Evidence map›Paper›PMID 42204699›Full record

ArticleNutrition journal2026

Seafood consumption and incident diabetes mellitus in middle-aged and elderly Chinese: results from the 4 C study.

Xiang Hu, Liang Wang, Zhi-Yun Zhao, Li-Juan Yang, Hui-Hui Deng, Wei Pan, Meng-Ying Chen, Jie-Li Lu, Mian Li, Yu Xu and 35 more

Abstract read
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Article in Nutrition journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

45 authors.

Xiang Hu *Department of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Liang Wang *Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, USA.
Zhi-Yun Zhao *Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Li-Juan YangDepartment of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Hui-Hui DengDepartment of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Wei PanDepartment of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Meng-Ying ChenDepartment of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jie-Li LuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Mian LiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yu XuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Min XuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tian-Ge WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Gang ChenFujian Provincial Hospital, Fujian Medical University, Fuzhou, China.
Qin WanThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Gui-Jun QinThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Li YanSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Gui-Xia WangThe First Hospital of Jilin University, Changchun, China.
Ying-Fen QinThe First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Zuo-Jie LuoThe First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Xu-Lei TangThe First Hospital of Lanzhou University, Lanzhou, China.
Ya-Nan HuoJiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, China.
Ru-Ying HuZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Zhen YeZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Li-Xin ShiAffiliated Hospital of Guiyang Medical College, Guiyang, China.
Zheng-Nan GaoDalian Municipal Central Hospital, Dalian, China.
Qing SuXinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yi-Ming MuChinese People's Liberation Army General Hospital, Beijing, China.
Jia-Jun ZhaoShandong Provincial Hospital affiliated to Shandong University, Jinan, China.
Lu-Lu ChenUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Tian-Shu ZengUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xue-Feng YuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qiang LiThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Li ChenQilu Hospital of Shandong University, Jinan, China.
Yin-Fei ZhangCentral Hospital of Shanghai Jiading District, Shanghai, China.
You-Min WangThe First Affiliated Hospital of Anhui Medical University, Hefei, China.
Hua-Cong DengThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chao LiuJiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing, China.
Sheng-Li WuKaramay Municipal People's Hospital, Karamay, Xinjiang, China.
Tao YangThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yu-Fang BiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wei-Qing WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Guang NingDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Fei-Xia Shen *Department of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. shenfeixia@wmu.edu.cn.
Bo Yang *School of Public Health and Management, Wenzhou Medical University, Wenzhou, China. yb@wmu.edu.cn.
Xue-Jiang Gu *Department of Endocrine and Metabolic Diseases, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. guxuejiang@wmu.edu.cn.

Funding

Ministry of Science and Technology of the People's Republic of China 2016YFC1305202Ministry of Science and Technology of the People's Republic of China 2016YFC1305600Ministry of Science and Technology of the People's Republic of China 2017YFC1310700Ministry of Science and Technology of the People's Republic of China 2018YFC1311705Ministry of Science and Technology of the People's Republic of China 2018YFC1311800National Natural Science Foundation of China 81900737Natural Science Foundation of Zhejiang Province LMS26H070004Natural Science Foundation of Zhejiang Province LY20H070003
6 · The paper itself

Abstract

backgroundThere is an urgent need to implement population-based actions to prevent diabetes mellitus (DM) in China. However, the current knowledge is limited on a prospective association of seafood intake with DM risk in Chinese adults. We aimed to determine the association between seafood consumption and the incident DM in a nationwide cohort of Chinese populations.

methodsA prospective cohort study of 104,816 participants, free of DM, aged ≥ 40 years across various geographical regions in China was conducted at baseline (China Cardiometabolic Disease and Cancer study). Habitual consumptions of seafood were assessed using a semi-quantitative food frequency questionnaire, and DM was diagnosed according to the WHO 1999 criteria. Primary outcomes were the incident DM, presented as hazard rations (HRs) with 95% confidence intervals (CIs) that were examined with Cox proportional model with adjustments for relevant covariates across quartiles of seafood consumptions, with the lowest quartile as the reference. Dose-response analyses were evaluated using the restricted cubic spline regression with tests for nonlinearity.

resultsDuring the mean follow-up period of 3.60 years, 7,105 incident DM cases were present among the 104,816 participants. Participants at the highest quartile of seafood-consumption amount had a lower risk of DM than those at the lowest (HR: 0.87, 95% CI: 0.80-0.94). There is a steep decrease in the risk of DM with the increasing consumption of seafood within the cumulative amount of 200.00 g/week, which further strengthened gradually thereafter (P for nonlinearity < 0.001).

conclusionsIn the middle-aged, elderly Chinese population, higher seafood consumption was nonlinearly associated with a lower risk of incident DM, and the cutoff amount of 200.00 g/week was appropriate.

Indexed as

Diabetes MellitusDietSeafoodAgedChinaEast Asian PeopleFemaleHumansIncidenceMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsSurveys and QuestionnairesChina Cardiometabolic Disease and Cancer studyDiabetes mellitusSeafood consumption

Identifiers

PMID42204699
PMCPMC13425772

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.