Drinking caloric beverages increases the risk of adverse cardiometabolic outcomes in the Coronary Artery Risk Development in Young Adults (CARDIA) Study

BACKGROUND: Intake of caloric beverages is hypothesized to contribute to adverse health outcomes, but the beverages and populations studied vary considerably. OBJECTIVE: Our objective was to examine the relation between consumption of low- and whole-fat milk, fruit juice, and sugar-sweetened beverag...

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Veröffentlicht in:The American journal of clinical nutrition 2010-10, Vol.92 (4), p.954-959
Hauptverfasser: Duffey, Kiyah J, Gordon-Larsen, Penny, Steffen, Lyn M, Jacobs, David R. Jr, Popkin, Barry M
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container_issue 4
container_start_page 954
container_title The American journal of clinical nutrition
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creator Duffey, Kiyah J
Gordon-Larsen, Penny
Steffen, Lyn M
Jacobs, David R. Jr
Popkin, Barry M
description BACKGROUND: Intake of caloric beverages is hypothesized to contribute to adverse health outcomes, but the beverages and populations studied vary considerably. OBJECTIVE: Our objective was to examine the relation between consumption of low- and whole-fat milk, fruit juice, and sugar-sweetened beverages (SSBs) and cardiometabolic risk factors. DESIGN: We used data from a prospective 20-y cohort of 2774 adults. Data are taken from CARDIA (Coronary Artery Risk Development in Young Adults) Study examination years 0 (1985-1986), 7 (1992-1993), and 20 (2005-2006). Beverage intake was averaged across years 0 and 7, and continuous and categorical (quartile) distributions were used. Incident (year 20) high waist circumference (WC), high triglycerides, high LDL cholesterol, low HDL cholesterol, hypertension, and metabolic syndrome were examined by using multivariable-adjusted Poisson regression models. RESULTS: Higher SSB consumption (across quartiles) was associated with higher risk of high WC [adjusted relative risk (aRR): 1.09; 95% CI: 1.04, 1.14; P for trend < 0.001]; high LDL cholesterol (aRR: 1.18; 95% CI: 1.02, 1.35; P for trend = 0.018), high triglycerides (aRR: 1.06; 95% CI: 1.01, 1.13; P for trend = 0.033), and hypertension (aRR: 1.06; 95% CI: 1.01, 1.12; P for trend = 0.023). Whole-fat milk consumption was associated with lower risk of high triglycerides (aRR: 0.91; 95% CI: 0.81, 1.00; P for trend = 0.046). With the use of continuous beverage intake, results were similar. Consumers of whole-fat milk and SSBs were more likely to be younger, black, and male and to have lower levels of physical activity and higher total energy intake in comparison with nonconsumers (P < 0.05). CONCLUSIONS: Our findings suggest that higher SSB consumption is associated with cardiometabolic risk. Recommendations to limit consumption of these caloric beverages may help reduce the burden of these risk factors in US adult populations.
doi_str_mv 10.3945/ajcn.2010.29478
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Incident (year 20) high waist circumference (WC), high triglycerides, high LDL cholesterol, low HDL cholesterol, hypertension, and metabolic syndrome were examined by using multivariable-adjusted Poisson regression models. RESULTS: Higher SSB consumption (across quartiles) was associated with higher risk of high WC [adjusted relative risk (aRR): 1.09; 95% CI: 1.04, 1.14; P for trend &lt; 0.001]; high LDL cholesterol (aRR: 1.18; 95% CI: 1.02, 1.35; P for trend = 0.018), high triglycerides (aRR: 1.06; 95% CI: 1.01, 1.13; P for trend = 0.033), and hypertension (aRR: 1.06; 95% CI: 1.01, 1.12; P for trend = 0.023). Whole-fat milk consumption was associated with lower risk of high triglycerides (aRR: 0.91; 95% CI: 0.81, 1.00; P for trend = 0.046). With the use of continuous beverage intake, results were similar. Consumers of whole-fat milk and SSBs were more likely to be younger, black, and male and to have lower levels of physical activity and higher total energy intake in comparison with nonconsumers (P &lt; 0.05). CONCLUSIONS: Our findings suggest that higher SSB consumption is associated with cardiometabolic risk. Recommendations to limit consumption of these caloric beverages may help reduce the burden of these risk factors in US adult populations.