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

Background 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 beve...

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Detalhes bibliográficos
Autores: Imamura, Fumiaki, Schulze, Matthias B., Sharp, Stephen J., Guevara, Marcela, Romaguera, Dora, Bendinelli, Benedetta, Salamanca-Fernández, Elena, Ardanaz, Eva, Arriola, Larraitz, Aune, Dagfnn, Boeing, Heiner, Dow, Courtney, Fagherazzi, Guy, Franks, Paul W., Freisling, Heinz, Jakszyn, Paula, Kaaks, Rudolf, Khaw, Kay-Tee, Kühn, Tilman, Mancini, Francesca, Masala, Giovanna, Chirlaque, Maria-Dolores, Nilsson, Peter M., Overvad, Kim, Pala, Valeria Maria, Panico, Salvatore, Perez-Cornago, Aurora, Quirós, José Ramón, Ricceri, Fulvio, Rodríguez-Barranco, Miguel, Rolandsson, Olov, Sluijs, Ivonne, Stepien, Magdalena, Spijkerman, Annemieke M. W., Tjønneland, Anne, Tong, Tammy Y. N., Tumino, Rosario, Vissers, Linda E.T., Ward, Heather A., Langenberg, Claudia, Riboli, Elio, Forouhi, Nita G., Wareham, Nicholas J.
Formato: artículo
Fecha de publicación:2019
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.14342/5240
Acesso em linha:http://hdl.handle.net/20.500.14342/5240
https://doi.org/10.1093/jn/nxz156
Access Level:acceso abierto
Palavra-chave:Diabetis
Epidemiologia
Dietètica
Begudes
Begudes ensucrades
Descrição
Resumo:Background 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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