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Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct

Romaguera, D.; Norat, T.; Wark, P. A.; Vergnaud, A. C.; Schulze, M. B.; van Woudenbergh, G. J.; Drogan, D.; Amiano, P.; Molina-Montes, E. and Sanchez, M. J., et al. (2013) In Diabetologia 56(7). p.1520-1530
Abstract
Consumption of sugar-sweetened beverages has been shown, largely in American populations, to increase type 2 diabetes incidence. We aimed to evaluate the association of consumption of sweet beverages (juices and nectars, sugar-sweetened soft drinks and artificially sweetened soft drinks) with type 2 diabetes incidence in European adults. We established a case-cohort study including 12,403 incident type 2 diabetes cases and a stratified subcohort of 16,154 participants selected from eight European cohorts participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. After exclusions, the final sample size included 11,684 incident cases and a subcohort of 15,374 participants. Cox proportional hazards... (More)
Consumption of sugar-sweetened beverages has been shown, largely in American populations, to increase type 2 diabetes incidence. We aimed to evaluate the association of consumption of sweet beverages (juices and nectars, sugar-sweetened soft drinks and artificially sweetened soft drinks) with type 2 diabetes incidence in European adults. We established a case-cohort study including 12,403 incident type 2 diabetes cases and a stratified subcohort of 16,154 participants selected from eight European cohorts participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. After exclusions, the final sample size included 11,684 incident cases and a subcohort of 15,374 participants. Cox proportional hazards regression models (modified for the case-cohort design) and random-effects meta-analyses were used to estimate the association between sweet beverage consumption (obtained from validated dietary questionnaires) and type 2 diabetes incidence. In adjusted models, one 336 g (12 oz) daily increment in sugar-sweetened and artificially sweetened soft drink consumption was associated with HRs for type 2 diabetes of 1.22 (95% CI 1.09, 1.38) and 1.52 (95% CI 1.26, 1.83), respectively. After further adjustment for energy intake and BMI, the association of sugar-sweetened soft drinks with type 2 diabetes persisted (HR 1.18, 95% CI 1.06, 1.32), but the association of artificially sweetened soft drinks became statistically not significant (HR 1.11, 95% CI 0.95, 1.31). Juice and nectar consumption was not associated with type 2 diabetes incidence. This study corroborates the association between increased incidence of type 2 diabetes and high consumption of sugar-sweetened soft drinks in European adults. (Less)
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keywords
Artificially sweetened soft drinks, Case-cohort study, Europe, Juices, and nectars, Prospective study, Sugar-sweetened soft drinks, Sweet, beverages, Type 2 diabetes incidence
in
Diabetologia
volume
56
issue
7
pages
1520 - 1530
publisher
Springer
external identifiers
  • wos:000319881300009
  • scopus:84878882156
ISSN
1432-0428
DOI
10.1007/s00125-013-2899-8
language
English
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yes
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56c9d6a5-f48b-4338-b97c-927f1f7539bc (old id 3920981)
date added to LUP
2013-08-01 07:33:52
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2019-08-07 01:09:03
@article{56c9d6a5-f48b-4338-b97c-927f1f7539bc,
  abstract     = {Consumption of sugar-sweetened beverages has been shown, largely in American populations, to increase type 2 diabetes incidence. We aimed to evaluate the association of consumption of sweet beverages (juices and nectars, sugar-sweetened soft drinks and artificially sweetened soft drinks) with type 2 diabetes incidence in European adults. We established a case-cohort study including 12,403 incident type 2 diabetes cases and a stratified subcohort of 16,154 participants selected from eight European cohorts participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. After exclusions, the final sample size included 11,684 incident cases and a subcohort of 15,374 participants. Cox proportional hazards regression models (modified for the case-cohort design) and random-effects meta-analyses were used to estimate the association between sweet beverage consumption (obtained from validated dietary questionnaires) and type 2 diabetes incidence. In adjusted models, one 336 g (12 oz) daily increment in sugar-sweetened and artificially sweetened soft drink consumption was associated with HRs for type 2 diabetes of 1.22 (95% CI 1.09, 1.38) and 1.52 (95% CI 1.26, 1.83), respectively. After further adjustment for energy intake and BMI, the association of sugar-sweetened soft drinks with type 2 diabetes persisted (HR 1.18, 95% CI 1.06, 1.32), but the association of artificially sweetened soft drinks became statistically not significant (HR 1.11, 95% CI 0.95, 1.31). Juice and nectar consumption was not associated with type 2 diabetes incidence. This study corroborates the association between increased incidence of type 2 diabetes and high consumption of sugar-sweetened soft drinks in European adults.},
  author       = {Romaguera, D. and Norat, T. and Wark, P. A. and Vergnaud, A. C. and Schulze, M. B. and van Woudenbergh, G. J. and Drogan, D. and Amiano, P. and Molina-Montes, E. and Sanchez, M. J. and Balkau, B. and Barricarte, A. and Beulens, J. W. J. and Clavel-Chapelon, F. and Crispim, S. P. and Fagherazzi, G. and Franks, Paul and Grote, V. A. and Huybrechts, I. and Kaaks, R. and Key, T. J. and Khaw, K. T. and Nilsson, Peter and Overvad, K. and Palli, D. and Panico, S. and Quiros, J. R. and Rolandsson, O. and Sacerdote, C. and Sieri, S. and Slimani, N. and Spijkerman, A. M. W. and Tjonneland, A. and Tormo, M. J. and Tumino, R. and van den Berg, S. W. and Wermeling, P. R. and Zamora-Ros, R. and Feskens, E. J. M. and Langenberg, C. and Sharp, S. J. and Forouhi, N. G. and Riboli, E. and Wareham, N. J.},
  issn         = {1432-0428},
  keyword      = {Artificially sweetened soft drinks,Case-cohort study,Europe,Juices,and nectars,Prospective study,Sugar-sweetened soft drinks,Sweet,beverages,Type 2 diabetes incidence},
  language     = {eng},
  number       = {7},
  pages        = {1520--1530},
  publisher    = {Springer},
  series       = {Diabetologia},
  title        = {Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct},
  url          = {http://dx.doi.org/10.1007/s00125-013-2899-8},
  volume       = {56},
  year         = {2013},
}