Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk
The relation between the consumption of sweetened beverages and metabolic syndrome (MetS) is controversial. 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 i...
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| Veröffentlicht in: | The Journal of nutrition 2016-08, Vol.146 (8), p.1528-1536 |
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| creator | Ferreira-Pêgo, Cíntia Babio, Nancy Bes-Rastrollo, Maira Corella, Dolores Estruch, Ramon Ros, Emilio Fitó, Montserrat Serra-Majem, Lluís Arós, Fernando Fiol, Miguel Santos-Lozano, José Manuel Muñoz-Bravo, Carlos Pintó, Xavier Ruiz-Canela, Miguel Salas-Salvadó, Jordi |
| description | The relation between the consumption of sweetened beverages and metabolic syndrome (MetS) is controversial.
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.
We prospectively examined 1868 participants free of MetS at baseline from the PREDIMED (PREvención con DIeta MEDiterránea) 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 (5 servings/wk with 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. |
| doi_str_mv | 10.3945/jn.116.230367 |
| format | Article |
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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.
We prospectively examined 1868 participants free of MetS at baseline from the PREDIMED (PREvención con DIeta MEDiterránea) 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).
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.
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.</description><identifier>ISSN: 0022-3166</identifier><identifier>EISSN: 1541-6100</identifier><identifier>DOI: 10.3945/jn.116.230367</identifier><identifier>PMID: 27358413</identifier><identifier>CODEN: JONUAI</identifier><language>eng</language><publisher>United States: American Institute of Nutrition</publisher><subject>Aged ; Beverages ; Cardiovascular disease ; Cardiovascular Diseases - etiology ; Diet ; Diet Surveys ; Dietary Sucrose - administration & dosage ; Dietary Sucrose - adverse effects ; Feeding Behavior ; Female ; Fruit and Vegetable Juices ; Fruit juices ; Humans ; Incidence ; Male ; Mediterranean Region ; Metabolic syndrome ; Metabolic Syndrome - epidemiology ; Metabolic Syndrome - etiology ; Middle Aged ; Non-Nutritive Sweeteners - administration & dosage ; Non-Nutritive Sweeteners - adverse effects ; Nutrition research ; Prospective Studies ; Risk Factors ; Sweetening Agents - adverse effects</subject><ispartof>The Journal of nutrition, 2016-08, Vol.146 (8), p.1528-1536</ispartof><rights>2016 American Society for Nutrition.</rights><rights>Copyright American Institute of Nutrition Aug 1, 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-bbe22fcc750b1e032c9e15da6bedb1eb6aa9ed827b77af8a433ca975ef75d9233</citedby><cites>FETCH-LOGICAL-c360t-bbe22fcc750b1e032c9e15da6bedb1eb6aa9ed827b77af8a433ca975ef75d9233</cites><orcidid>0000-0003-2700-7459</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27358413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferreira-Pêgo, Cíntia</creatorcontrib><creatorcontrib>Babio, Nancy</creatorcontrib><creatorcontrib>Bes-Rastrollo, Maira</creatorcontrib><creatorcontrib>Corella, Dolores</creatorcontrib><creatorcontrib>Estruch, Ramon</creatorcontrib><creatorcontrib>Ros, Emilio</creatorcontrib><creatorcontrib>Fitó, Montserrat</creatorcontrib><creatorcontrib>Serra-Majem, Lluís</creatorcontrib><creatorcontrib>Arós, Fernando</creatorcontrib><creatorcontrib>Fiol, Miguel</creatorcontrib><creatorcontrib>Santos-Lozano, José Manuel</creatorcontrib><creatorcontrib>Muñoz-Bravo, Carlos</creatorcontrib><creatorcontrib>Pintó, Xavier</creatorcontrib><creatorcontrib>Ruiz-Canela, Miguel</creatorcontrib><creatorcontrib>Salas-Salvadó, Jordi</creatorcontrib><creatorcontrib>PREDIMED Investigators</creatorcontrib><title>Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk</title><title>The Journal of nutrition</title><addtitle>J Nutr</addtitle><description>The relation between the consumption of sweetened beverages and metabolic syndrome (MetS) is controversial.
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.
We prospectively examined 1868 participants free of MetS at baseline from the PREDIMED (PREvención con DIeta MEDiterránea) 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).
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.
