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  • Trans Fatty Acid Biomarkers...
    Lai, Heidi T M; Imamura, Fumiaki; Korat, Andres V Ardisson; Murphy, Rachel A; Tintle, Nathan; Bassett, Julie K; Chen, Jiaying; Kröger, Janine; Chien, Kuo-Liong; Senn, Mackenzie; Wood, Alexis C; Forouhi, Nita G; Schulze, Matthias B; Harris, William S; Vasan, Ramachandran S; Hu, Frank; Giles, Graham G; Hodge, Allison; Djousse, Luc; Brouwer, Ingeborg A; Qian, Frank; Sun, Qi; Wu, Jason H Y; Marklund, Matti; Lemaitre, Rozenn N; Siscovick, David S; Fretts, Amanda M; Shadyab, Aladdin H; Manson, JoAnn E; Howard, Barbara V; Robinson, Jennifer G; Wallace, Robert B; Wareham, Nick J; Chen, Yii-Der Ida; Rotter, Jerome I; Tsai, Michael Y; Micha, Renata; Mozaffarian, Dariush

    Diabetes care, 04/2022, Volume: 45, Issue: 4
    Journal Article

    Trans fatty acids (TFAs) have harmful biologic effects that could increase the risk of type 2 diabetes (T2D), but evidence remains uncertain. We aimed to investigate the prospective associations of TFA biomarkers and T2D by conducting an individual participant-level pooled analysis. We included data from an international consortium of 12 prospective cohorts and nested case-control studies from six nations. TFA biomarkers were measured in blood collected between 1990 and 2008 from 25,126 participants aged ≥18 years without prevalent diabetes. Each cohort conducted de novo harmonized analyses using a prespecified protocol, and findings were pooled using inverse-variance weighted meta-analysis. Heterogeneity was explored by prespecified between-study and within-study characteristics. During a mean follow-up of 13.5 years, 2,843 cases of incident T2D were identified. In multivariable-adjusted pooled analyses, no significant associations with T2D were identified for trans/trans-18:2, relative risk (RR) 1.09 (95% CI 0.94-1.25); cis/trans-18:2, 0.89 (0.73-1.07); and trans/cis-18:2, 0.87 (0.73-1.03). Trans-16:1n-9, total trans-18:1, and total trans-18:2 were inversely associated with T2D (RR 0.81 95% CI 0.67-0.99, 0.86 0.75-0.99, and 0.84 0.74-0.96, respectively). Findings were not significantly different according to prespecified sources of potential heterogeneity (each P ≥ 0.1). Circulating individual trans-18:2 TFA biomarkers were not associated with risk of T2D, while trans-16:1n-9, total trans-18:1, and total trans-18:2 were inversely associated. Findings may reflect the influence of mixed TFA sources (industrial vs. natural ruminant), a general decline in TFA exposure due to policy changes during this period, or the relatively limited range of TFA levels.