Quintile 1
Quintile 2-4
Quintile 5
Text Box: Relative risk for 
type 2 diabetes
Relative risk for
type 2 diabetes
Relative Risk for Type 2 Diabetes
in US Men by BMI
<25
BMI, kg/m2
Quintile of Western Dietary Pattern Score
25-29
>30
van Dam RM, et al. Ann Intern Med. 2002;136:201-209.
©2002 ACP-ASIM. Reprinted with permission.
Relative Risk for Type 2 Diabetes in US Men by BMI
These data are from The Health Professionals Follow-up Study of 51,529 male health professionals. To assess dietary patterns, a 131-item food-frequency questionnaire was administered in 1986, 1990, and 1994. Using factor analysis based on data from these questionnaires, two major dietary patterns, “prudent” and “western”, were validated. A prudent diet was characterized by the consumption of more vegetables, fruit, fish, poultry, and whole grains. A western diet was characterized by a higher consumption of red meat, processed meat, french fries, high-fat dairy, refined grains, and sweets and desserts.
The relative risk of type 2 diabetes in the cohort based on quintile of the western dietary pattern score was then determined.  The relative risk for type 2 diabetes was lowest in the quintile with the lowest western dietary pattern score and highest in quintile 5, with the highest western dietary pattern score. Across all quintiles of western but not prudent dietary pattern score, the relative risk of type 2 diabetes in these US male health professionals increased as the body mass index increased.

Reference:
van Dam RM, Rimm EB, Willett WC, Stampfer MJ, Hu FB. Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. Ann Intern Med. 2002 Feb 5;136(3):201-209.