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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.


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 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.

SUBMITTER: Imamura F 

PROVIDER: S-EPMC6825826 | biostudies-other | 2019 Nov

REPOSITORIES: biostudies-other

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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 F   Schulze Matthias B MB   Sharp Stephen J SJ   Guevara Marcela M   Romaguera Dora D   Bendinelli Benedetta B   Salamanca-Fernández Elena E   Ardanaz Eva E   Arriola Larraitz L   Aune Dagfinn D   Boeing Heiner H   Dow Courtney C   Fagherazzi Guy G   Franks Paul W PW   Freisling Heinz H   Jakszyn Paula P   Kaaks Rudolf R   Khaw Kay-Tee KT   Kühn Tilman T   Mancini Francesca R FR   Masala Giovanna G   Chirlaque Maria-Dolores MD   Nilsson Peter M PM   Overvad Kim K   Pala Valeria M VM   Panico Salvatore S   Perez-Cornago Aurora A   Quirós Jose R JR   Ricceri Fulvio F   Rodríguez-Barranco Miguel M   Rolandsson Olov O   Sluijs Ivonne I   Stepien Magdalena M   Spijkerman Annemieke M W AMW   Tjønneland Anne A   Tong Tammy Y N TYN   Tumino Rosario R   Vissers Linda E T LET   Ward Heather A HA   Langenberg Claudia C   Riboli Elio E   Forouhi Nita G NG   Wareham Nick J NJ  

The Journal of nutrition 20191101 11


<h4>Introduction</h4>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.<h4>Objective</h4>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.<h4>Methods</h4>In the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct cas  ...[more]

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