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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Detalles Bibliográficos
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, Maria-Dolores, Nilsson, Peter M., Overvad, Kim, Pala, Valeria, Panico, Salvatore, Perez-Cornago, Aurora, Quiros, Jose Ramon, Ricceri, Fulvio, Rodriguez-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:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/13231
Acceso en línea:https://hdl.handle.net/20.500.13003/13231
Access Level:acceso abierto
Palabra clave:Middle Aged
Male
Prospective Studies
Sugar-Sweetened Beverages
Europe
Female
Incidence
Cohort Studies
Risk Factors
Tea
Diabetes Mellitus, Type 2
Case-Control Studies
Coffee
Humans
Diabetes Mellitus Tipo 2
Estudios de Cohortes
Incidencia
Bebidas Azucaradas
Té
Femenino
Europa (Continente)
Masculino
Café
Factores de Riesgo
Humanos
Persona de Mediana Edad
Estudios Prospectivos
Estudios de Casos y Controles
diabetes
epidemiology
dietary guidelines
beverages
sugar-sweetened beverages
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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