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.3945/ajcn.2010.29478</identifier><identifier>PMID: 20702604</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Adult ; Adults ; adverse effects ; Animals ; Beverages ; Biological and medical sciences ; Blacks ; blood lipids ; Body Mass Index ; Body Size ; Cardiovascular disease ; cholesterol ; Cholesterol, HDL - blood ; Cholesterol, LDL - blood ; cohort studies ; Coronary Disease - epidemiology ; Diet ; diet-related diseases ; Dietary Carbohydrates ; Energy Intake ; ethnic differences ; Feeding. Feeding behavior ; Female ; food intake ; Fruit ; fruit juices ; Fundamental and applied biological sciences. Psychology ; gender differences ; Heart Diseases - epidemiology ; high density lipoprotein ; human diseases ; human nutrition ; Humans ; hypertension ; longitudinal studies ; low density lipoprotein ; low fat milk ; Male ; men ; Metabolic Diseases - epidemiology ; Metabolic syndrome ; Metabolic Syndrome - epidemiology ; Milk ; Nutritional Epidemiology and Public Health ; Original Research Communications ; physical activity ; Regression analysis ; Risk Assessment ; Risk Factors ; sugar sweetened beverages ; Sweetening Agents ; triacylglycerols ; Triglycerides - blood ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; waist circumference ; Whites ; whole milk ; women ; Young Adult ; young adults</subject><ispartof>The American journal of clinical nutrition, 2010-10, Vol.92 (4), p.954-959</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. 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Jr</creatorcontrib><creatorcontrib>Popkin, Barry M</creatorcontrib><title>Drinking caloric beverages increases the risk of adverse cardiometabolic outcomes in the Coronary Artery Risk Development in Young Adults (CARDIA) Study</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>BACKGROUND: Intake of caloric beverages is hypothesized to contribute to adverse health outcomes, but the beverages and populations studied vary considerably. OBJECTIVE: Our objective was to examine the relation between consumption of low- and whole-fat milk, fruit juice, and sugar-sweetened beverages (SSBs) and cardiometabolic risk factors. DESIGN: We used data from a prospective 20-y cohort of 2774 adults. Data are taken from CARDIA (Coronary Artery Risk Development in Young Adults) Study examination years 0 (1985-1986), 7 (1992-1993), and 20 (2005-2006). Beverage intake was averaged across years 0 and 7, and continuous and categorical (quartile) distributions were used. Incident (year 20) high waist circumference (WC), high triglycerides, high LDL cholesterol, low HDL cholesterol, hypertension, and metabolic syndrome were examined by using multivariable-adjusted Poisson regression models. RESULTS: Higher SSB consumption (across quartiles) was associated with higher risk of high WC [adjusted relative risk (aRR): 1.09; 95% CI: 1.04, 1.14; P for trend &lt; 0.001]; high LDL cholesterol (aRR: 1.18; 95% CI: 1.02, 1.35; P for trend = 0.018), high triglycerides (aRR: 1.06; 95% CI: 1.01, 1.13; P for trend = 0.033), and hypertension (aRR: 1.06; 95% CI: 1.01, 1.12; P for trend = 0.023). Whole-fat milk consumption was associated with lower risk of high triglycerides (aRR: 0.91; 95% CI: 0.81, 1.00; P for trend = 0.046). With the use of continuous beverage intake, results were similar. Consumers of whole-fat milk and SSBs were more likely to be younger, black, and male and to have lower levels of physical activity and higher total energy intake in comparison with nonconsumers (P &lt; 0.05). CONCLUSIONS: Our findings suggest that higher SSB consumption is associated with cardiometabolic risk. Recommendations to limit consumption of these caloric beverages may help reduce the burden of these risk factors in US adult populations.</description><subject>Adult</subject><subject>Adults</subject><subject>adverse effects</subject><subject>Animals</subject><subject>Beverages</subject><subject>Biological and medical sciences</subject><subject>Blacks</subject><subject>blood lipids</subject><subject>Body Mass Index</subject><subject>Body Size</subject><subject>Cardiovascular disease</subject><subject>cholesterol</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>cohort studies</subject><subject>Coronary Disease - epidemiology</subject><subject>Diet</subject><subject>diet-related diseases</subject><subject>Dietary Carbohydrates</subject><subject>Energy Intake</subject><subject>ethnic differences</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>food intake</subject><subject>Fruit</subject><subject>fruit juices</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>gender differences</subject><subject>Heart Diseases - epidemiology</subject><subject>high density lipoprotein</subject><subject>human diseases</subject><subject>human nutrition</subject><subject>Humans</subject><subject>hypertension</subject><subject>longitudinal studies</subject><subject>low density lipoprotein</subject><subject>low fat milk</subject><subject>Male</subject><subject>men</subject><subject>Metabolic Diseases - epidemiology</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Milk</subject><subject>Nutritional Epidemiology and Public Health</subject><subject>Original Research Communications</subject><subject>physical activity</subject><subject>Regression analysis</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>sugar sweetened beverages</subject><subject>Sweetening Agents</subject><subject>triacylglycerols</subject><subject>Triglycerides - blood</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>waist