RT Journal Article T1 Tea consumption and incidence of type 2 diabetes in Europe: the EPIC-InterAct case-cohort study. A1 van Woudenbergh, Geertruida J. A1 Kuijsten, Anneleen A1 Drogan, Dagmar A1 Boeing, Heiner A1 Schulze, Matthias B. A1 van der A, Daphne L. A1 Bueno-de-Mesquita, H. Bas A1 Spijkerman, Annemieke M. W. A1 Romaguera, Dora A1 Riboli, Elio A1 Ardanaz, Eva A1 Barricarte, Aurelio A1 Amiano, Pilar A1 Beulens, Joline W. J. A1 Sluijs, Ivonne A1 Dahm, Christina C A1 Overvad, Kim A1 Chirlaque, M-Doleres A1 Clavel, Francoise A1 Fagher-azzi, Guy A1 Crowe, Francesca L. A1 Eomois, Piia-Piret A1 Teucher, Birgit A1 Franks, Paul W. A1 Halkjaer, Jytte A1 Tjonneland, Anne A1 Khaw, Kay T. A1 Masala, Giovanna A1 Mattiello, Amalia A1 Quiros, J. Ramon A1 Rolandsson, Olov A1 Romieu, Isabelle A1 Sacerdote, Carlotta A1 Sanchez-Perez, Maria-Jose A1 Tagliabue, Giovanna A1 Tumino, Rosario A1 Forouhi, Nita G. A1 Sharp, Stephen A1 Langenberg, Claudia A1 Wareham, Nicholas J. K1 Té K1 Adulto K1 Anciano K1 Estudios de Cohortes K1 Diabetes Mellitus Tipo 2 K1 Conducta de Ingestión de Líquido K1 Europa K1 Femenino K1 Humanos K1 Masculino K1 Mediana Edad K1 Dinámicas no Lineales K1 Cuestionarios K1 Riesgo K1 Adulto Joven AB BACKGROUNDIn previous meta-analyses, tea consumption has been associated with lower incidence of type 2 diabetes. It is unclear, however, if tea is associated inversely over the entire range of intake. Therefore, we investigated the association between tea consumption and incidence of type 2 diabetes in a European population.METHODOLOGY/PRINCIPAL FINDINGSThe EPIC-InterAct case-cohort study was conducted in 26 centers in 8 European countries and consists of a total of 12,403 incident type 2 diabetes cases and a stratified subcohort of 16,835 individuals from a total cohort of 340,234 participants with 3.99 million person-years of follow-up. Country-specific Hazard Ratios (HR) for incidence of type 2 diabetes were obtained after adjustment for lifestyle and dietary factors using a Cox regression adapted for a case-cohort design. Subsequently, country-specific HR were combined using a random effects meta-analysis. Tea consumption was studied as categorical variable (0, >0-<1, 1-<4, ≥ 4 cups/day). The dose-response of the association was further explored by restricted cubic spline regression. Country specific medians of tea consumption ranged from 0 cups/day in Spain to 4 cups/day in United Kingdom. Tea consumption was associated inversely with incidence of type 2 diabetes; the HR was 0.84 [95%CI 0.71, 1.00] when participants who drank ≥ 4 cups of tea per day were compared with non-drinkers (p(linear trend) = 0.04). Incidence of type 2 diabetes already tended to be lower with tea consumption of 1-<4 cups/day (HR = 0.93 [95%CI 0.81, 1.05]). Spline regression did not suggest a non-linear association (p(non-linearity) = 0.20).CONCLUSIONS/SIGNIFICANCEA linear inverse association was observed between tea consumption and incidence of type 2 diabetes. People who drink at least 4 cups of tea per day may have a 16% lower risk of developing type 2 diabetes than non-tea drinkers. PB Public Library of Science PB Christian Herder, German Diabetes Center -, Leibniz Center for Diabetes Research at Heinrich Heine University Duesseldorf, Germany YR 2012 FD 2012-05-30 LK http://hdl.handle.net/10668/769 UL http://hdl.handle.net/10668/769 LA en NO van Woudenbergh GJ, Kuijsten A, Drogan D, van der A DL, Romaguera D, Ardanaz E, et al. Tea consumption and incidence of type 2 diabetes in Europe: the EPIC-InterAct case-cohort study. PLoS ONE 2012; 7(5):e36910 NO Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 7, 2025