Consumption of Sweet Beverages and Cancer Risk. A Systematic Review and Meta-Analysis of Observational Studies
The consumption of sweet beverages, including sugar-sweetened beverages (SSB), artificial-sweetened beverages (ASB) and fruit juices (FJ), is associated with the risk of different cardiometabolic diseases. It may also be linked to the development of certain types of tumors. We carried out a systemat...
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| Veröffentlicht in: | Nutrients 2021-02, Vol.13 (2), p.516, Article 516 |
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| description | The consumption of sweet beverages, including sugar-sweetened beverages (SSB), artificial-sweetened beverages (ASB) and fruit juices (FJ), is associated with the risk of different cardiometabolic diseases. It may also be linked to the development of certain types of tumors. We carried out a systematic review and meta-analysis of observational studies aimed at examining the association between sweet beverage intake and cancer risk. Suitable articles published up to June 2020 were sourced through PubMed, Web of Science and SCOPUS databases. Overall, 64 studies were identified, of which 27 were selected for the meta-analysis. This was performed by analyzing the multivariable-adjusted OR, RR or HR of the highest sweet beverage intake categories compared to the lowest one. Random effects showed significant positive association between SSB intake and breast (RR: 1.14, 95% CI: 1.01-1.30) and prostate cancer risk (RR: 1.18, 95% CI: 1.10-1.27) and also between FJs and prostate cancer risk (RR: 1.03, 95% CI: 1.01-1.05). Although the statistically significant threshold was not reached, there tended to be positive associations for the following: SSBs and colorectal and pancreatic cancer risk; FJs and breast, colorectal and pancreatic cancer risk; and ASBs and pancreatic cancer risk. This study recommends limiting sweet beverage consumption. Furthermore, we propose to establish a homogeneous classification of beverages and investigate them separately, to better understand their role in carcinogenesis. |
| doi_str_mv | 10.3390/nu13020516 |
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A Systematic Review and Meta-Analysis of Observational Studies</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Llaha, Fjorida ; Gil-Lespinard, Mercedes ; Unal, Pelin ; de Villasante, Izar ; Castaneda, Jazmin ; Zamora-Ros, Raul</creator><creatorcontrib>Llaha, Fjorida ; Gil-Lespinard, Mercedes ; Unal, Pelin ; de Villasante, Izar ; Castaneda, Jazmin ; Zamora-Ros, Raul</creatorcontrib><description>The consumption of sweet beverages, including sugar-sweetened beverages (SSB), artificial-sweetened beverages (ASB) and fruit juices (FJ), is associated with the risk of different cardiometabolic diseases. It may also be linked to the development of certain types of tumors. We carried out a systematic review and meta-analysis of observational studies aimed at examining the association between sweet beverage intake and cancer risk. Suitable articles published up to June 2020 were sourced through PubMed, Web of Science and SCOPUS databases. Overall, 64 studies were identified, of which 27 were selected for the meta-analysis. This was performed by analyzing the multivariable-adjusted OR, RR or HR of the highest sweet beverage intake categories compared to the lowest one. Random effects showed significant positive association between SSB intake and breast (RR: 1.14, 95% CI: 1.01-1.30) and prostate cancer risk (RR: 1.18, 95% CI: 1.10-1.27) and also between FJs and prostate cancer risk (RR: 1.03, 95% CI: 1.01-1.05). Although the statistically significant threshold was not reached, there tended to be positive associations for the following: SSBs and colorectal and pancreatic cancer risk; FJs and breast, colorectal and pancreatic cancer risk; and ASBs and pancreatic cancer risk. This study recommends limiting sweet beverage consumption. Furthermore, we propose to establish a homogeneous classification of beverages and investigate them separately, to better understand their role in carcinogenesis.