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Dietary Diversity,Diet Cost,and Incidence of Type 2 Diabetes in the United Kingdom: A Prospective Cohort Study
Authors:Annalijn I Conklin  Pablo Monsivais  Kay-Tee Khaw  Nicholas J Wareham  Nita G Forouhi
Institution:1Medical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, United Kingdom;2WORLD Policy Analysis Center, UCLA Fielding School of Public Health, Los Angeles, California, United States of America;3Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom;Stanford University, UNITED STATES
Abstract:BackgroundDiet is a key modifiable risk factor for multiple chronic conditions, including type 2 diabetes (T2D). Consuming a range of foods from the five major food groups is advocated as critical to healthy eating, but the association of diversity across major food groups with T2D is not clear and the relationship of within-food-group diversity is unknown. In addition, there is a growing price gap between more and less healthy foods, which may limit the uptake of varied diets. The current study had two aims: first, to examine the association of reported diversity of intake of food groups as well as their subtypes with risk of developing T2D, and second, to estimate the monetary cost associated with dietary diversity.ConclusionsA diet characterized by regular consumption of all five food groups and by greater variety of dairy, fruit, and vegetable subtypes, appears important for a reduced risk of diabetes. However, such a diet is more expensive. Public health efforts to prevent diabetes should include food price policies to promote healthier, more varied diets.
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