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

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...

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Autores: Imamura, Fumiaki, Schulze, Matthias B, Sharp, Stephen J, Guevara, Marcela, Romaguera, Dora, Bendinelli, Benedetta, Salamanca-Fernandez, 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, Kuehn, Tilman, Mancini, Francesca R, Masala, Giovanna, Chirlaque, María-Dolores, Nilsson, Peter M, Overvad, Kim, Pala, Valeria M, Panico, Salvatore, Perez-Cornago, Aurora, Quiros, Jose R, Ricceri, Fulvio, Rodríguez-Barranco, Miguel, Rolandsson, Olov, Sluijs, Ivonne, Stepien, Magdalena, Spijkerman, Annemieke M. W, Tjonneland, Anne, Tong, Tammy Y. N, Tumino, Rosario, Vissers, Linda E. T, Ward, Heather A, Langenberg, Claudia, Riboli, Elio, Forouhi, Nita G, Wareham, Nick J
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/22785
Acceso en línea:https://hdl.handle.net/20.500.12105/22785
Access Level:acceso abierto
Palabra clave:Diabetes
Epidemiology
Dietary guidelines
Beverages
Sugar-sweetened beverages
Estudios de Cohortes
Incidencia
Bebidas Azucaradas
Té
Femenino
Europa (Continente)
Masculino
Café
Factores de Riesgo
Humanos
Persona de Mediana Edad
Estudios Prospectivos
Diabetes Mellitus Tipo 2
Estudios de Casos y Controles
Diabetes Mellitus, Type 2
Case-Control Studies
Coffee
Humans
Middle Aged
Male
Prospective Studies
Sugar-Sweetened Beverages
Europe
Female
Risk Factors
Cohort Studies
Tea
Incidence
Descripción
Sumario: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.

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