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April 23, 2025Diabetes Obesity and MetabolismOpen Access

Association between adherence to the EAT ‐Lancet diet and risk of microvascular complications in type 2 diabetes: A cohort study

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Authors

ZZZenghui ZhangSun Yat-sen UniversityZHZegui HuangSun Yat-sen UniversityYXYangbo XiJinan University

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Implication

Cohort study reveals reduced microvascular complications in type 2 diabetes with high EAT-Lancet diet adherence, highlighting the clinical value of plant-forward dietary patterns.

Key Points

  • To investigate the association between adherence to the planetary health EAT-Lancet diet and the long-term incidence of microvascular complications in individuals with type 2 diabetes.
  • Prospective cohort analysis of 7525 adults with type 2 diabetes and no baseline microvascular complications from the UK Biobank, followed for a mean of 12.58 years.
  • Dietary intake was captured via web-based 24-hour dietary recalls to score a 0-to-14-point EAT-Lancet diet index, with associations evaluated using Cox proportional hazards models.
  • A total of 1217 incident microvascular complication events occurred; highest versus lowest adherence to the EAT-Lancet diet significantly lowered risk (HR: 0.76, 95% CI: 0.64-0.88).
  • Each 1-point increment in the diet score was linked to an 8% lower risk of microvascular complications, with consistent risk reductions observed for diabetic retinopathy, neuropathy, and nephropathy.

Cite This Study

Zhang et al. (2025) studied this question.

synapsesocial.com/papers/6a9a0fa4bfa0062ca5aa7e44https://doi.org/10.1111/dom.16414
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