Adherence to mediterranean diet attenuates the link between impaired fasting glucose and 20-year cumulative incidence of type 2 diabetes: the ATTICA cohort study (2002–2022)

The aim of the present study was to evaluate the association between impaired fasting glucose and the 20-year cumulative incidence of type 2 diabetes (T2D), and the role of lifestyle habits, in the ATTICA cohort study (2002-2022). The present analysis was based on 2000 individuals free of T2D at bas...

Full description

Saved in:
Bibliographic Details
Published in:International journal of food sciences and nutrition Vol. 76; no. 5; pp. 581 - 591
Main Authors: Kechagia, Ioanna, Barkas, Fotios, Liberopoulos, Evangelos, Kaloudi, Polyxeni, Chrysohoou, Christina, Sfikakis, Petros P., Tsioufis, Costas, Pitsavos, Christos, Panagiotakos, Demosthenes
Format: Journal Article
Language:English
Published: England 04.07.2025
Subjects:
Adult
Blood Glucose - analysis
Blood Glucose - metabolism
Cohort Studies
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - prevention & control
Diet, Mediterranean
Fasting
Female
Greece - epidemiology
Humans
Incidence
Life Style
Male
Middle Aged
Risk Factors
Greece
mediterranean diet
type 2 diabetes mellitus
Impaired fasting glucose
intermediate hyperglycaemia
ISSN:0963-7486, 1465-3478, 1465-3478
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract The aim of the present study was to evaluate the association between impaired fasting glucose and the 20-year cumulative incidence of type 2 diabetes (T2D), and the role of lifestyle habits, in the ATTICA cohort study (2002-2022). The present analysis was based on 2000 individuals free of T2D at baseline examination (age 43 ± 13 years; 51% women), 773 (39%) had IFG defined by fasting glucose 100-125 mg/dL and HbA1c 5.7-6.4%. Sociodemographic, anthropometric, lifestyle, and clinical parameters were collected at baseline and follow-up examinations. The 20-year cumulative incidence of T2D was 347 out of 773 (45%) participants with IFG. Male sex [RR 1.82, 95%CI (1.36, 2.43)], overweight [RR 6.3, 95%CI (3.7, 10.5)], obesity [RR 5.3, 95%CI (2.5, 11.3)], hypercholesterolaemia [RR 1.71, 95%CI (1.28, 2.28)], smoking [RR 1.67, 95%CI (1.14, 2.44)] and adherence to Mediterranean diet (high vs. low) [RR 0.41, 95%CI (0.26, 0.65)], were significantly associated with the development of T2D in the subjects with IFG, during the 20-year of follow-up. IFG significantly increases the risk of T2D, with male sex, obesity, hypercholesterolaemia, and smoking as key risk factors. Adherence to the Mediterranean diet and weight management were protective, in preventing diabetes progression.
AbstractList The aim of the present study was to evaluate the association between impaired fasting glucose and the 20-year cumulative incidence of type 2 diabetes (T2D), and the role of lifestyle habits, in the ATTICA cohort study (2002-2022). The present analysis was based on 2000 individuals free of T2D at baseline examination (age 43 ± 13 years; 51% women), 773 (39%) had IFG defined by fasting glucose 100-125 mg/dL and HbA1c 5.7-6.4%. Sociodemographic, anthropometric, lifestyle, and clinical parameters were collected at baseline and follow-up examinations. The 20-year cumulative incidence of T2D was 347 out of 773 (45%) participants with IFG. Male sex [RR 1.82, 95%CI (1.36, 2.43)], overweight [RR 6.3, 95%CI (3.7, 10.5)], obesity [RR 5.3, 95%CI (2.5, 11.3)], hypercholesterolaemia [RR 1.71, 95%CI (1.28, 2.28)], smoking [RR 1.67, 95%CI (1.14, 2.44)] and adherence to Mediterranean diet (high vs. low) [RR 0.41, 95%CI (0.26, 0.65)], were significantly associated with the development of T2D in the subjects with IFG, during the 20-year of follow-up. IFG significantly increases the risk of T2D, with male sex, obesity, hypercholesterolaemia, and smoking as key risk factors. Adherence to the Mediterranean diet and weight management were protective, in preventing diabetes progression.