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu13020516</identifier><identifier>PMID: 33557387</identifier><language>eng</language><publisher>BASEL: Mdpi</publisher><subject><![CDATA[artificial sweetened beverages ; Artificial sweeteners ; Artificially Sweetened Beverages - adverse effects ; Artificially Sweetened Beverages - statistics & numerical data ; Beverages ; Bias ; Body fat ; Breast cancer ; Cancer ; Carcinogenesis ; Carcinogens ; case-control ; cohort ; Diabetes ; Fruit and Vegetable Juices - adverse effects ; Fruit and Vegetable Juices - statistics & numerical data ; Fruit juices ; Health aspects ; Health risks ; Humans ; Insulin resistance ; Insulin-like growth factors ; Life Sciences & Biomedicine ; Male ; Meta-analysis ; Neoplasms - epidemiology ; Nutrition & Dietetics ; Observational studies ; Observational Studies as Topic ; Oncology, Experimental ; Pancreatic cancer ; Prostate cancer ; Review ; Risk ; Risk Assessment ; Risk Factors ; Science & Technology ; Soft drinks ; Statistical analysis ; Sugar ; sugar-sweetened beverages ; Sugar-Sweetened Beverages - adverse effects ; Sugar-Sweetened Beverages - statistics & numerical data ; Sweet taste ; Systematic review ; Tumors ; Type 2 diabetes]]></subject><ispartof>Nutrients, 2021-02, Vol.13 (2), p.516, Article 516</ispartof><rights>COPYRIGHT 2021 MDPI AG</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). 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A Systematic Review and Meta-Analysis of Observational Studies</title><title>Nutrients</title><addtitle>NUTRIENTS</addtitle><addtitle>Nutrients</addtitle><description>The consumption of sweet beverages, including sugar-sweetened beverages (SSB), artificial-sweetened beverages (ASB) and fruit juices (FJ), is associated with the risk of different cardiometabolic diseases. It may also be linked to the development of certain types of tumors. We carried out a systematic review and meta-analysis of observational studies aimed at examining the association between sweet beverage intake and cancer risk. Suitable articles published up to June 2020 were sourced through PubMed, Web of Science and SCOPUS databases. Overall, 64 studies were identified, of which 27 were selected for the meta-analysis. This was performed by analyzing the multivariable-adjusted OR, RR or HR of the highest sweet beverage intake categories compared to the lowest one. Random effects showed significant positive association between SSB intake and breast (RR: 1.14, 95% CI: 1.01-1.30) and prostate cancer risk (RR: 1.18, 95% CI: 1.10-1.27) and also between FJs and prostate cancer risk (RR: 1.03, 95% CI: 1.01-1.05). Although the statistically significant threshold was not reached, there tended to be positive associations for the following: SSBs and colorectal and pancreatic cancer risk; FJs and breast, colorectal and pancreatic cancer risk; and ASBs and pancreatic cancer risk. This study recommends limiting sweet beverage consumption. Furthermore, we propose to establish a homogeneous classification of beverages and investigate them separately, to better understand their role in carcinogenesis.</description><subject>artificial sweetened beverages</subject><subject>Artificial sweeteners</subject><subject>Artificially Sweetened Beverages - adverse effects</subject><subject>Artificially Sweetened Beverages - statistics & numerical data</subject><subject>Beverages</subject><subject>Bias</subject><subject>Body fat</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Carcinogenesis</subject><subject>Carcinogens</subject><subject>case-control</subject><subject>cohort</subject><subject>Diabetes</subject><subject>Fruit and Vegetable Juices - adverse effects</subject><subject>Fruit and Vegetable Juices - statistics & numerical data</subject><subject>Fruit juices</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Humans</subject><subject>Insulin resistance</subject><subject>Insulin-like growth factors</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Neoplasms - epidemiology</subject><subject>Nutrition & Dietetics</subject><subject>Observational studies</subject><subject>Observational Studies as Topic</subject><subject>Oncology, Experimental</subject><subject>Pancreatic cancer</subject><subject>Prostate cancer</subject><subject>Review</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Science & Technology</subject><subject>Soft drinks</subject><subject>Statistical analysis</subject><subject>Sugar</subject><subject>sugar-sweetened beverages</subject><subject>Sugar-Sweetened Beverages - adverse effects</subject><subject>Sugar-Sweetened Beverages - statistics & numerical