Highlights
- •It investigated the dose-response relationship between F&V and T2D in rural China.
- •Individuals should be encouraged to consume ≥ 260 g of fruit per day.
- •Individuals who intake high fruit plus do not smoke or drink perhaps profit the most.
- •Total F&V consumption of 600–1000 g/day should be encouraged to promote good health.
Abstract
Aims
To explore the dose-response relationship of fruit and vegetable (F&V) intake and
type 2 diabetes (T2D) risk in rural China.
Methods
A total of 38798 adults were recruited from the Henan Rural Cohort Study. F&V intake
was assessed by a validated food-frequency questionnaire. Logistic regression and
restricted cubic splines analysis were conducted to calculate the odds ratio (OR)
for T2D relative to F&V intake and investigate the dose-response relationship.
Results
Higher intake of fruit or combined F&V was in connection with a lower risk of T2D,
after adjusting for multiple confounders. After analyzing the dose-response relationship,
we found that the odds of T2D decreased significantly with fruit consumption ≥ 260 g/day
or F&V intake between 600 and 1000 g/day. And in subgroup analysis, we found that
the negative correlation between fruit consumption and T2D was more pronounced in
non-current smokers and non-current drinkers.
Conclusions
High intake of fruit alone or combined F&V is related to a reduced risk of T2D in
rural China. Fruit intake ≥ 260 g/day and total F&V consumption of 600–1000 g/day
should be encouraged to promote good health.
Keywords
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Article info
Publication history
Published online: February 02, 2023
Accepted:
January 31,
2023
Received in revised form:
December 26,
2022
Received:
August 22,
2022
Identification
Copyright
© 2023 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