The aim of the present study was to evaluate the association between impaired fasting glucose and the 20-year cumulative incidence of type 2 diabetes (T2D), and the role of lifestyle habits, in the ATTICA cohort study (2002-2022). The present analysis was based on 2000 individuals free of T2D at baseline examination (age 43 ± 13 years; 51% women), 773 (39%) had IFG defined by fasting glucose 100-125 mg/dL and HbA1c 5.7-6.4%. Sociodemographic, anthropometric, lifestyle, and clinical parameters were collected at baseline and follow-up examinations. The 20-year cumulative incidence of T2D was 347 out of 773 (45%) participants with IFG. Male sex [RR 1.82, 95%CI (1.36, 2.43)], overweight [RR 6.3, 95%CI (3.7, 10.5)], obesity [RR 5.3, 95%CI (2.5, 11.3)], hypercholesterolaemia [RR 1.71, 95%CI (1.28, 2.28)], smoking [RR 1.67, 95%CI (1.14, 2.44)] and adherence to Mediterranean diet (high vs. low) [RR 0.41, 95%CI (0.26, 0.65)], were significantly associated with the development of T2D in the subjects with IFG, during the 20-year of follow-up. IFG significantly increases the risk of T2D, with male sex, obesity, hypercholesterolaemia, and smoking as key risk factors. Adherence to the Mediterranean diet and weight management were protective, in preventing diabetes progression.The aim of the present study was to evaluate the association between impaired fasting glucose and the 20-year cumulative incidence of type 2 diabetes (T2D), and the role of lifestyle habits, in the ATTICA cohort study (2002-2022). The present analysis was based on 2000 individuals free of T2D at baseline examination (age 43 ± 13 years; 51% women), 773 (39%) had IFG defined by fasting glucose 100-125 mg/dL and HbA1c 5.7-6.4%. Sociodemographic, anthropometric, lifestyle, and clinical parameters were collected at baseline and follow-up examinations. The 20-year cumulative incidence of T2D was 347 out of 773 (45%) participants with IFG. Male sex [RR 1.82, 95%CI (1.36, 2.43)], overweight [RR 6.3, 95%CI (3.7, 10.5)], obesity [RR 5.3, 95%CI (2.5, 11.3)], hypercholesterolaemia [RR 1.71, 95%CI (1.28, 2.28)], smoking [RR 1.67, 95%CI (1.14, 2.44)] and adherence to Mediterranean diet (high vs. low) [RR 0.41, 95%CI (0.26, 0.65)], were significantly associated with the development of T2D in the subjects with IFG, during the 20-year of follow-up. IFG significantly increases the risk of T2D, with male sex, obesity, hypercholesterolaemia, and smoking as key risk factors. Adherence to the Mediterranean diet and weight management were protective, in preventing diabetes progression.
Author Pitsavos, Christos
Chrysohoou, Christina
Kechagia, Ioanna
Panagiotakos, Demosthenes
Tsioufis, Costas
Barkas, Fotios
Kaloudi, Polyxeni
Liberopoulos, Evangelos
Sfikakis, Petros P.
Author_xml – sequence: 1
  givenname: Ioanna
  surname: Kechagia
  fullname: Kechagia, Ioanna
– sequence: 2
  givenname: Fotios
  surname: Barkas
  fullname: Barkas, Fotios
– sequence: 3
  givenname: Evangelos
  surname: Liberopoulos
  fullname: Liberopoulos, Evangelos
– sequence: 4
  givenname: Polyxeni
  surname: Kaloudi
  fullname: Kaloudi, Polyxeni
– sequence: 5
  givenname: Christina
  surname: Chrysohoou
  fullname: Chrysohoou, Christina
– sequence: 6
  givenname: Petros P.
  surname: Sfikakis
  fullname: Sfikakis, Petros P.
– sequence: 7
  givenname: Costas
  surname: Tsioufis
  fullname: Tsioufis, Costas
– sequence: 8
  givenname: Christos
  surname: Pitsavos
  fullname: Pitsavos, Christos
– sequence: 9
  givenname: Demosthenes
  surname: Panagiotakos
  fullname: Panagiotakos, Demosthenes
BackLink https://www.ncbi.nlm.nih.gov/pubmed/40583316$$D View this record in MEDLINE/PubMed
BookMark eNp9kU1uFDEUhC0URCaBI4C8DIse_NPuH1iNovAjRWIzrK3X9uuMods92G7Q7LhDDsKdOAnuZGbDgtXbfFWlV3VBzvzkkZCXnK05a9gb1layLptqLZhQa6GEatr2CVnxslKFLOvmjKwWpligc3IR41fGGFd1_Yycl0w1UvJqRX5v7A4DeoM0TXRE6xKGAB7BU-swUUgJ_QwJI007pIPz32iH6Seip27cgwtoaQ8xOX9H74bZTBEpeEsFKw4IgZp5nAdI7gdS542zD1lTT9Nhj1TkEMh2GN8-2G-220_XG2qm3RQSjWm2B3olGBN_ft3nR8Xr5-RpD0PEF8d7Sb68v9lefyxuP3_IytvCSM5T0YmWCQRuocXOGGY6o3pTSZBgBZTQ9W2jOikxh0NpOpS8t61plMCm7FklL8nVo-8-TN9njEmPLhochlzNNEctRS685qpc0FdHdO5ygXof3AjhoE8lZ-DdI2DCFGPAXhuXciOTTwHcoDnTy6T6NKleJtXHSbNa_aM-Bfxf9xfhE6Z0
CitedBy_id crossref_primary_10_3390_nu17152465
Cites_doi 10.1111/dme.14768
10.1111/dom.15646
10.1016/j.numecd.2020.04.006
10.1146/annurev-publhealth-090419-102644
10.1186/s12933-016-0475-5
10.1016/j.numecd.2005.08.006
10.3390/nu11112611
10.2337/diacare.20.7.1183
10.1016/j.ejim.2024.05.033
10.1161/01.HYP.0000107251.49515.c2
10.1093/ije/26.suppl_1.s118
10.1371/journal.pone.0172221
10.2337/db21-0227
10.1111/dom.15160
10.1177/2047487319899191
10.1001/jama.284.23.3043
10.1016/j.jdiacomp.2020.107712
10.2337/dc17-1962
10.1016/j.je.2016.12.017
10.1177/2047487319878371
10.3390/diagnostics13030503
10.3390/life13051142
10.1186/s12933-024-02172-8
10.2337/dc22-1024
10.1016/j.diabres.2024.111589
10.1007/s12020-014-0436-2
10.1161/CIR.0000000000000625
10.1136/bmjopen-2016-013806
10.1186/1471-2458-3-32
10.1161/CIRCULATIONAHA.111.075424
10.1186/s12889-024-17996-y
10.3390/metabo14040182
10.1002/14651858.CD012661.pub2
10.1186/s12889-018-5352-6
10.2337/dc22-2376
10.1016/j.numecd.2021.07.005
10.1186/s12944-020-01213-x
ContentType Journal Article
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1080/09637486.2025.2525899
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Anatomy & Physiology
Diet & Clinical Nutrition
EISSN 1465-3478
EndPage 591
ExternalDocumentID 40583316
10_1080_09637486_2025_2525899
Genre Journal Article
GeographicLocations Greece
GeographicLocations_xml – name: Greece
GroupedDBID ---
-~X
00X
03L
0BK
0R~
29J
30N
36B
3EH
4.4
5GY
AAGDL
AAHBH
AAHIA
AAJMT
AALDU
AAMIU
AAPUL
AAPXX
AAQRR
AAWTL
AAYXX
ABCCY
ABDBF
ABFIM
ABJNI
ABLIJ
ABLKL
ABPAQ
ABXUL
ABXYU
ACGEJ
ACGFO
ACGFS
ACGOD
ACPRK
ACTIO
ADCVX
ADGTB
ADNWM
ADRBQ
ADXPE
AEISY
AENEX
AEOZL
AEPSL
AEYOC
AFKVX
AFRAH
AFRVT
AGDLA
AHDZW
AHMBA
AIAGR
AIJEM
AIYEW
AJWEG
AKBVH
AKOOK
ALMA_UNASSIGNED_HOLDINGS
ALQZU
AQRUH
AWYRJ
BABNJ
BLEHA
CCCUG
CITATION
COF
CS3
DGEBU
DKSSO
DU5
DXH
EAP
EBS
EHN
EMB
ESTFP
ESX
F5P
FAC
H13
HZ~
I-F
KRBQP
KSSTO
KWAYT
KYCEM
LJTGL
M4Z
O9-
P2P
RNANH
ROSJB
RTWRZ
RWL
RXW
TAE
TASJS
TBQAZ
TDBHL
TFDNU
TFL
TFT
TFW
TQWBC
TTHFI
TUROJ
TUS
V1S
WH7
Y6R
ZGOLN
~1N
2QV
53G
5VS
7X2
7X7
88E
88I
8FE
8FH
8FI
8FJ
8G5
A8Z
AAGME
AALIY
AAOAP
ABFMO
ABTAA
ABUWG
ACBBU
ACDHJ
ACQMU
ACUHS
ACZPZ
ADBBV
ADGTR
ADOPC
ADYSH
AEUYN
AFDYB
AFKRA
AI.
ALIPV
APEBS
APNXG
ATCPS
AURDB
AZQEC
BENPR
BFWEY
BHPHI
BKOMP
BPHCQ
BVXVI
CAG
CCPQU
CGR
CUY
CVF
CWRZV
DWQXO
EAS
EBB
EBC
EBD
EBO
EBX
ECM
EIF
EJD
EMK
EMOBN
EPL
EPT
FAS
FJW
FYUFA
GNUQQ
GUQSH
HCIFZ
HGUVV
HMCUK
JEPSP
M0K
M1P
M2O
M2P
M44
NPM
NUSFT
OVD
OWHGL
PADUT
PCLFJ
PHGZM
PHGZT
PPXIY
PQQKQ
PROAC
PSQYO
Q~Q
SV3
TEORI
TH9
UKHRP
VH1
~KM
7X8
ID FETCH-LOGICAL-c311t-b2902ea1da9ebcc0cbc5fc63a3ad2a4abf985b33eabea4cbe31fd9c852e84f063
ISICitedReferencesCount 1
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001519674100001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 0963-7486
1465-3478
IngestDate Fri Sep 05 15:46:41 EDT 2025
Sat Jul 19 01:30:24 EDT 2025
Sat Nov 29 07:46:07 EST 2025
Tue Nov 18 22:18:54 EST 2025
IsPeerReviewed true
IsScholarly true
Issue 5
Keywords mediterranean diet
type 2 diabetes mellitus
Impaired fasting glucose
intermediate hyperglycaemia
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c311t-b2902ea1da9ebcc0cbc5fc63a3ad2a4abf985b33eabea4cbe31fd9c852e84f063
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 40583316
PQID 3225871546
PQPubID 23479
PageCount 11
ParticipantIDs proquest_miscellaneous_3225871546
pubmed_primary_40583316
crossref_citationtrail_10_1080_09637486_2025_2525899
crossref_primary_10_1080_09637486_2025_2525899
PublicationCentury 2000
PublicationDate 2025-07-04
PublicationDateYYYYMMDD 2025-07-04
PublicationDate_xml – month: 07
  year: 2025
  text: 2025-07-04
  day: 04
PublicationDecade 2020
PublicationPlace England
PublicationPlace_xml – name: England
PublicationTitle International journal of food sciences and nutrition
PublicationTitleAlternate Int J Food Sci Nutr
PublicationYear 2025
References e_1_3_8_27_1
e_1_3_8_28_1
CDC (e_1_3_8_8_1) 2021
e_1_3_8_25_1
e_1_3_8_26_1
Oh RC (e_1_3_8_31_1) 2020; 102
e_1_3_8_22_1
e_1_3_8_21_1
e_1_3_8_24_1
e_1_3_8_23_1
e_1_3_8_41_1
e_1_3_8_42_1
e_1_3_8_20_1
e_1_3_8_40_1
e_1_3_8_19_1
e_1_3_8_18_1
e_1_3_8_15_1
Papathanasiou G (e_1_3_8_33_1) 2009; 50
e_1_3_8_38_1
e_1_3_8_14_1
e_1_3_8_39_1
e_1_3_8_17_1
e_1_3_8_36_1
e_1_3_8_16_1
e_1_3_8_37_1
e_1_3_8_9_1
Magliano DJ (e_1_3_8_29_1) 2021
e_1_3_8_7_1
e_1_3_8_6_1
e_1_3_8_5_1
e_1_3_8_4_1
e_1_3_8_3_1
e_1_3_8_2_1
e_1_3_8_11_1
e_1_3_8_34_1
e_1_3_8_10_1
e_1_3_8_35_1
e_1_3_8_13_1
e_1_3_8_32_1
e_1_3_8_12_1
e_1_3_8_30_1
References_xml – ident: e_1_3_8_9_1
  doi: 10.1111/dme.14768
– ident: e_1_3_8_10_1
  doi: 10.1111/dom.15646
– ident: e_1_3_8_37_1
  doi: 10.1016/j.numecd.2020.04.006
– ident: e_1_3_8_17_1
  doi: 10.1146/annurev-publhealth-090419-102644
– ident: e_1_3_8_23_1
  doi: 10.1186/s12933-016-0475-5
– ident: e_1_3_8_32_1
  doi: 10.1016/j.numecd.2005.08.006
– ident: e_1_3_8_39_1
  doi: 10.3390/nu11112611
– ident: e_1_3_8_18_1
  doi: 10.2337/diacare.20.7.1183
– volume-title: Prediabetes—your chance to prevent type 2 diabetes
  year: 2021
  ident: e_1_3_8_8_1
– ident: e_1_3_8_27_1
  doi: 10.1016/j.ejim.2024.05.033
– volume-title: IDF DIABETES ATLAS
  year: 2021
  ident: e_1_3_8_29_1
– ident: e_1_3_8_12_1
  doi: 10.1161/01.HYP.0000107251.49515.c2
– ident: e_1_3_8_24_1
  doi: 10.1093/ije/26.suppl_1.s118
– ident: e_1_3_8_42_1
  doi: 10.1371/journal.pone.0172221
– ident: e_1_3_8_38_1
  doi: 10.2337/db21-0227
– volume: 50
  start-page: 283
  issue: 4
  year: 2009
  ident: e_1_3_8_33_1
  article-title: Reliability measures of the short International Physical Activity Questionnaire (IPAQ) in Greek young adults
  publication-title: Hellenic J Cardiol
– ident: e_1_3_8_19_1
  doi: 10.1111/dom.15160
– ident: e_1_3_8_4_1
  doi: 10.1177/2047487319899191
– ident: e_1_3_8_40_1
  doi: 10.1001/jama.284.23.3043
– ident: e_1_3_8_21_1
  doi: 10.1016/j.jdiacomp.2020.107712
– ident: e_1_3_8_6_1
  doi: 10.2337/dc17-1962
– ident: e_1_3_8_2_1
  doi: 10.1016/j.je.2016.12.017
– ident: e_1_3_8_13_1
  doi: 10.1177/2047487319878371
– ident: e_1_3_8_3_1
  doi: 10.3390/diagnostics13030503
– ident: e_1_3_8_14_1
  doi: 10.3390/life13051142
– ident: e_1_3_8_15_1
  doi: 10.1186/s12933-024-02172-8
– ident: e_1_3_8_26_1
  doi: 10.2337/dc22-1024
– volume: 102
  start-page: 347
  issue: 6
  year: 2020
  ident: e_1_3_8_31_1
  article-title: Management of hypertriglyceridemia: common questions and answers
  publication-title: Am Fam Physician
– ident: e_1_3_8_5_1
  doi: 10.1016/j.diabres.2024.111589
– ident: e_1_3_8_7_1
  doi: 10.1007/s12020-014-0436-2
– ident: e_1_3_8_20_1
  doi: 10.1161/CIR.0000000000000625
– ident: e_1_3_8_22_1
  doi: 10.1136/bmjopen-2016-013806
– ident: e_1_3_8_34_1
  doi: 10.1186/1471-2458-3-32
– ident: e_1_3_8_28_1
  doi: 10.1161/CIRCULATIONAHA.111.075424
– ident: e_1_3_8_41_1
  doi: 10.1186/s12889-024-17996-y
– ident: e_1_3_8_25_1
  doi: 10.3390/metabo14040182
– ident: e_1_3_8_35_1
  doi: 10.1002/14651858.CD012661.pub2
– ident: e_1_3_8_16_1
  doi: 10.1186/s12889-018-5352-6
– ident: e_1_3_8_36_1
  doi: 10.2337/dc22-2376
– ident: e_1_3_8_30_1
  doi: 10.1016/j.numecd.2021.07.005
– ident: e_1_3_8_11_1
  doi: 10.1186/s12944-020-01213-x
SSID ssj0001577
Score 2.4128878
Snippet The aim of the present study was to evaluate the association between impaired fasting glucose and the 20-year cumulative incidence of type 2 diabetes (T2D),...
SourceID proquest
pubmed
crossref
SourceType Aggregation Database
Index Database
Enrichment Source
StartPage 581
SubjectTerms Adult
Blood Glucose - analysis
Blood Glucose - metabolism
Cohort Studies
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - prevention & control
Diet, Mediterranean
Fasting
Female
Greece - epidemiology
Humans
Incidence
Life Style
Male
Middle Aged
Risk Factors
Title Adherence to mediterranean diet attenuates the link between impaired fasting glucose and 20-year cumulative incidence of type 2 diabetes: the ATTICA cohort study (2002–2022)
URI https://www.ncbi.nlm.nih.gov/pubmed/40583316
https://www.proquest.com/docview/3225871546
Volume 76
WOSCitedRecordID wos001519674100001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAWR
  databaseName: Taylor & Francis Journals Complete
  customDbUrl:
  eissn: 1465-3478
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0001577
  issn: 0963-7486
  databaseCode: TFW
  dateStart: 19920101
  isFulltext: true
  titleUrlDefault: https://www.tandfonline.com
  providerName: Taylor & Francis
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtZ3fb9MwEMetbSC0FwQbjPJjOiSEQChT48RNwls1mJhA0x4K7K1yHGcrZEnVtdP2R_EvIu78I-mACXjgJaqSxol6n9rn89d3jD0r8O24iIogGSgdxKLsB2kah0EYy7AspS5zsz3604fk4CA9OsoOV1a--70w51VS1-nFRTb9r6bGc2hs2jr7D-ZuG8UT-BmNjkc0Ox7_yvDD4sSljkW3kpbO8ZfDAYki7sWEIrxzdJMX5GIap5NWcFu1Fu2ZnJAivZRnRg_tFe0UXscZ4CWl_VGLU1Pz65zyjShblNRIDa5Gc71iZDga7e8OX1El3tncprMlt9bUO-E4tvtYxJdOU9-FKJcSW5SUf9kN2DaxdO0rCXSjhjqRx1b-u9_Iuu6iDXL21W5d26OyRe1Ewgpmps2isnJDmlgc66r7wntZNYvCSB4Om-ryQteT5UAJF0ZUa4MV2nbu8UAEUWxLBvne31afcZSLpa5c2FIyvwwxTpOJHVcSpyRy4WKHCy5SW-hpibDpqUEMXeI0isKfEn4bF8JfWmU3eCIykiSO9j63nkQoksTvOqN88L975jq75Vu56lpdM18yftPoDrvtJjwwtKDeZSu63mCbQ7Rwc3oJz8FIkM3azgbrvUFA8ZxLVlvBgbfwJvvWcg3zBq5wDcQ1dFwDYgfENTiuwXMNjmtwXANiBI5r6LiGlmtoSiCugYPn-rVp3lINlmowVMOLlumX99jHvbej3XeBqzUSqCgM50HOsz7XMixkpnOl-ipXolSDSEbYl8lY5mWWijyKND5KxirXUVgWmUoF12lcop9_n63VTa0fMOAFR7c9wS5Q5bEQicz6OfrJOBOJVJJo2WOxN9NYuUT8VA-mGoc-X68z9JgMPXaG7rGd9rapzUTzpxueegbGOGbQQiAapVmcjWkQTxOcPA16bMvC0TbpYXp47ZVHbL37ez1ma_PZQj9hN9X5fHI222aryVG6bTj-Af0n55s
linkProvider Taylor & Francis
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Adherence+to+mediterranean+diet+attenuates+the+link+between+impaired+fasting+glucose+and+20-year+cumulative+incidence+of+type+2+diabetes%3A+the+ATTICA+cohort+study+%282002-2022%29&rft.jtitle=International+journal+of+food+sciences+and+nutrition&rft.au=Kechagia%2C+Ioanna&rft.au=Barkas%2C+Fotios&rft.au=Liberopoulos%2C+Evangelos&rft.au=Kaloudi%2C+Polyxeni&rft.date=2025-07-04&rft.eissn=1465-3478&rft.volume=76&rft.issue=5&rft.spage=581&rft_id=info:doi/10.1080%2F09637486.2025.2525899&rft_id=info%3Apmid%2F40583316&rft.externalDocID=40583316
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0963-7486&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0963-7486&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0963-7486&client=summon