Journal
JOURNAL OF NUTRITION
Volume 146, Issue 8, Pages 1528-1536Publisher
OXFORD UNIV PRESS
DOI: 10.3945/jn.116.230367
Keywords
sugar-sweetened beverages; artificially sweetened beverages; fruit juices; metabolic syndrome; metabolic syndrome components; PREDIMED study
Categories
Funding
- Spanish Ministry of Health (ISCIII) [PI1001407, PI13/00462, PI052584, PI071138]
- Thematic Network [G03/140, RD06/0045]
- FEDER (European Regional Development Fund)
- Centre Catala de la Nutricio de l'Institut d'Estudis Catalans
- Fundacio La Marato de TV3'' [294/C/2015]
- Danone
- Research Foundation on Wine and Nutrition (FIVIN)
- Cerveceros de Espana and Lilly
- Novartis
- California Walnut Commission and Alexion
- Amgen
- Sanofi Regeneron
- Merck
- Pfizer
- European Hydration Institute
- Mylan
- Lacer
- Eroski
- Nestle
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Background: The relation between the consumption of sweetened beverages and metabolic syndrome (MetS) is controversial. Objective: This analysis evaluated the associations between intakes of sugar-sweetened beverages (SSBs), artificially sweetened beverages, and natural and bottled fruit juices and the incidence of MetS in elderly individuals at high risk of cardiovascular disease (CVD) and without MetS at baseline. Methods: We prospectively examined 1868 participants free of MetS at baseline from the PREDIMED (PREvencion con DIeta MEDiterranea) study. MetS was defined by using the updated harmonized criteria of the International Diabetes Federation, the American Heart Association, and National Heart, Lung, and Blood Institute. Energy and nutrient intakes were evaluated at baseline and then yearly by using a validated 137-item food-frequency questionnaire. Multivariable-adjusted HRs for MetS and its components were estimated from mean intakes during follow-up. We compared the 2 highest consumption categories (1-5 and >5 servings/wk) with the lowest category (<1 serving/wk). Results: A total of 930 incident cases of MetS were documented during a median follow-up of 3.24 y. When we compared consumption of >5 servings/wk with consumption of <1 serving/wk, multivariable HRs (95% CIs) for MetS incidence were 1.43 (1.00, 2.15), 1.74 (1.26, 2.41), 1.30 (1.00, 1.69), and 1.14 (1.04, 1.65) for SSBs, artificially sweetened beverages, natural fruit juices, and bottled fruit juices, respectively. Conclusions: The occasional consumption of SSBs and artificially sweetened beverages (1-5 servings/wk) was not associated with the incidence of MetS in middle-aged and elderly individuals at high risk of CVD. The consumption of >5 servings/wk of all of the types of beverages analyzed was associated with an increased risk of MetS and some of its components. However, for SSBs and bottled fruit juices these associations must be interpreted with caution because of the low frequency of consumption in this population. This trial was registered at clinicaltrials.gov as ISRCTN35739639.
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