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Meta-Analysis
.2022 Dec 22;13(6):2165-2179.
doi: 10.1093/advances/nmac096.

Consumption of Dairy Products and the Risk of Overweight or Obesity, Hypertension, and Type 2 Diabetes Mellitus: A Dose-Response Meta-Analysis and Systematic Review of Cohort Studies

Affiliations
Meta-Analysis

Consumption of Dairy Products and the Risk of Overweight or Obesity, Hypertension, and Type 2 Diabetes Mellitus: A Dose-Response Meta-Analysis and Systematic Review of Cohort Studies

Yifei Feng et al. Adv Nutr..

Abstract

Dairy products have been suggested to be related to the prevention of overweight or obesity, hypertension, and type 2 diabetes mellitus (T2DM). These associations are currently controversial, however, and a systematic quantitative meta-analysis is lacking. In this study, we examined the associations between dairy products and the risk of overweight or obesity, hypertension, and T2DM and tested for dose-response relations. We comprehensively searched PubMed, Embase, and Web of Science up to April 2021. Cohort studies were included if dairy food consumption was reported at a minimum of 3 levels or as continuous variables, and the associations were assessed with overweight or obesity, hypertension, and T2DM. Summary RRs and 95% CIs were estimated for the dose-response association. Restricted cubic splines were used to evaluate the linear or nonlinear relations. Among the 9887 articles retrieved, 42 articles were included. For overweight or obesity, a linear association was observed for total dairy, milk, and yogurt. The risk decreased by 25%, 7%, and 12% per 200-g/d increase for total dairy, high-fat dairy, and milk, respectively, and by 13% per 50-g/d increment of yogurt. For hypertension, a nonlinear association was observed with total dairy, whereas significant inverse associations were found for low-fat dairy (RR: 0.94; 95% CI: 0.90, 0.98) and milk (RR: 0.94; 95% CI: 0.92, 0.97) per 200-g/d intake increase. For T2DM, all types of dairy food consumption except for milk and low-fat dairy products showed nonlinear associations, with total dairy and yogurt intake associated with 3% and 7% lower risk per 200-g/d and 50-g/d intake increase, respectively. In conclusion, our study suggests that total dairy is associated with a low risk of overweight or obesity, hypertension, and T2DM, especially milk and yogurt for overweight or obesity, low-fat dairy and milk for hypertension, and yogurt for T2DM.

Keywords: cohort studies; dairy; hypertension; meta-analysis; overweight/obesity; type 2 diabetes mellitus.

© The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.

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Figures

FIGURE 1
FIGURE 1
Flowchart of article selection.
FIGURE 2
FIGURE 2
Dose–response association of total dairy (A), low-fat dairy (B), milk (C), andyogurt (D) intakes and risk of hypertension in adults modeled by restricted cubicsplines.
FIGURE 3
FIGURE 3
Summary of relative risk of dose–response association of dairy product intakes andrisk of overweight or obesity, hypertension, and type 2 diabetes mellitus in adults(per 200-g/d increment for total dairy, low-fat dairy, high-fat dairy, fermenteddairy, and milk; per 50 g/d for yogurt; and per 30 g for cheese, respectively). NA,not available.
FIGURE 4
FIGURE 4
Dose–response association of total dairy (A), low-fat dairy (B), milk (C), andyogurt (D) intakes and risk of type 2 diabetes mellitus in adults modeled byrestricted cubic splines.
See this image and copyright information in PMC

References

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