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Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case-Cohort Analysis across 8 European Countries in the EPIC-InterAct Study

Imamura, Fumiaki ; Schulze, Matthias B. ; Sharp, Stephen J. ; Guevara, Marcela ; Romaguera, Dora ; Bendinelli, Benedetta ; Salamanca-Fernández, Elena ; Ardanaz, Eva LU ; Arriola, Larraitz and Aune, Dagfinn , et al. (2019) In Journal of Nutrition 149(11). p.1985-1993
Abstract

Introduction: Beverage consumption is a modifiable risk factor for type 2 diabetes (T2D), but there is insufficient evidence to inform the suitability of substituting 1 type of beverage for another. Objective: The aim of this study was to estimate the risk of T2D when consumption of sugar-sweetened beverages (SSBs) was replaced with consumption of fruit juice, milk, coffee, or tea. Methods: In the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohort study of 8 European countries (n = 27,662, with 12,333 cases of incident T2D, 1992-2007), beverage consumption was estimated at baseline by dietary questionnaires. Using Prentice-weighted Cox regression adjusting for other beverages and potential... (More)

Introduction: Beverage consumption is a modifiable risk factor for type 2 diabetes (T2D), but there is insufficient evidence to inform the suitability of substituting 1 type of beverage for another. Objective: The aim of this study was to estimate the risk of T2D when consumption of sugar-sweetened beverages (SSBs) was replaced with consumption of fruit juice, milk, coffee, or tea. Methods: In the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohort study of 8 European countries (n = 27,662, with 12,333 cases of incident T2D, 1992-2007), beverage consumption was estimated at baseline by dietary questionnaires. Using Prentice-weighted Cox regression adjusting for other beverages and potential confounders, we estimated associations of substituting 1 type of beverage for another on incident T2D. Results: Mean ± SD of estimated consumption of SSB was 55 ± 105 g/d. Means ± SDs for the other beverages were as follows: fruit juice, 59 ± 101 g/d; milk, 209 ± 203 g/d; coffee, 381 ± 372 g/d; and tea, 152 ± 282 g/d. Substituting coffee for SSBs by 250 g/d was associated with a 21% lower incidence of T2D (95% CI: 12%, 29%). The rate difference was-12.0 (95% CI:-20.0,-5.0) per 10,000 person-years among adults consuming SSBs ≥250 g/d (absolute rate = 48.3/10,000). Substituting tea for SSBs was estimated to lower T2D incidence by 22% (95% CI: 15%, 28%) or-11.0 (95% CI:-20.0,-2.6) per 10,000 person-years, whereas substituting fruit juice or milk was estimated not to alter T2D risk significantly. Conclusions: These findings indicate a potential benefit of substituting coffee or tea for SSBs for the primary prevention of T2D and may help formulate public health recommendations on beverage consumption in different populations.

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Contribution to journal
publication status
published
subject
keywords
beverages, diabetes, dietary guidelines, epidemiology, sugar-sweetened beverages
in
Journal of Nutrition
volume
149
issue
11
pages
9 pages
publisher
American Society for Nutrition
external identifiers
  • scopus:85074551817
  • pmid:31396627
ISSN
0022-3166
DOI
10.1093/jn/nxz156
language
English
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yes
id
249c02be-5317-4d8f-8ba5-6ec7e44c7cca
date added to LUP
2019-11-20 12:26:57
date last changed
2019-11-25 09:35:47
@article{249c02be-5317-4d8f-8ba5-6ec7e44c7cca,
  abstract     = {<p>Introduction: Beverage consumption is a modifiable risk factor for type 2 diabetes (T2D), but there is insufficient evidence to inform the suitability of substituting 1 type of beverage for another. Objective: The aim of this study was to estimate the risk of T2D when consumption of sugar-sweetened beverages (SSBs) was replaced with consumption of fruit juice, milk, coffee, or tea. Methods: In the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohort study of 8 European countries (n = 27,662, with 12,333 cases of incident T2D, 1992-2007), beverage consumption was estimated at baseline by dietary questionnaires. Using Prentice-weighted Cox regression adjusting for other beverages and potential confounders, we estimated associations of substituting 1 type of beverage for another on incident T2D. Results: Mean ± SD of estimated consumption of SSB was 55 ± 105 g/d. Means ± SDs for the other beverages were as follows: fruit juice, 59 ± 101 g/d; milk, 209 ± 203 g/d; coffee, 381 ± 372 g/d; and tea, 152 ± 282 g/d. Substituting coffee for SSBs by 250 g/d was associated with a 21% lower incidence of T2D (95% CI: 12%, 29%). The rate difference was-12.0 (95% CI:-20.0,-5.0) per 10,000 person-years among adults consuming SSBs ≥250 g/d (absolute rate = 48.3/10,000). Substituting tea for SSBs was estimated to lower T2D incidence by 22% (95% CI: 15%, 28%) or-11.0 (95% CI:-20.0,-2.6) per 10,000 person-years, whereas substituting fruit juice or milk was estimated not to alter T2D risk significantly. Conclusions: These findings indicate a potential benefit of substituting coffee or tea for SSBs for the primary prevention of T2D and may help formulate public health recommendations on beverage consumption in different populations.</p>},
  author       = {Imamura, Fumiaki and Schulze, Matthias B. and Sharp, Stephen J. and Guevara, Marcela and Romaguera, Dora and Bendinelli, Benedetta and Salamanca-Fernández, Elena and Ardanaz, Eva and Arriola, Larraitz and Aune, Dagfinn and Boeing, Heiner and Dow, Courtney and Fagherazzi, Guy and Franks, Paul W. and Freisling, Heinz and Jakszyn, Paula and Kaaks, Rudolf and Khaw, Kay Tee and Kühn, Tilman and Mancini, Francesca R. and Masala, Giovanna and Chirlaque, Maria Dolores and Nilsson, Peter M. and Overvad, Kim and Pala, Valeria M. and Panico, Salvatore and Perez-Cornago, Aurora and Quirós, Jose R. and Ricceri, Fulvio and Rodríguez-Barranco, Miguel and Rolandsson, Olov and Sluijs, Ivonne and Stepien, Magdalena and Spijkerman, Annemieke M.W. and Tjønneland, Anne and Tong, Tammy Y.N. and Tumino, Rosario and Vissers, Linda E.T. and Ward, Heather A. and Langenberg, Claudia and Riboli, Elio and Forouhi, Nita G. and Wareham, Nick J.},
  issn         = {0022-3166},
  language     = {eng},
  number       = {11},
  pages        = {1985--1993},
  publisher    = {American Society for Nutrition},
  series       = {Journal of Nutrition},
  title        = {Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case-Cohort Analysis across 8 European Countries in the EPIC-InterAct Study},
  url          = {http://dx.doi.org/10.1093/jn/nxz156},
  doi          = {10.1093/jn/nxz156},
  volume       = {149},
  year         = {2019},
}