Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: The EPIC-InterAct study

S. Abbas; J. Linseisen; S. Rohrmann; J. W.J. Beulens; B. Buijsse; P. Amiano; E. Ardanaz; B. Balkau; H. Boeing; F. Clavel-Chapelon; G. Fagherazzi; P. W. Franks; D. Gavrila; S. Grioni; R. Kaaks; T. J. Key; K. T. Khaw; T. Kühn; A. Mattiello; E. Molina-Montes; P. M. Nilsson; K. Overvad; J. R. Quirós; O. Rolandsson; C. Sacerdote; C. Saieva; N. Slimani; I. Sluijs; A. M.W. Spijkerman; A. Tjonneland; R. Tumino; D. L. Van Der A; R. Zamora-Ros; S. J. Sharp; C. Langenberg; N. G. Forouhi; E. Riboli; N. J. Wareham

doi:10.1038/ejcn.2013.235

Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: The EPIC-InterAct study

S. Abbas, J. Linseisen^*, S. Rohrmann, J. W.J. Beulens, B. Buijsse, P. Amiano, E. Ardanaz, B. Balkau, H. Boeing, F. Clavel-Chapelon, G. Fagherazzi, P. W. Franks, D. Gavrila, S. Grioni, R. Kaaks, T. J. Key, K. T. Khaw, T. Kühn, A. Mattiello, E. Molina-MontesP. M. Nilsson, K. Overvad, J. R. Quirós, O. Rolandsson, C. Sacerdote, C. Saieva, N. Slimani, I. Sluijs, A. M.W. Spijkerman, A. Tjonneland, R. Tumino, D. L. Van Der A, R. Zamora-Ros, S. J. Sharp, C. Langenberg, N. G. Forouhi, E. Riboli, N. J. Wareham

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

Background/Objectives: Prospective cohort studies have indicated that serum vitamin D levels are inversely related to risk of type 2 diabetes. However, such studies cannot determine the source of vitamin D. Therefore, we examined the association of dietary vitamin D intake with incident type 2 diabetes within the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study in a heterogeneous European population including eight countries with large geographical variation. Subjects/Methods: Using a case-cohort design, 11 245 incident cases of type 2 diabetes and a representative subcohort (N=15 798) were included in the analyses. Hazard ratios (HR) and 95% confidence intervals (CIs) for type 2 diabetes were calculated using a Prentice-weighted Cox regression adjusted for potential confounders. Twenty-four-hour diet-recall data from a subsample (N=2347) were used to calibrate habitual intake data derived from dietary questionnaires. Results: Median follow-up time was 10.8 years. Dietary vitamin D intake was not significantly associated with the risk of type 2 diabetes. HR and 95% CIs for the highest compared to the lowest quintile of uncalibrated vitamin D intake was 1.09 (0.97-1.22) (P_trend =0.17). No associations were observed in a sex-specific analysis. The overall pooled effect (HR (95% CI)) using the continuous calibrated variable was 1.00 (0.97-1.03) per increase of 1 μg/day dietary vitamin D. Conclusions: This observational study does not support an association between higher dietary vitamin D intake and type 2 diabetes incidence. This result has to be interpreted in light of the limited contribution of dietary vitamin D on the overall vitamin D status of a person.

Original language	English
Pages (from-to)	196-202
Number of pages	7
Journal	European Journal of Clinical Nutrition
Volume	68
Issue number	2
DOIs	https://doi.org/10.1038/ejcn.2013.235
Publication status	Published - Feb 2014

Bibliographical note

Funding Information:
We thank all EPIC participants and staff for their contribution to the study. We thank Nicola Kerrison (MRC Epidemiology Unit, Cambridge) for managing the data for the InterAct project. We further thank Valentina Gallo (Imperial College, London) for providing information on dividing the EPIC centres into latitude groups. The funding for the InterAct project was provided by the EU FP6 programme (grant number LSHM_CT_2006_037197). In addition, InterAct investigators acknowledge funding from the following agencies: E Ardanaz: Health Research Fund (FIS) of the Spanish Ministry of Health and Navarre Regional Government; JWJ Beulens: verification of diabetes cases in EPIC-NL was additionally funded by NL Agency grant IGE05012 and an incentive grant from the board of the UMC Utrecht; PW Franks: Swedish Research Council, Novo Nordisk, Swedish Diabetes Association, Swedish Heart-Lung Foundation; R Kaaks: German Cancer Aid, German Ministry of Research (BMBF); TJ Key: Cancer Research, UK; KT Khaw: Medical Research Council, UK, Cancer Research, UK; T Kühn: German Cancer Aid; P Nilsson: Swedish Research Council; K Overvad: Danish Cancer Society; JR Quirós: Asturias Regional Government; O Rolandsson: The Västerboten County Council; I Sluijs: verification of diabetes cases was additionally funded by NL Agency grant IGE05012 and an incentive grant from the board of the UMC Utrecht; AMW Spijkerman: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; A Tjonneland: Danish Cancer Society; R Tumino: AIRE-ONLUS Ragusa, AVIS-Ragusa, Sicilian Regional Government; DL van der A: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; R Zamora-Ros: the Health Research Fund (FIS) of the Spanish Ministry of Health (RTICC DR06/0020/ 0091); E Riboli: Imperial College Biomedical Research Centre.

