Prospective associations and population impact of sweet beverage intake and type 2 diabetes, and effects of substitutions with alternative beverages

• DOI: 10.1007/s00125-015-3572-1
• Publication Date: 2015-05-05T04:45:38Z
• Authors: Laura O’Connor; Fumiaki Imamura; Marleen A. H. Len...; Kay-Tee Khaw; Nicholas J. Wareham; Nita G. Forouhi
• Keywords: Human physiology

This study aimed to evaluate the association of types sugar-sweetened beverages (SSB) (soft drinks, sweetened-milk beverages, sweetened tea/coffee), artificially (ASB) and fruit juice with incident type 2 diabetes determine effects substituting non-SSB for SSB population-attributable fraction due total sweet beverages.Beverage consumption 25,639 UK-resident adults without at baseline (1993-1997) in European Prospective Investigation into Cancer Nutrition (EPIC)-Norfolk was assessed using 7-day food diaries. During 10.8 years follow-up 847 cases were verified.In adjusted Cox regression analyses there positive associations (HR [95% CI] per serving/day]) soft drinks 1.21 (1.05, 1.39), 1.22 1.43) ASB (1.11, 1.33), but not tea/coffee 0.98 (0.94, 1.02) or 1.01 (0.88, 1.15). Further adjustment adiposity attenuated ASB, HR 1.06 (0.93, 1.20). There a dose-response relationship beverages: 5% energy 1.18 1.26). Substituting any did reduce incidence accounting intake adiposity. one serving/day water unsweetened reduced by 14%-25%. If beverage consumers below 2% energy, 15% might be prevented.The from associated higher risk independently Water appear suitable alternatives prevention. These findings support implementation population-based interventions increase alternatives.