Diabetes Care
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Diabetes Care 30:e56 2007
DOI: 10.2337/dc07-0375
© 2007 by the American Diabetes Association
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Online Letters: Comments and Responses

Prevalence of Nonalcoholic Fatty Liver Disease and Its Association With Cardiovascular Disease Among Type 2 Diabetic Patients

Response to Talim

Gang Hu, MD, PHD1,2, Pekka Jousilahti, MD, PHD1,3 and Jaakko Tuomilehto, MD, PHD1,2,4

1 Department of Health Promotion and Chronic Diseases Prevention, National Public Health Institute, Helsinki, Finland
2 Department of Public Health, University of Helsinki, Helsinki, Finland
3 Tampere School of Public Health, University of Tampere, Tampere, Finland
4 South Ostrobothnia Central Hospital, Seinäjoki, Finland

Address correspondence to Gang Hu, MD, PhD, Department of Health Promotion and Chronic Diseases Prevention, National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland. E-mail: hu.gang{at}ktl.fi

We appreciate Dr. Talim's comments (1) on the results of our study (2) on type 2 diabetes and the risk of Parkinson's disease. We agree that polyunsaturated rich vegetable oils may be associated with the risk of both type 2 diabetes and Parkinson's disease. In recent years, several prospective studies have assessed the association between specific types of fat consumed and the risk of type 2 diabetes and Parkinson's disease separately. Higher vegetable fat and polyunsaturated fat intake are associated with a lower risk of type 2 diabetes in the Nurses’ Health Study and the Iowa Women's Study (3,4). In the pooled analyses of the Health Professionals Follow-up Study and the Nurses’ Health Study, the associations of total and individual polyunsaturated fatty acid intake on the risk of Parkinson's disease were examined (5). No significant associations were found between the risk of Parkinson's disease and intake of total polyunsaturated fatty acids, linoleic, {alpha}-linolenic, or long-chain n-3 fatty acids, including eicosapentaenoic acid and docosahexaenoic acid. A higher baseline intake of arachidonic acid tended to be associated with a lower risk of Parkinson's disease. However, no studies assess the association between specific types of fat consumed and the risk of both type 2 diabetes and Parkinson's disease. Further studies are needed to test this association, since we do not have data on fat consumption.

References

  1. Talim M: Prevalence of nonalcoholic fatty liver disease and its association with cardiovascular disease among type 2 diabetic patients (Letter). Diabetes Care 30:e55, 2007. DOI: 10.2337/dc07-0361[Free Full Text]
  2. Hu G, Jousilahti P, Bidel S, Antikainen R, Tuomilehto J: Type 2 diabetes and the risk of Parkinson's disease. Diabetes Care 30:842–847, 2007[Abstract/Free Full Text]
  3. Salmeron J, Hu FB, Manson JE, Stampfer MJ, Colditz GA, Rimm EB, Willett WC: Dietary fat intake and risk of type 2 diabetes in women. Am J Clin Nutr 73:1019–1026, 2001[Abstract/Free Full Text]
  4. Meyer KA, Kushi LH, Jacobs DR Jr, Folsom AR: Dietary fat and incidence of type 2 diabetes in older Iowa women. Diabetes Care 24:1528–1535, 2001[Abstract/Free Full Text]
  5. Chen H, Zhang SM, Hernan MA, Willett WC, Ascherio A: Dietary intakes of fat and risk of Parkinson's disease. Am J Epidemiol 157:1007–1014, 2003[Abstract/Free Full Text]

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This Article
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