ASJC Scopus subject areas

Medicine (miscellaneous)
Nutrition and Dietetics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1038/ejcn.2013.235

Cite this

Abbas, S., Linseisen, J., Rohrmann, S., Beulens, J. W. J., Buijsse, B., Amiano, P., Ardanaz, E., Balkau, B., Boeing, H., Clavel-Chapelon, F., Fagherazzi, G., Franks, P. W., Gavrila, D., Grioni, S., Kaaks, R., Key, T. J., Khaw, K. T., Kühn, T., Mattiello, A., ... Wareham, N. J. (2014). Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: The EPIC-InterAct study. European Journal of Clinical Nutrition, 68(2), 196-202. https://doi.org/10.1038/ejcn.2013.235

@article{b147db503245440e9c35cc10a0ccb3b5,

title = "Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: The EPIC-InterAct study",

abstract = "Background/Objectives: Prospective cohort studies have indicated that serum vitamin D levels are inversely related to risk of type 2 diabetes. However, such studies cannot determine the source of vitamin D. Therefore, we examined the association of dietary vitamin D intake with incident type 2 diabetes within the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study in a heterogeneous European population including eight countries with large geographical variation. Subjects/Methods: Using a case-cohort design, 11 245 incident cases of type 2 diabetes and a representative subcohort (N=15 798) were included in the analyses. Hazard ratios (HR) and 95% confidence intervals (CIs) for type 2 diabetes were calculated using a Prentice-weighted Cox regression adjusted for potential confounders. Twenty-four-hour diet-recall data from a subsample (N=2347) were used to calibrate habitual intake data derived from dietary questionnaires. Results: Median follow-up time was 10.8 years. Dietary vitamin D intake was not significantly associated with the risk of type 2 diabetes. HR and 95% CIs for the highest compared to the lowest quintile of uncalibrated vitamin D intake was 1.09 (0.97-1.22) (Ptrend =0.17). No associations were observed in a sex-specific analysis. The overall pooled effect (HR (95% CI)) using the continuous calibrated variable was 1.00 (0.97-1.03) per increase of 1 μg/day dietary vitamin D. Conclusions: This observational study does not support an association between higher dietary vitamin D intake and type 2 diabetes incidence. This result has to be interpreted in light of the limited contribution of dietary vitamin D on the overall vitamin D status of a person.",

author = "S. Abbas and J. Linseisen and S. Rohrmann and Beulens, {J. W.J.} and B. Buijsse and P. Amiano and E. Ardanaz and B. Balkau and H. Boeing and F. Clavel-Chapelon and G. Fagherazzi and Franks, {P. W.} and D. Gavrila and S. Grioni and R. Kaaks and Key, {T. J.} and Khaw, {K. T.} and T. K{\"u}hn and A. Mattiello and E. Molina-Montes and Nilsson, {P. M.} and K. Overvad and Quir{\'o}s, {J. R.} and O. Rolandsson and C. Sacerdote and C. Saieva and N. Slimani and I. Sluijs and Spijkerman, {A. M.W.} and A. Tjonneland and R. Tumino and {Van Der A}, {D. L.} and R. Zamora-Ros and Sharp, {S. J.} and C. Langenberg and Forouhi, {N. G.} and E. Riboli and Wareham, {N. J.}",

