Re: Grains

x-no-archive: yes

Anil wrote:

"We also examined whether consumption of specific foods
with large contributions to the dietary-pattern scores was
associated with the risk for type 2 diabetes.

Of the foods that characterized the prudent pattern,
whole grains had the strongest inverse association
with the risk for type 2 diabetes (multivariate relative
risk for extreme quintiles, 0.77 [CI, 0.64 to 0.93];
P 0.001 for trend).

Consumption of fruit, vegetables, and fish was not
appreciably associated with the risk for type 2 diabetes.
(Anil Ed: either higher or lower)

The foods with major contributions to the western
pattern were all positively associated with the risk
for type 2 diabetes. (The relative risks for extreme
quintiles were: for unprocessed red meat..)"

Anil, one of the things we have to be cautious about is ascribing causation where only correlation exists. For example, in a lot of studies, pretty much all of them, the highest meat consumption occurs in people who eat fries and drink sugary soda with fast food burgers. The highest whole grain consumption is likely a marker for health conscious folks who exercise, eat veggies and more fish or healthier types of meat.

Additionally, whole grains mean less grain is digested, so it may be this mere reduction in digestible carbohydrate that improves risk.

I suspect all of the above may be correlated, but causation is a completely different matter.

Susan
.

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