Unknown

Dataset Information

0

Changes in Consumption of Sugary Beverages and Artificially Sweetened Beverages and Subsequent Risk of Type 2 Diabetes: Results From Three Large Prospective U.S. Cohorts of Women and Men.


ABSTRACT: OBJECTIVE:We evaluated the associations of long-term changes in consumption of sugary beverages (including sugar-sweetened beverages and 100% fruit juices) and artificially sweetened beverages (ASBs) with subsequent risk of type 2 diabetes. RESEARCH DESIGN AND METHODS:We followed up 76,531 women in the Nurses' Health Study (1986-2012), 81,597 women in the Nurses' Health Study II (1991-2013), and 34,224 men in the Health Professionals' Follow-up Study (1986-2012). Changes in beverage consumption (in 8-ounce servings/day) were calculated from food frequency questionnaires administered every 4 years. Multivariable Cox proportional regression models were used to calculate hazard ratios for diabetes associated with changes in beverage consumption. Results of the three cohorts were pooled using an inverse variance-weighted, fixed-effect meta-analysis. RESULTS:During 2,783,210 person-years of follow-up, we documented 11,906 incident cases of type 2 diabetes. After adjustment for BMI and initial and changes in diet and lifestyle covariates, increasing total sugary beverage intake (including both sugar-sweetened beverages and 100% fruit juices) by >0.50 serving/day over a 4-year period was associated with a 16% (95% CI 1%, 34%) higher diabetes risk in the subsequent 4 years. Increasing ASB consumption by >0.50 serving/day was associated with 18% (2%, 36%) higher diabetes risk. Replacing one daily serving of sugary beverage with water, coffee, or tea, but not ASB, was associated with a 2-10% lower diabetes risk. CONCLUSIONS:Increasing consumption of sugary beverages or ASBs was associated with a higher risk of type 2 diabetes, albeit the latter association may be affected by reverse causation and surveillance bias.

SUBMITTER: Drouin-Chartier JP 

PROVIDER: S-EPMC6868459 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

altmetric image

Publications

Changes in Consumption of Sugary Beverages and Artificially Sweetened Beverages and Subsequent Risk of Type 2 Diabetes: Results From Three Large Prospective U.S. Cohorts of Women and Men.

Drouin-Chartier Jean-Philippe JP   Zheng Yan Y   Li Yanping Y   Malik Vasanti V   Pan An A   Bhupathiraju Shilpa N SN   Tobias Deirdre K DK   Manson JoAnn E JE   Willett Walter C WC   Hu Frank B FB  

Diabetes care 20191003 12


<h4>Objective</h4>We evaluated the associations of long-term changes in consumption of sugary beverages (including sugar-sweetened beverages and 100% fruit juices) and artificially sweetened beverages (ASBs) with subsequent risk of type 2 diabetes.<h4>Research design and methods</h4>We followed up 76,531 women in the Nurses' Health Study (1986-2012), 81,597 women in the Nurses' Health Study II (1991-2013), and 34,224 men in the Health Professionals' Follow-up Study (1986-2012). Changes in bevera  ...[more]

Similar Datasets

| S-EPMC8775653 | biostudies-literature
| S-EPMC8277662 | biostudies-literature
| S-EPMC5984206 | biostudies-literature
| S-EPMC10534429 | biostudies-literature
| S-EPMC7146120 | biostudies-literature
| S-EPMC6488380 | biostudies-literature
| S-EPMC8009739 | biostudies-literature
| S-EPMC4853528 | biostudies-literature
| S-EPMC4510779 | biostudies-literature
| S-EPMC5207632 | biostudies-literature