explain the unequal burden in prevalence of T2D across the ethnic groups. View Full-Text
Keywords: multi-ethnic; HSHF; T2D; western dietary pattern; HELIUS study multi-ethnic; HSHF; T2D; western dietary pattern; HELIUS study
MDPI and ACS Style

Huisman, M.J.; Soedamah-Muthu, S.S.; Vermeulen, E.; Muilwijk, M.; Snijder, M.B.; Nicolaou, M.N.; Van Valkengoed, I.G.M. Does a High Sugar High Fat Dietary Pattern Explain the Unequal Burden in Prevalence of Type 2 Diabetes in a Multi-Ethnic Population in The Netherlands? The HELIUS Study. Nutrients 2018, 10, 92.

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