Energy balance
A high Western dietary pattern score combined with low physical activity or obesity (BMI > 30 kg/m2) is associated with a particularly high risk of type 2 diabetes, significantly higher than either factor alone.
If you are obese or have low physical activity, your risk of type 2 diabetes is drastically amplified if you also eat a Western diet. To minimize this risk, you must address both your dietary pattern (reducing processed meats, refined grains, and sweets) and your lifestyle (increasing physical activity and managing weight). The combination of these factors yields the highest risk, so addressing all is critical.
A high score for the western dietary pattern combined with low physical activity (relative risk comparing extreme quintiles of dietary pattern score and physical activity, 1.96 [CI, 1.35 to 2.84]) or obesity (relative risk for BMI > 30 kg/m2 vs. <25 kg/m2, 11.2 [CI, 8.07 to 15.6]) was associated with a particularly high risk for type 2 diabetes.
Why this rating
Same high-quality prospective cohort data as N1.
Source
Dietary Patterns and Risk for Type 2 Diabetes Mellitus in U.S. Men
Rob M. van Dam et al. · Annals of Internal Medicine · 2002
DOI 10.7326/0003-4819-136-3-200202050-00008
More from this paper
- Adherence to a Western dietary pattern (high in red/processed meat, refined grains, sweets, and high-fat dairy) is associated with a substantially increased risk of developing type 2 diabetes in men, independent of BMI and physical activity.Good
- Adherence to a Prudent dietary pattern (high in vegetables, fruits, fish, poultry, and whole grains) is associated with a modestly lower risk of type 2 diabetes.Good
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →