Overall glycaemic index and dietary glycaemic load and all-cause and cause-specific mortality in women from the Mexican Teachers’ Cohort

• Published in: British journal of nutrition 2024-08, Vol.132 (4), p.512-521
• Main Authors: Palma, Leticia, Stern, Dalia, Zamora-Muñoz, Salvador, Monge, Adriana, Gómez-Flores-Ramos, Liliana, Hernández-Ávila, Juan E., Lajous, Martin
• Format: Article
• Language: English
• Subjects: Breast cancer; Carbohydrates; Cross-linkage; Diabetes; Dietary intake; Dietary Surveys and Nutritional Epidemiology; Exercise; Fatalities; Food; Food intake; Food quality; Glucose; Glycemic index; Mortality; Population studies; Public health; Questionnaires; Socioeconomic factors; Socioeconomic status; Statistical models; Teachers; Womens health
• ISSN: 0007-1145; 1475-2662; 1475-2662
• DOI: 10.1017/S0007114524001569

Previous studies have found direct associations between glycaemic index (GI) and glycaemic load (GL) with chronic diseases. However, this evidence has not been consistent in relation to mortality, and most data regarding this association come from high-income and low-carbohydrate-intake populations. The aim of this study was to evaluate the association between the overall GI and dietary GL and all-cause mortality, CVD and breast cancer mortality in Mexico. Participants from the Mexican Teachers’ Cohort (MTC) study in 2006–2008 were followed for a median of 10 years. Overall GI and dietary GL were calculated from a validated FFQ. Deaths were identified by the cross-linkage of MTC participants with two national mortality registries. Cox proportional hazard models were used to estimate the impact of GI and GL on mortality. We identified 1198 deaths. Comparing the lowest and highest quintile, dietary GI and GL appeared to be marginally associated with all-cause mortality; GI, 1·12 (95 % CI: 0·93, 1·35); GL, 1·12 (95 % CI: 0·87, 1·44). Higher GI and GL were associated with increased risk of CVD mortality, GI, 1·30 (95 % CI: 0·82, 2·08); GL, 1·64 (95 % CI: 0·87, 3·07) and with greater risk of breast cancer mortality; GI, 2·13 (95 % CI: 1·12, 4·06); GL, 2·43 (95 % CI: 0·90, 6·59). It is necessary to continue the improvement of carbohydrate quality indicators to better guide consumer choices and to lead the Mexican population to limit excessive intake of low-quality carbohydrate foods.