data</subject><subject>Sweet taste</subject><subject>Systematic review</subject><subject>Tumors</subject><subject>Type 2 diabetes</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNkkFv0zAYhiMEYtPYhR-AInEDtTh2bMcXpC6CbdLQpBXOluN8Li6NXeykVf89Tju6VeJAfEhkP37i13qz7G2BpoQI9MkNBUEY0YK9yM4x4njCWElePvs-yy5jXKLx4Ygz8jo7I4RSTip-nrnauzh06956l3uTz7cAfX4FGwhqATFXrs1r5TSE_MHGX9N8ls93sYdO9VbnD7CxsN1D36BXk5lTq120cTTdNxHCRo1itcrn_dBaiG-yV0atIlw-vi-yH1-_fK9vJnf317f17G6iKRH9hJCWaENKKHBVoQIw5m1jWqoa1ooCCxCU4AYhjFVjSsNapBlCRhtIeRlpyEV2e_C2Xi3lOthOhZ30ysr9hA8LqUJKsAKJEAhRmlID0mW6yKYwTVMS4JxSUUGZXJ8PrvXQdNBqcH1QqxPp6YqzP-XCbyQXBaVllQTvHwXB_x4g9nLph5BuJUpcVhyz9P_iiVqodCrrjE8y3dmo5YwzmoIJLBI1_QeVRgud1d6BsWn-ZMOHwwYdfIwBzPHgBZJjg-RTgxL87nnUI_q3Lwn4eAC20HgTtYVUjSOWGsYwFogXY9nGSNX_07Xt92Wp_eB68gc5OOAp</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Llaha, Fjorida</creator><creator>Gil-Lespinard, Mercedes</creator><creator>Unal, Pelin</creator><creator>de Villasante, Izar</creator><creator>Castaneda, Jazmin</creator><creator>Zamora-Ros, Raul</creator><general>Mdpi</general><general>MDPI AG</general><general>MDPI</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7325-0631</orcidid><orcidid>https://orcid.org/0000-0002-6236-6804</orcidid><orcidid>https://orcid.org/0000-0002-5714-7578</orcidid><orcidid>https://orcid.org/0000-0003-0534-6484</orcidid></search><sort><creationdate>20210201</creationdate><title>Consumption of Sweet Beverages and Cancer Risk. 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A Systematic Review and Meta-Analysis of Observational Studies</atitle><jtitle>Nutrients</jtitle><stitle>NUTRIENTS</stitle><addtitle>Nutrients</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>13</volume><issue>2</issue><spage>516</spage><pages>516-</pages><artnum>516</artnum><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>The consumption of sweet beverages, including sugar-sweetened beverages (SSB), artificial-sweetened beverages (ASB) and fruit juices (FJ), is associated with the risk of different cardiometabolic diseases. It may also be linked to the development of certain types of tumors. We carried out a systematic review and meta-analysis of observational studies aimed at examining the association between sweet beverage intake and cancer risk. Suitable articles published up to June 2020 were sourced through PubMed, Web of Science and SCOPUS databases. Overall, 64 studies were identified, of which 27 were selected for the meta-analysis. This was performed by analyzing the multivariable-adjusted OR, RR or HR of the highest sweet beverage intake categories compared to the lowest one. Random effects showed significant positive association between SSB intake and breast (RR: 1.14, 95% CI: 1.01-1.30) and prostate cancer risk (RR: 1.18, 95% CI: 1.10-1.27) and also between FJs and prostate cancer risk (RR: 1.03, 95% CI: 1.01-1.05). Although the statistically significant threshold was not reached, there tended to be positive associations for the following: SSBs and colorectal and pancreatic cancer risk; FJs and breast, colorectal and pancreatic cancer risk; and ASBs and pancreatic cancer risk. This study recommends limiting sweet beverage consumption. 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| subjects | artificial sweetened beverages Artificial sweeteners Artificially Sweetened Beverages - adverse effects Artificially Sweetened Beverages - statistics & numerical data Beverages Bias Body fat Breast cancer Cancer Carcinogenesis Carcinogens case-control cohort Diabetes Fruit and Vegetable Juices - adverse effects Fruit and Vegetable Juices - statistics & numerical data Fruit juices Health aspects Health risks Humans Insulin resistance Insulin-like growth factors Life Sciences & Biomedicine Male Meta-analysis Neoplasms - epidemiology Nutrition & Dietetics Observational studies Observational Studies as Topic Oncology, Experimental Pancreatic cancer Prostate cancer Review Risk Risk Assessment Risk Factors Science & Technology Soft drinks Statistical analysis Sugar sugar-sweetened beverages Sugar-Sweetened Beverages - adverse effects Sugar-Sweetened Beverages - statistics & numerical data Sweet taste Systematic review Tumors Type 2 diabetes |
| title | Consumption of Sweet Beverages and Cancer Risk. A Systematic Review and Meta-Analysis of Observational Studies |
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