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.</description><subject>Aged</subject><subject>Beverages</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Diet</subject><subject>Diet Surveys</subject><subject>Dietary Sucrose - administration & dosage</subject><subject>Dietary Sucrose - adverse effects</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Fruit and Vegetable Juices</subject><subject>Fruit juices</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Mediterranean Region</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Metabolic Syndrome - etiology</subject><subject>Middle Aged</subject><subject>Non-Nutritive Sweeteners - administration & dosage</subject><subject>Non-Nutritive Sweeteners - adverse effects</subject><subject>Nutrition research</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Sweetening Agents - adverse effects</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kU1vEzEQhi1ERUPhyBVZ4rypvV7vxzENTZuqfIjAeTVrz6YOGzvY3lb5wfyPOknh5NE7j98ZzUvIB86moink5cZOOS-nuWCirF6RCZcFz0rO2GsyYSzPM8HL8py8DWHDGONFU78h53klZF1wMSF_Fx7_jGgjnTsbxu0uGmep6-lqXIPPKFhNZz6a3igDw7CnqyfEiBY1vcJH9LDGcIS-Qhw9DMf6ysU4JGLhRxPp3WhUgpaBzkJwySam1pOJD4mlS6s8QkjKDxN-HwZ_wQidG4yiq73V3m2RGksh6dpE9B4spn_f3W4c4LgsRHpr1g90Dl4b9whBpY6nn004GB9935GzHoaA71_eC_Jrcf1zfpvdf7tZzmf3mRIli1nXYZ73SlWSdRyZyFWDXGooO9RJ6EqABnWdV11VQV9DIYSCppLYV1I3uRAX5NPJd-ddumqI7caN3qaRLa-lZHUjyyJR2YlS3oXgsW933mzB71vO2kOo7ca2KdT2FGriP764jt0W9X_6X4riGXD1omE</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>Ferreira-Pêgo, Cíntia</creator><creator>Babio, Nancy</creator><creator>Bes-Rastrollo, Maira</creator><creator>Corella, Dolores</creator><creator>Estruch, Ramon</creator><creator>Ros, Emilio</creator><creator>Fitó, Montserrat</creator><creator>Serra-Majem, Lluís</creator><creator>Arós, Fernando</creator><creator>Fiol, Miguel</creator><creator>Santos-Lozano, José Manuel</creator><creator>Muñoz-Bravo, Carlos</creator><creator>Pintó, Xavier</creator><creator>Ruiz-Canela, Miguel</creator><creator>Salas-Salvadó, Jordi</creator><general>American Institute of Nutrition</general><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>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0003-2700-7459</orcidid></search><sort><creationdate>201608</creationdate><title>Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk</title><author>Ferreira-Pêgo, Cíntia ; Babio, Nancy ; Bes-Rastrollo, Maira ; Corella, Dolores ; Estruch, Ramon ; Ros, Emilio ; Fitó, Montserrat ; Serra-Majem, Lluís ; Arós, Fernando ; Fiol, Miguel ; Santos-Lozano, José Manuel ; Muñoz-Bravo, Carlos ; Pintó, Xavier ; Ruiz-Canela, Miguel ; Salas-Salvadó, Jordi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-bbe22fcc750b1e032c9e15da6bedb1eb6aa9ed827b77af8a433ca975ef75d9233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Beverages</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Diet</topic><topic>Diet Surveys</topic><topic>Dietary Sucrose - administration & dosage</topic><topic>Dietary Sucrose - adverse effects</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Fruit and Vegetable Juices</topic><topic>Fruit juices</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Mediterranean Region</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Metabolic Syndrome - etiology</topic><topic>Middle Aged</topic><topic>Non-Nutritive Sweeteners - administration & dosage</topic><topic>Non-Nutritive Sweeteners - adverse effects</topic><topic>Nutrition research</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sweetening Agents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferreira-Pêgo, Cíntia</creatorcontrib><creatorcontrib>Babio, Nancy</creatorcontrib><creatorcontrib>Bes-Rastrollo, Maira</creatorcontrib><creatorcontrib>Corella, Dolores</creatorcontrib><creatorcontrib>Estruch, Ramon</creatorcontrib><creatorcontrib>Ros, Emilio</creatorcontrib><creatorcontrib>Fitó, Montserrat</creatorcontrib><creatorcontrib>Serra-Majem, Lluís</creatorcontrib><creatorcontrib>Arós, Fernando</creatorcontrib><creatorcontrib>Fiol, Miguel</creatorcontrib><creatorcontrib>Santos-Lozano, José Manuel</creatorcontrib><creatorcontrib>Muñoz-Bravo, Carlos</creatorcontrib><creatorcontrib>Pintó, Xavier</creatorcontrib><creatorcontrib>Ruiz-Canela, Miguel</creatorcontrib><creatorcontrib>Salas-Salvadó, Jordi</creatorcontrib><creatorcontrib>PREDIMED Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The Journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferreira-Pêgo, Cíntia</au><au>Babio, Nancy</au><au>Bes-Rastrollo, Maira</au><au>Corella, Dolores</au><au>Estruch, Ramon</au><au>Ros, Emilio</au><au>Fitó, Montserrat</au><au>Serra-Majem, Lluís</au><au>Arós, Fernando</au><au>Fiol, Miguel</au><au>Santos-Lozano, José Manuel</au><au>Muñoz-Bravo, Carlos</au><au>Pintó, Xavier</au><au>Ruiz-Canela, Miguel</au><au>Salas-Salvadó, Jordi</au><aucorp>PREDIMED Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk</atitle><jtitle>The Journal of nutrition</jtitle><addtitle>J Nutr</addtitle><date>2016-08</date><risdate>2016</risdate><volume>146</volume><issue>8</issue><spage>1528</spage><epage>1536</epage><pages>1528-1536</pages><issn>0022-3166</issn><eissn>1541-6100</eissn><coden>JONUAI</coden><abstract>The relation between the consumption of sweetened beverages and metabolic syndrome (MetS) is controversial.
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.
We prospectively examined 1868 participants free of MetS at baseline from the PREDIMED (PREvención con DIeta MEDiterránea) 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).
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.
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.</abstract><cop>United States</cop><pub>American Institute of Nutrition</pub><pmid>27358413</pmid><doi>10.3945/jn.116.230367</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2700-7459</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of nutrition, 2016-08, Vol.146 (8), p.1528-1536 |
| issn | 0022-3166 1541-6100 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Beverages Cardiovascular disease Cardiovascular Diseases - etiology Diet Diet Surveys Dietary Sucrose - administration & dosage Dietary Sucrose - adverse effects Feeding Behavior Female Fruit and Vegetable Juices Fruit juices Humans Incidence Male Mediterranean Region Metabolic syndrome Metabolic Syndrome - epidemiology Metabolic Syndrome - etiology Middle Aged Non-Nutritive Sweeteners - administration & dosage Non-Nutritive Sweeteners - adverse effects Nutrition research Prospective Studies Risk Factors Sweetening Agents - adverse effects |
| title | Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk |
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