Macro partitioning
Adherence to a Mediterranean diet is associated with lower risk of type 2 diabetes in white populations, but this association is not consistently observed in non-white ethnic groups (Native Hawaiians, Japanese Americans) when using standard MedDiet scores.
While the Mediterranean diet is beneficial for preventing type 2 diabetes in white populations, its effectiveness may vary in other ethnic groups. For Native Hawaiians and Japanese Americans, other dietary patterns (like DASH or alternate Healthy Eating Index) might be more predictive of diabetes risk. Focus on overall diet quality and culturally appropriate healthy foods rather than strict adherence to a specific named diet.
Higher adherence to MedDiet was related to a 13–28% lower risk of T2D in white participants but not in other ethnic groups (HR (95% CI): 0.90 (0.84, 0.95) white men; 0.95 (0.88, 1.03) Native Hawaiian men; 0.98 (0.93, 1.02) Japanese American men; 0.93 (0.86, 1.00) white women; 0.97 (0.90, 1.05) Native Hawaiian women; 1.00 (0.95, 1.05) Japanese American women).
Why this rating
Observational study with stratified results; potential confounding by lifestyle factors.
Source
Mediterranean Diet and Cardiometabolic Diseases in Racial/Ethnic Minority Populations in the United States
Mercedes Sotos‐Prieto et al. · Nutrients · 2018
DOI 10.3390/nu10030352
More from this paper
- Culturally adapted Mediterranean diet interventions can lead to modest improvements in glycemic control (HbA1c) and weight loss in minority populations, particularly when tailored to local food preferences and cooking methods.Good
- Adherence to a Mediterranean diet pattern is associated with lower risk of cardiovascular disease mortality and combined vascular events in racial/ethnic minority populations, including African Americans, Hispanics, and Japanese Americans, though effect sizes and statistical significance vary by specific ethnic subgroup and study design.Moderate
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