note = "Funding Information: We thank all EPIC participants and staff for their contribution to the study. We thank Nicola Kerrison (MRC Epidemiology Unit, Cambridge) for managing the data for the InterAct project. We further thank Valentina Gallo (Imperial College, London) for providing information on dividing the EPIC centres into latitude groups. The funding for the InterAct project was provided by the EU FP6 programme (grant number LSHM_CT_2006_037197). In addition, InterAct investigators acknowledge funding from the following agencies: E Ardanaz: Health Research Fund (FIS) of the Spanish Ministry of Health and Navarre Regional Government; JWJ Beulens: verification of diabetes cases in EPIC-NL was additionally funded by NL Agency grant IGE05012 and an incentive grant from the board of the UMC Utrecht; PW Franks: Swedish Research Council, Novo Nordisk, Swedish Diabetes Association, Swedish Heart-Lung Foundation; R Kaaks: German Cancer Aid, German Ministry of Research (BMBF); TJ Key: Cancer Research, UK; KT Khaw: Medical Research Council, UK, Cancer Research, UK; T K{\"u}hn: German Cancer Aid; P Nilsson: Swedish Research Council; K Overvad: Danish Cancer Society; JR Quir{\'o}s: Asturias Regional Government; O Rolandsson: The V{\"a}sterboten County Council; I Sluijs: verification of diabetes cases was additionally funded by NL Agency grant IGE05012 and an incentive grant from the board of the UMC Utrecht; AMW Spijkerman: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; A Tjonneland: Danish Cancer Society; R Tumino: AIRE-ONLUS Ragusa, AVIS-Ragusa, Sicilian Regional Government; DL van der A: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; R Zamora-Ros: the Health Research Fund (FIS) of the Spanish Ministry of Health (RTICC DR06/0020/ 0091); E Riboli: Imperial College Biomedical Research Centre.",

year = "2014",

month = feb,

doi = "10.1038/ejcn.2013.235",

language = "English",

volume = "68",

pages = "196--202",

journal = "European Journal of Clinical Nutrition",

issn = "0954-3007",

publisher = "Springer Nature",

number = "2",

}

Abbas, S, Linseisen, J, Rohrmann, S, Beulens, JWJ, Buijsse, B, Amiano, P, Ardanaz, E, Balkau, B, Boeing, H, Clavel-Chapelon, F, Fagherazzi, G, Franks, PW, Gavrila, D, Grioni, S, Kaaks, R, Key, TJ, Khaw, KT, Kühn, T, Mattiello, A, Molina-Montes, E, Nilsson, PM, Overvad, K, Quirós, JR, Rolandsson, O, Sacerdote, C, Saieva, C, Slimani, N, Sluijs, I, Spijkerman, AMW, Tjonneland, A, Tumino, R, Van Der A, DL, Zamora-Ros, R, Sharp, SJ, Langenberg, C, Forouhi, NG, Riboli, E & Wareham, NJ 2014, 'Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: The EPIC-InterAct study', European Journal of Clinical Nutrition, vol. 68, no. 2, pp. 196-202. https://doi.org/10.1038/ejcn.2013.235

TY - JOUR

T1 - Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition

T2 - The EPIC-InterAct study

AU - Abbas, S.

AU - Linseisen, J.

AU - Rohrmann, S.

AU - Beulens, J. W.J.

AU - Buijsse, B.

AU - Amiano, P.

AU - Ardanaz, E.

AU - Balkau, B.

AU - Boeing, H.

AU - Clavel-Chapelon, F.

AU - Fagherazzi, G.

AU - Franks, P. W.

AU - Gavrila, D.

AU - Grioni, S.

AU - Kaaks, R.

AU - Key, T. J.

AU - Khaw, K. T.

AU - Kühn, T.

AU - Mattiello, A.

AU - Molina-Montes, E.

AU - Nilsson, P. M.

AU - Overvad, K.

AU - Quirós, J. R.

AU - Rolandsson, O.

AU - Sacerdote, C.

AU - Saieva, C.

AU - Slimani, N.

AU - Sluijs, I.

AU - Spijkerman, A. M.W.

AU - Tjonneland, A.

AU - Tumino, R.

AU - Van Der A, D. L.

AU - Zamora-Ros, R.

AU - Sharp, S. J.

AU - Langenberg, C.

AU - Forouhi, N. G.

AU - Riboli, E.

AU - Wareham, N. J.

