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Dietary Copper/Zinc Ratio and Type 2 Diabetes Risk in Women: The E3N Cohort Study

by Laouali, Nasser , MacDonald, Conor-James , Boutron-Ruault, Marie-Christine , El Fatouhi, Douae , Shah, Sanam , Mancini, Francesca Romana , Fagherazzi, Guy

in Age / blood serum / Body mass index / Brief Report / Cohort analysis / cohort studies / copper / Copper - blood / Diabetes / Diabetes Mellitus, Type 2 - blood / Diabetes Mellitus, Type 2 - diagnosis / Diabetes Mellitus, Type 2 - epidemiology / Diet / Diet therapy / Education / Energy / Epidemiology / Female / Food / food frequency questionnaires / Food habits / France - epidemiology / Glucose / Health insurance / Humans / Hypertension / Incidence / Middle Aged / noninsulin-dependent diabetes mellitus / Obesity - blood / Obesity - diagnosis / Obesity - epidemiology / Observational studies / Prospective Studies / Questionnaires / risk / Risk Assessment / Risk Factors / Sex Factors / Time Factors / Type 2 diabetes / Variables / Women / zinc / Zinc - blood

2021

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Dietary Copper/Zinc Ratio and Type 2 Diabetes Risk in Women: The E3N Cohort Study

by Laouali, Nasser , MacDonald, Conor-James , Boutron-Ruault, Marie-Christine , El Fatouhi, Douae , Shah, Sanam , Mancini, Francesca Romana , Fagherazzi, Guy

2021

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Dietary Copper/Zinc Ratio and Type 2 Diabetes Risk in Women: The E3N Cohort Study

by Laouali, Nasser , MacDonald, Conor-James , Boutron-Ruault, Marie-Christine , El Fatouhi, Douae , Shah, Sanam , Mancini, Francesca Romana , Fagherazzi, Guy

2021

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Journal Article

Dietary Copper/Zinc Ratio and Type 2 Diabetes Risk in Women: The E3N Cohort Study

Laouali, Nasser,

MacDonald, Conor-James,

Boutron-Ruault, Marie-Christine,

El Fatouhi, Douae,

Shah, Sanam,

Mancini, Francesca Romana,

Fagherazzi, Guy

2021

Overview

The serum copper (Cu) to zinc (Zn) ratio could be an important determinant of Type 2 diabetes (T2D) risk, but prospective epidemiological data are scarce. We aimed to investigate the association between T2D incidence and the dietary Cu/Zn ratio. A total of 70,991 women from the E3N cohort study were followed for 20 years. The intakes of copper and zinc were estimated at baseline using a validated food frequency questionnaire. We identified and validated 3292 incident T2D cases. Spline analysis showed that a Cu/Zn ratio < 0.55 was associated with a lower risk of T2D. Subgroup analyses comparing women in the highest versus the lowest quintile of Cu/Zn ratio showed the same pattern of association for obese women and those with zinc intake ≥8 mg/day. However, for women with zinc intake <8 mg/day, higher Cu/Zn ratio appeared to be associated with higher T2D risk. Our findings suggest that a lower dietary Cu/Zn ratio is associated with a lower T2D risk, especially among obese women and women with zinc intake >8 mg/day. Further studies are warranted to validate our results.

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Publisher

MDPI AG,MDPI

Subject

/ copper