期刊
JOURNAL OF NUTRITION
卷 149, 期 11, 页码 1985-1993出版社
ELSEVIER SCIENCE INC
DOI: 10.1093/jn/nxz156
关键词
diabetes; epidemiology; dietary guidelines; beverages; sugar-sweetened beverages
资金
- EU FP6 program [LSHM_CT_2006_037197]
- Medical Research Council Epidemiology Unit Core Support [MC_UU_12015/1, MC_UU_12015/5]
- National Institute for Health Research, Biomedical Research Centre Cambridge: Nutrition, Diet, and Lifestyle Research Theme [IS-BRC-1215-20014]
- German Federal Ministry of Education and Research
- German Center for Diabetes Research
- State of Brandenburg, Germany
- Netherlands Agency grant [IGE05012]
- Board of the University Medical Center Utrecht (Netherlands)
- Dutch Ministry of Public Health, Welfare, and Sports
- Netherlands Cancer Registry
- LK Research Funds
- Dutch Prevention Funds
- Dutch ZON (Zorg Onderzoek Nederland)
- World Cancer Research Fund
- Statistics Netherlands
- Swedish Research Council
- Novo Nordisk
- Swedish Heart Lung Foundation
- Swedish Diabetes Association
- Danish Cancer Society
- Deutsche Krebshilfe
- Associazione Italiana per la Ricerca sul Cancro
- Asturias Regional Government
- Navarra Regional Government, Health Research Fund of the Spanish Ministry of Health
- CIBER Epidemiologia y Salud Publica, Spain
- Murcia Regional Government [6236]
- AIRE-ONLUS Ragusa
- AVIS-Ragusa
- Sicilian Regional Government
- MRC [MC_UU_12015/1, MR/N003284/1, MC_UU_12015/5] Funding Source: UKRI
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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