Association between dairy products consumption and the prevalences of combined prediabetes and type 2 diabetes mellitus in Brazilian adolescents: a cross-sectional study

Marcela Medina; Felipe Vogt Cureau; Beatriz D. Schaan; Vanessa Bielefeldt Leotti; Priscila Bárbara Zanini Rosa; Mark A. Pereira; Michele Drehmer

doi:10.1017/S0007114523001356

Association between dairy products consumption and the prevalences of combined prediabetes and type 2 diabetes mellitus in Brazilian adolescents: a cross-sectional study

Marcela Medina, Felipe Vogt Cureau, Beatriz D. Schaan, Vanessa Bielefeldt Leotti, Priscila Bárbara Zanini Rosa, Mark A. Pereira, Michele Drehmer

Epidemiology

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Abstract

The association between dairy products consumption in adults and the likelihood of type 2 diabetes mellitus (T2DM) has been described, but more information on the adolescent population is needed. This nationally representative, cross-sectional school-based study aimed to describe the consumption of dairy products and their subtypes and to evaluate their association with prediabetes and T2DM in adolescents. The Study of Cardiovascular Risks in Adolescents (ERICA) includes adolescents aged 12–17 years. Dairy products consumption was evaluated by 24-h food recall. Associations with fasting glucose, glycated hemoglobin (HbA1c) and insulin resistance, as measured by homeostatic model assessment-insulin resistance (HOMA-IR), were evaluated by multivariate linear regression. Poisson regression was also used to assess the association between dairy products consumption and the combined prevalence of prediabetes and T2DM. Models were adjusted for sociodemographic, nutritional, behavioural and anthropometrics. The final sample analysed consisted of 35 614 adolescents. Total intake of dairy products was inversely associated with fasting blood glucose levels after adjusting for all covariates (β = −0·452, 95 % CI −0·899, −0·005). The associations were stronger for overweight and obese adolescents. Findings were similar for full-fat dairy products and yogurt. Higher consumption of low-fat dairy products and cheese were associated with a 46 % (prevalence ratio, PR 1·46, 95 % CI 1·18, 1·80) and 33 % (PR 1·33, 95 % CI 1·14, 1·57) higher combined prevalence of prediabetes and T2DM, respectively. The total consumption of dairy products and full-fat dairy products was associated with a lower combined prevalence of prediabetes and T2DM, while the consumption of cheese and low-fat dairy products was associated with higher combined prevalence of prediabetes and T2DM in Brazilian adolescents.

Original language	English (US)
Pages (from-to)	2162-2173
Number of pages	12
Journal	British Journal of Nutrition
Volume	130
Issue number	12
DOIs	https://doi.org/10.1017/S0007114523001356
State	Published - Dec 28 2023

Bibliographical note

Publisher Copyright:
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society.

Keywords

Prediabetes: Type 2 diabetes: Dairy products consumption: Adolescents: Cross-sectional study

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Journal Article
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Medina, M., Cureau, F. V., Schaan, B. D., Leotti, V. B., Rosa, P. B. Z., Pereira, M. A., & Drehmer, M. (2023). Association between dairy products consumption and the prevalences of combined prediabetes and type 2 diabetes mellitus in Brazilian adolescents: a cross-sectional study. British Journal of Nutrition, 130(12), 2162-2173. https://doi.org/10.1017/S0007114523001356

Association between dairy products consumption and the prevalences of combined prediabetes and type 2 diabetes mellitus in Brazilian adolescents: a cross-sectional study. / Medina, Marcela; Cureau, Felipe Vogt; Schaan, Beatriz D. et al.
In: British Journal of Nutrition, Vol. 130, No. 12, 28.12.2023, p. 2162-2173.

Research output: Contribution to journal › Article › peer-review

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Association between dairy products consumption and the prevalences of combined prediabetes and type 2 diabetes mellitus in Brazilian adolescents: a cross-sectional study

Abstract

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UN SDGs

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