N1 - Funding Information: We thank all EPIC participants and staff for their contribution to the study. We thank Nicola Kerrison (MRC Epidemiology Unit, Cambridge) for managing the data for the InterAct project. We further thank Valentina Gallo (Imperial College, London) for providing information on dividing the EPIC centres into latitude groups. The funding for the InterAct project was provided by the EU FP6 programme (grant number LSHM_CT_2006_037197). In addition, InterAct investigators acknowledge funding from the following agencies: E Ardanaz: Health Research Fund (FIS) of the Spanish Ministry of Health and Navarre Regional Government; JWJ Beulens: verification of diabetes cases in EPIC-NL was additionally funded by NL Agency grant IGE05012 and an incentive grant from the board of the UMC Utrecht; PW Franks: Swedish Research Council, Novo Nordisk, Swedish Diabetes Association, Swedish Heart-Lung Foundation; R Kaaks: German Cancer Aid, German Ministry of Research (BMBF); TJ Key: Cancer Research, UK; KT Khaw: Medical Research Council, UK, Cancer Research, UK; T Kühn: German Cancer Aid; P Nilsson: Swedish Research Council; K Overvad: Danish Cancer Society; JR Quirós: Asturias Regional Government; O Rolandsson: The Västerboten County Council; I Sluijs: verification of diabetes cases was additionally funded by NL Agency grant IGE05012 and an incentive grant from the board of the UMC Utrecht; AMW Spijkerman: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; A Tjonneland: Danish Cancer Society; R Tumino: AIRE-ONLUS Ragusa, AVIS-Ragusa, Sicilian Regional Government; DL van der A: Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands; R Zamora-Ros: the Health Research Fund (FIS) of the Spanish Ministry of Health (RTICC DR06/0020/ 0091); E Riboli: Imperial College Biomedical Research Centre.

PY - 2014/2

Y1 - 2014/2

N2 - Background/Objectives: Prospective cohort studies have indicated that serum vitamin D levels are inversely related to risk of type 2 diabetes. However, such studies cannot determine the source of vitamin D. Therefore, we examined the association of dietary vitamin D intake with incident type 2 diabetes within the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study in a heterogeneous European population including eight countries with large geographical variation. Subjects/Methods: Using a case-cohort design, 11 245 incident cases of type 2 diabetes and a representative subcohort (N=15 798) were included in the analyses. Hazard ratios (HR) and 95% confidence intervals (CIs) for type 2 diabetes were calculated using a Prentice-weighted Cox regression adjusted for potential confounders. Twenty-four-hour diet-recall data from a subsample (N=2347) were used to calibrate habitual intake data derived from dietary questionnaires. Results: Median follow-up time was 10.8 years. Dietary vitamin D intake was not significantly associated with the risk of type 2 diabetes. HR and 95% CIs for the highest compared to the lowest quintile of uncalibrated vitamin D intake was 1.09 (0.97-1.22) (Ptrend =0.17). No associations were observed in a sex-specific analysis. The overall pooled effect (HR (95% CI)) using the continuous calibrated variable was 1.00 (0.97-1.03) per increase of 1 μg/day dietary vitamin D. Conclusions: This observational study does not support an association between higher dietary vitamin D intake and type 2 diabetes incidence. This result has to be interpreted in light of the limited contribution of dietary vitamin D on the overall vitamin D status of a person.

AB - Background/Objectives: Prospective cohort studies have indicated that serum vitamin D levels are inversely related to risk of type 2 diabetes. However, such studies cannot determine the source of vitamin D. Therefore, we examined the association of dietary vitamin D intake with incident type 2 diabetes within the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study in a heterogeneous European population including eight countries with large geographical variation. Subjects/Methods: Using a case-cohort design, 11 245 incident cases of type 2 diabetes and a representative subcohort (N=15 798) were included in the analyses. Hazard ratios (HR) and 95% confidence intervals (CIs) for type 2 diabetes were calculated using a Prentice-weighted Cox regression adjusted for potential confounders. Twenty-four-hour diet-recall data from a subsample (N=2347) were used to calibrate habitual intake data derived from dietary questionnaires. Results: Median follow-up time was 10.8 years. Dietary vitamin D intake was not significantly associated with the risk of type 2 diabetes. HR and 95% CIs for the highest compared to the lowest quintile of uncalibrated vitamin D intake was 1.09 (0.97-1.22) (Ptrend =0.17). No associations were observed in a sex-specific analysis. The overall pooled effect (HR (95% CI)) using the continuous calibrated variable was 1.00 (0.97-1.03) per increase of 1 μg/day dietary vitamin D. Conclusions: This observational study does not support an association between higher dietary vitamin D intake and type 2 diabetes incidence. This result has to be interpreted in light of the limited contribution of dietary vitamin D on the overall vitamin D status of a person.

UR - http://www.scopus.com/inward/record.url?scp=84893740785&partnerID=8YFLogxK

U2 - 10.1038/ejcn.2013.235

DO - 10.1038/ejcn.2013.235

M3 - Article

C2 - 24253760

AN - SCOPUS:84893740785

SN - 0954-3007

VL - 68

SP - 196

EP - 202

JO - European Journal of Clinical Nutrition

JF - European Journal of Clinical Nutrition

IS - 2

ER -

Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: The EPIC-InterAct study

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

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