RT Journal Article T1 Interaction between genes and macronutrient intake on the risk of developing type 2 diabetes: systematic review and findings from European Prospective Investigation into Cancer (EPIC)-InterAct. A1 Li, Sherly X A1 Imamura, Fumiaki A1 Ye, Zheng A1 Schulze, Matthias B A1 Zheng, Jusheng A1 Ardanaz, Eva A1 Arriola, Larraitz A1 Boeing, Heiner A1 Dow, Courtney A1 Fagherazzi, Guy A1 Franks, Paul W A1 Agudo, Antonio A1 Grioni, Sara A1 Kaaks, Rudolf A1 Katzke, Verena A A1 Key, Timothy J A1 Khaw, Kay Tee A1 Mancini, Francesca R A1 Navarro, Carmen A1 Nilsson, Peter M A1 Onland-Moret, N Charlotte A1 Overvad, Kim A1 Palli, Domenico A1 Panico, Salvatore A1 Quirós, J Ramón A1 Rolandsson, Olov A1 Sacerdote, Carlotta A1 Sanchez-Perez, Maria-Jose A1 Slimani, Nadia A1 Sluijs, Ivonne A1 Spijkerman, Annemieke Mw A1 Tjonneland, Anne A1 Tumino, Rosario A1 Sharp, Stephen J A1 Riboli, Elio A1 Langenberg, Claudia A1 Scott, Robert A A1 Forouhi, Nita G A1 Wareham, Nicholas J K1 diabetes K1 diet K1 effect modification K1 gene K1 interaction K1 macronutrient K1 replication K1 systematic review AB Background: Gene-diet interactions have been reported to contribute to the development of type 2 diabetes (T2D). However, to our knowledge, few examples have been consistently replicated to date.Objective: We aimed to identify existing evidence for gene-macronutrient interactions and T2D and to examine the reported interactions in a large-scale study.Design: We systematically reviewed studies reporting gene-macronutrient interactions and T2D. We searched the MEDLINE, Human Genome Epidemiology Network, and WHO International Clinical Trials Registry Platform electronic databases to identify studies published up to October 2015. Eligibility criteria included assessment of macronutrient quantity (e.g., total carbohydrate) or indicators of quality (e.g., dietary fiber) by use of self-report or objective biomarkers of intake. Interactions identified in the review were subsequently examined in the EPIC (European Prospective Investigation into Cancer)-InterAct case-cohort study (n = 21,148, with 9403 T2D cases; 8 European countries). Prentice-weighted Cox regression was used to estimate country-specific HRs, 95% CIs, and P-interaction values, which were then pooled by random-effects meta-analysis. A primary model was fitted by using the same covariates as reported in the published studies, and a second model adjusted for additional covariates and estimated the effects of isocaloric macronutrient substitution.Results: Thirteen observational studies met the eligibility criteria (n YR 2017 FD 2017-06-07 LK http://hdl.handle.net/10668/11282 UL http://hdl.handle.net/10668/11282 LA en DS RISalud RD Apr 6, 2025