The risk of type 2 diabetes is significantly increased if white rice 
is eaten regularly, claims a study published today onbmj.com.
The 
authors from the Harvard School of Public Health look at previous 
studies and evidence of the association between eating white rice and 
the risk of type 2 diabetes. Their study seeks to determine whether this
 risk is dependent on the amount of rice consumed and if the association
 is stronger for the Asian population, who tend to eat more white rice 
than the Western world.
The authors analysed the results of four 
studies: two in Asian countries (China and Japan) and two in Western 
countries (USA and Australia). All participants were diabetes free at 
study baseline.
White rice is the predominant type of rice eaten 
worldwide and has high GI values. High GI diets are associated with an 
increased risk of developing type 2 diabetes. The average amount of rice
 eaten varies widely between Western and Asian countries, with the 
Chinese population eating an average of four portions a day while those 
in the Western world eat less than five portions a week.
A 
significant trend was found in both Asian and Western countries with a 
stronger association found amongst women than men. The results also show
 that the more white rice eaten, the higher the risk of type 2 diabetes:
 the authors estimate that the risk of type 2 diabetes is increased by 
10% with each increased serving of white rice (assuming 158g per 
serving).
White rice has a lower content of nutrients than brown 
rice including fibre, magnesium and vitamins, some of which are 
associated with a lower risk of type 2 diabetes. The authors report, 
therefore, that a high consumption of white rice may lead to increased 
risk because of the low intake of these nutrients.
In conclusion, 
the authors state that "higher white rice intake is associated with a 
significantly elevated risk of type 2 diabetes." This applies for both 
Asian and Western cultures, although due to findings suggesting that the
 more rice eaten the higher the risk, it is thought that Asian countries
 are at a higher risk. The authors recommend eating whole grains instead
 of refined carbohydrates such as white rice, which they hope will help 
slow down the global diabetes epidemic.
In an accompanying 
editorial, Dr Bruce Neal from the University of Sydney suggests that 
more, bigger studies are needed to substantiate the research hypothesis 
that white rice increases the chances of getting type 2 diabetes.
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