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Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct.
Diabetologia. 2013 Jul; 56(7):1520-30.D

Abstract

AIMS/HYPOTHESIS

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS/INTERPRETATION

This study corroborates the association between increased incidence of type 2 diabetes and high consumption of sugar-sweetened soft drinks in European adults.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23620057

Citation

InterAct Consortium, et al. "Consumption of Sweet Beverages and Type 2 Diabetes Incidence in European Adults: Results From EPIC-InterAct." Diabetologia, vol. 56, no. 7, 2013, pp. 1520-30.
InterAct Consortium, Romaguera D, Norat T, et al. Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct. Diabetologia. 2013;56(7):1520-30.
Romaguera, D., Norat, T., Wark, P. A., Vergnaud, A. C., Schulze, M. B., van Woudenbergh, G. J., Drogan, D., Amiano, P., Molina-Montes, E., Sánchez, M. J., Balkau, B., Barricarte, A., Beulens, J. W., Clavel-Chapelon, F., Crispim, S. P., Fagherazzi, G., Franks, P. W., Grote, V. A., Huybrechts, I., ... Wareham, N. J. (2013). Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct. Diabetologia, 56(7), 1520-30. https://doi.org/10.1007/s00125-013-2899-8
InterAct Consortium, et al. Consumption of Sweet Beverages and Type 2 Diabetes Incidence in European Adults: Results From EPIC-InterAct. Diabetologia. 2013;56(7):1520-30. PubMed PMID: 23620057.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct. AU - ,, AU - Romaguera,D, AU - Norat,T, AU - Wark,P A, AU - Vergnaud,A C, AU - Schulze,M B, AU - van Woudenbergh,G J, AU - Drogan,D, AU - Amiano,P, AU - Molina-Montes,E, AU - Sánchez,M J, AU - Balkau,B, AU - Barricarte,A, AU - Beulens,J W J, AU - Clavel-Chapelon,F, AU - Crispim,S P, AU - Fagherazzi,G, AU - Franks,P W, AU - Grote,V A, AU - Huybrechts,I, AU - Kaaks,R, AU - Key,T J, AU - Khaw,K T, AU - Nilsson,P, AU - Overvad,K, AU - Palli,D, AU - Panico,S, AU - Quirós,J R, AU - Rolandsson,O, AU - Sacerdote,C, AU - Sieri,S, AU - Slimani,N, AU - Spijkerman,A M W, AU - Tjonneland,A, AU - Tormo,M J, AU - Tumino,R, AU - van den Berg,S W, AU - Wermeling,P R, AU - Zamara-Ros,R, AU - Feskens,E J M, AU - Langenberg,C, AU - Sharp,S J, AU - Forouhi,N G, AU - Riboli,E, AU - Wareham,N J, Y1 - 2013/04/26/ PY - 2012/12/21/received PY - 2013/03/11/accepted PY - 2013/4/27/entrez PY - 2013/4/27/pubmed PY - 2014/1/11/medline SP - 1520 EP - 30 JF - Diabetologia JO - Diabetologia VL - 56 IS - 7 N2 - AIMS/HYPOTHESIS: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS/INTERPRETATION: This study corroborates the association between increased incidence of type 2 diabetes and high consumption of sugar-sweetened soft drinks in European adults. SN - 1432-0428 UR - https://www.unboundmedicine.com/medline/citation/23620057/Consumption_of_sweet_beverages_and_type_2_diabetes_incidence_in_European_adults:_results_from_EPIC_InterAct_ L2 - https://doi.org/10.1007/s00125-013-2899-8 DB - PRIME DP - Unbound Medicine ER -