Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study.

Autor:	Smyth A; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.; HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland., Hankey GJ; Medical School, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia, Australia., Damasceno A; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique., Iversen HK; Stroke Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark., Oveisgharan S; Rush Alzheimer Disease Research Center, Rush University Medical Center, Chicago, IL, USA., Alhussain F; King Saud University, Riyadh, Saudi Arabia., Langhorne P; Academic Section of Geriatric Medicine, Glasgow Royal Infirmary, University of Glasgow, Glasgow, UK., Xavier D; St John's Medical College and Research Institute, Bangalore, India., Jaramillo PL; Masira Research Institute, Universidad de Santander, Bucaramanga, Colombia.; Eugenio Espejo Medical School, Universidad UTE, Quito, Ecuador., Oguz A; Cardiometabolic Health Foundation, Yumurtaci Abdi Bey Cad, Istanbul, Turkey., McDermott C; HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland., Czlonkowska A; Institute of Psychiatry and Neurology, Warsaw, Poland., Lanas F; Faculty of Medicine, Universidad de La Frontera, Temuco, Chile., Ryglewicz D; Military Institute of Aviation Medicine, Warsaw, Poland., Reddin C; HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland., Wang X; Beijing Hypertension League Institute, Beijing, China., Rosengren A; Sahlgrenska University Hospital and Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Yusuf S; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada., O'Donnell M; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.; HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland.
Jazyk:	angličtina
Zdroj:	Journal of stroke [J Stroke] 2024 Sep; Vol. 26 (3), pp. 391-402. Date of Electronic Publication: 2024 Sep 27.
DOI:	10.5853/jos.2024.01543
Abstrakt:	Background and Purpose: Cold beverage intake (carbonated drinks, fruit juice/drinks, and water) may be important population-level exposures relevant to stroke risk and prevention. We sought to explore the association between intake of these beverages and stroke. Methods: INTERSTROKE is an international matched case-control study of first stroke. Participants reported beverage intake using food frequency questionnaires or were asked "How many cups do you drink each day of water?" Multivariable conditional logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for associations with stroke. Results: We include 13,462 cases and 13,488 controls; mean age was 61.7±13.4 years and 59.6% (n=16,010) were male. After multivariable adjustment, carbonated beverages were linearly associated with ischemic stroke (OR 2.39 [95% CI 1.64-3.49]); only consumption once/day was associated with intracerebral hemorrhage (ICH) (OR 1.58 [95% CI 1.23-2.03]). There was no association between fruit juice/drinks and ischemic stroke, but increased odds of ICH for once/day (OR 1.37 [95% CI 1.08-1.75)] or twice/day (OR 3.18 [95% CI 1.69-5.97]). High water intake (>7 cups/day) was associated ischemic stroke (OR 0.82 [95% CI 0.68-0.99]) but not ICH. Associations differed by Eugeographical region-increased odds for carbonated beverages in some regions only; opposing directions of association of fruit juices/drinks with stroke in selected regions. Conclusion: Carbonated beverages were associated with increased odds of ischemic stroke and ICH, fruit juice/drinks were associated with increased odds of ICH, and high water consumption was associated with reduced odds of ischemic stroke, with important regional differences. Our findings suggest optimizing water intake, minimizing fruit juice/drinks, and avoiding carbonated beverages.
Databáze:	MEDLINE
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