TY  - BOOK
AU  - Eilat-Adar, Sigal
AU  - Howard, Barbara V
AU  - Mete, Mihriye
TI  - Associations of processed meat and unprocessed red meat intake with incident diabetes: the Strong Heart Family Study
SN  - 0002-9165
KW  - *Diabetes Mellitus/ep [Epidemiology]
KW  - *Diet/ae [Adverse Effects]
KW  - *Energy Intake
KW  - *Meat Products/ae [Adverse Effects]
KW  - *Meat/ae [Adverse Effects]
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Diabetes Mellitus/et [Etiology]
KW  - Female
KW  - Follow-Up Studies
KW  - Food Handling
KW  - Food, Preserved/ae [Adverse Effects]
KW  - Humans
KW  - Incidence
KW  - Indians, North American
KW  - Interviews as Topic
KW  - Male
KW  - Middle Aged
KW  - Nutrition Assessment
KW  - Prospective Studies
KW  - Questionnaires
KW  - Risk Factors
KW  - Rural Population
KW  - United States
KW  - Young Adult
KW  - MedStar Health Research Institute
KW  - Journal Article
KW  - Research Support, N.I.H., Extramural
N1  - Available online from MWHC library: Sept 1992 - present, Available in print through MWHC library: 1999 - 2006
N2  - BACKGROUND: Fifty percent of American Indians (AIs) develop diabetes by age 55 y. Whether processed meat is associated with the risk of diabetes in AIs, a rural population with a high intake of processed meat (eg, canned meats in general, referred to as "spam") and a high rate of diabetes, is unknown; CONCLUSION: The consumption of processed meat, such as spam, but not unprocessed red meat, was associated with higher risk of diabetes in AIs, a rural population at high risk of diabetes and with limited access to healthy foods; DESIGN: This prospective cohort study included AI participants from the Strong Heart Family Study who were free of diabetes and cardiovascular disease at baseline and who participated in a 5-y follow-up examination (n = 2001). Dietary intake was ascertained by using a Block food-frequency questionnaire at baseline. Incident diabetes was defined on the basis of 2003 American Diabetes Association criteria. Generalized estimating equations were used to examine the associations of dietary intake with incident diabetes; OBJECTIVE: We examined the associations of usual intake of processed meat with incident diabetes in AIs; RESULTS: We identified 243 incident cases of diabetes. In a comparison of upper and lower quartiles, intake of processed meat was associated with a higher risk of incident diabetes (OR: 1.63; 95% CI: 1.21, 2.63), after adjustment for potential confounders. The relation was particularly strong for spam (OR for the comparison of upper and lower quartiles: 2.06; 95% CI: 1.30, 3.27). Intake of unprocessed red meat was not associated with incident diabetes (OR for the comparison of upper and lower quartiles: 0.90; 95% CI: 0.59, 1.37)
UR  - http://dx.doi.org/10.3945/ajcn.111.029942
ER  -