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Fruit and vegetable intake, as reflected by serum carotenoid concentrations, predicts reduced probability of polychlorinated biphenyl-associated risk for type 2 diabetes: National Health and Nutrition Examination Survey 2003-2004

  • Carolyn R. Hofe
  • , Limin Feng
  • , Dominique Zephyr
  • , Arnold J. Stromberg
  • , Bernhard Hennig
  • , Lisa M. Gaetke

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

41 Scopus citations

Abstract

Type 2 diabetes has been shown to occur in response to environmental and genetic influences, among them nutrition; food intake patterns; sedentary lifestyle; body mass index; and exposure to persistent organic pollutants, such as polychlorinated biphenyls (PCBs). Nutrition is essential in the prevention and management of type 2 diabetes and has been shown to modulate the toxicity of PCBs. Serum carotenoid concentrations, considered a reliable biomarker of fruit and vegetable intake, are associated with the reduced probability of chronic diseases, such as type 2 diabetes and cardiovascular disease. Our hypothesis is that fruit and vegetable intake, reflected by serum carotenoid concentrations, is associated with the reduced probability of developing type 2 diabetes in US adults with elevated serum concentrations of PCBs 118, 126, and 153. This cross-sectional study used the Center for Disease Control and Prevention database, National Health and Nutrition Examination Survey 2003-2004, in logistic regression analyses. Overall prevalence of type 2 diabetes was approximately 11.6% depending on the specific PCB. All 3 PCBs were positively associated with the probability of type 2 diabetes. For participants at higher PCB percentiles (eg, 75th and 90th) for PCB 118 and 126, increasing serum carotenoid concentrations were associated with a smaller probability of type 2 diabetes. Fruit and vegetable intake, as reflected by serum carotenoid concentrations, predicted notably reduced probability of dioxin-like PCB-associated risk for type 2 diabetes.

Original languageEnglish
Pages (from-to)285-293
Number of pages9
JournalNutrition Research
Volume34
Issue number4
DOIs
StatePublished - Apr 2014

Bibliographical note

Funding Information:
The authors would like to thank the volunteers and the research staff of the NHANES 2003-2004. This work was supported by grant P42ES007380 from the National Institutes of Environmental Health Sciences, NIH . National Institutes of Environmental Health Sciences/NIH had no role in the design, analysis, or writing of this article. The authors declare that there are no known conflicts of interest associated with this publication.

Funding

The authors would like to thank the volunteers and the research staff of the NHANES 2003-2004. This work was supported by grant P42ES007380 from the National Institutes of Environmental Health Sciences, NIH . National Institutes of Environmental Health Sciences/NIH had no role in the design, analysis, or writing of this article. The authors declare that there are no known conflicts of interest associated with this publication.

FundersFunder number
National Institutes of Health/National Institute of Environmental Health Sciences
National Institutes of Health (NIH)
National Institute of Environmental Health Sciences (NIEHS)P42ES007380

    UN SDGs

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

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • Environmental health
    • NHANES, type 2 diabetes
    • Nutrition
    • Polychlorinated biphenyls, PCBs
    • Serum carotenoids

    ASJC Scopus subject areas

    • Endocrinology, Diabetes and Metabolism
    • Endocrinology
    • Nutrition and Dietetics

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