@article{fdi:010092983, title = {{I}ncident type 2 diabetes attributable to suboptimal diet in 184 countries}, author = {{O}'{H}earn, {M}. and {L}ara-{C}astor, {L}. and {C}udhea, {F}. and {M}iller, {V}. and {R}eedy, {J}. and {S}hi, {P}. and {Z}hang, {J}. and {W}ong, {J}.{B}. and {E}conomos, {C}.{D}. and {M}icha, {R}. and {M}ozaffarian, {D}. and {G}lobal {D}ietary {D}atabase and {M}artin-{P}r{\'e}vel, {Y}ves and et al.}, editor = {}, language = {{ENG}}, abstract = {{T}he global burden of diet-attributable type 2 diabetes ({T}2{D}) is not well established. {T}his risk assessment model estimated {T}2{D} incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. {I}n 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval ({UI}), 13.8-14.4 million) incident {T}2{D} cases, representing 70.3% (68.8-71.8%) of new cases globally. {L}argest {T}2{D} burdens were attributable to insufficient whole-grain intake (26.1% (25.0-27.1%)), excess refined rice and wheat intake (24.6% (22.3-27.2%)) and excess processed meat intake (20.3% (18.3-23.5%)). {A}cross regions, highest proportional burdens were in central and eastern {E}urope and central {A}sia (85.6% (83.4-87.7%)) and {L}atin {A}merica and the {C}aribbean (81.8% (80.1-83.4%)); and lowest proportional burdens were in {S}outh {A}sia (55.4% (52.1-60.7%)). {P}roportions of diet-attributable {T}2{D} were generally larger in men than in women and were inversely correlated with age. {D}iet-attributable {T}2{D} was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern {E}urope and central {A}sia, where burdens were larger in rural residents and in lower educated individuals. {C}ompared with 1990, global diet-attributable {T}2{D} increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. {T}hese findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce {T}2{D} globally.}, keywords = {{MONDE}}, booktitle = {}, journal = {{N}ature {M}edicine}, volume = {29}, numero = {4}, pages = {982--995}, ISSN = {1078-8956}, year = {2023}, DOI = {10.1038/s41591-023-02278-8}, URL = {https://www.documentation.ird.fr/hor/fdi:010092983}, }