| Autor: |
Imamura, Fumiaki, Schulze, Matthias B, Sharp, Stephen J, Guevara, Marcela, Romaguera, Dora, Bendinelli, Benedetta, Salamanca-Fernández, Elena, Ardanaz, Eva, Arriola, Larraitz, Aune, Dagfinn, Boeing, Heiner, Dow, Courtney, Fagherazzi, Guy, Franks, Paul W, Freisling, Heinz, Jakszyn, Paula, Kaaks, Rudolf, Khaw, Kay-Tee, Kühn, Tilman, Mancini, Francesca R, Masala, Giovanna, Chirlaque, Maria-Dolores, Nilsson, Peter M, Overvad, Kim, Pala, Valeria M, Panico, Salvatore, Perez-Cornago, Aurora, Quirós, Jose R, Ricceri, Fulvio, Rodríguez-Barranco, Miguel, Rolandsson, Olov, Sluijs, Ivonne, Stepien, Magdalena, Spijkerman, Annemieke MW, Tjønneland, Anne, Tong, Tammy YN, Tumino, Rosario, Vissers, Linda ET, Ward, Heather A, Langenberg, Claudia, Riboli, Elio, Forouhi, Nita G, Wareham, Nick J |
| Předmět: |
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| Popis: |
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. |
| Databáze: |
OpenAIRE |
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