circumference</subject><subject>Whites</subject><subject>whole milk</subject><subject>women</subject><subject>Young Adult</subject><subject>young adults</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtv1DAQxy0EosvCmRtESAg4pPUjcewLUrTLo1IlpJYeOFmO42y9TeytnVTqN-HjMuku5XGaGc3vPw_9EXpJ8DGTRXmit8YfUwwllUUlHqEFkUzkjOLqMVpgjGkuCS-P0LOUthgTWgj-FB1BG1OOiwX6uY7OXzu_yYzuQ3Qma-ytjXpjU-a8iVYnyMYrm0WXrrPQZbqFfrLAx9aFwY66CT3owjQaKGfZPb8KMXgd77I6jhbC-axfw_A-7Abrx5n7ESbYXLdTP6bs_ao-X5_WH7KLcWrvnqMnne6TfXGIS3T5-dP31df87NuX01V9lpuiYmNeYCx4QzVtsOkkYYUhFutSSml4xSQnAjectlQXUnalqDQ30mAmmG5lI7hlS_RxP3c3NYNtDVwWda920Q1wvAraqX873l2pTbhVVLKqhI1L9O4wIIabyaZRDS4Z2_fa2zAlVZUl4YRSAeSb_8htmKKH7wCqiABuhk72kIkhpWi7h1MIVrPnavZczZ6re89B8ervDx743yYD8PYA6AQud1F749IfjtGSVcX8yes91-mg9AYMV5cXsIhhIiSRJWa_AN0xwAU</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Duffey, Kiyah J</creator><creator>Gordon-Larsen, Penny</creator><creator>Steffen, Lyn M</creator><creator>Jacobs, David R. 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Jr ; Popkin, Barry M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-40086b2a2b0cf9134c1e0a5999c67396180b62d2a499f587a6c9c0383ad9b86e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Adults</topic><topic>adverse effects</topic><topic>Animals</topic><topic>Beverages</topic><topic>Biological and medical sciences</topic><topic>Blacks</topic><topic>blood lipids</topic><topic>Body Mass Index</topic><topic>Body Size</topic><topic>Cardiovascular disease</topic><topic>cholesterol</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>cohort studies</topic><topic>Coronary Disease - epidemiology</topic><topic>Diet</topic><topic>diet-related diseases</topic><topic>Dietary Carbohydrates</topic><topic>Energy Intake</topic><topic>ethnic differences</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>food intake</topic><topic>Fruit</topic><topic>fruit juices</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>gender differences</topic><topic>Heart Diseases - epidemiology</topic><topic>high density lipoprotein</topic><topic>human diseases</topic><topic>human nutrition</topic><topic>Humans</topic><topic>hypertension</topic><topic>longitudinal studies</topic><topic>low density lipoprotein</topic><topic>low fat milk</topic><topic>Male</topic><topic>men</topic><topic>Metabolic Diseases - epidemiology</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Milk</topic><topic>Nutritional Epidemiology and Public Health</topic><topic>Original Research Communications</topic><topic>physical activity</topic><topic>Regression analysis</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>sugar sweetened beverages</topic><topic>Sweetening Agents</topic><topic>triacylglycerols</topic><topic>Triglycerides - blood</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>waist circumference</topic><topic>Whites</topic><topic>whole milk</topic><topic>women</topic><topic>Young Adult</topic><topic>young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duffey, Kiyah J</creatorcontrib><creatorcontrib>Gordon-Larsen, Penny</creatorcontrib><creatorcontrib>Steffen, Lyn M</creatorcontrib><creatorcontrib>Jacobs, David R. 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Jr</au><au>Popkin, Barry M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Drinking caloric beverages increases the risk of adverse cardiometabolic outcomes in the Coronary Artery Risk Development in Young Adults (CARDIA) Study</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>92</volume><issue>4</issue><spage>954</spage><epage>959</epage><pages>954-959</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>BACKGROUND: Intake of caloric beverages is hypothesized to contribute to adverse health outcomes, but the beverages and populations studied vary considerably. OBJECTIVE: Our objective was to examine the relation between consumption of low- and whole-fat milk, fruit juice, and sugar-sweetened beverages (SSBs) and cardiometabolic risk factors. DESIGN: We used data from a prospective 20-y cohort of 2774 adults. Data are taken from CARDIA (Coronary Artery Risk Development in Young Adults) Study examination years 0 (1985-1986), 7 (1992-1993), and 20 (2005-2006). Beverage intake was averaged across years 0 and 7, and continuous and categorical (quartile) distributions were used. Incident (year 20) high waist circumference (WC), high triglycerides, high LDL cholesterol, low HDL cholesterol, hypertension, and metabolic syndrome were examined by using multivariable-adjusted Poisson regression models. RESULTS: Higher SSB consumption (across quartiles) was associated with higher risk of high WC [adjusted relative risk (aRR): 1.09; 95% CI: 1.04, 1.14; P for trend &lt; 0.001]; high LDL cholesterol (aRR: 1.18; 95% CI: 1.02, 1.35; P for trend = 0.018), high triglycerides (aRR: 1.06; 95% CI: 1.01, 1.13; P for trend = 0.033), and hypertension (aRR: 1.06; 95% CI: 1.01, 1.12; P for trend = 0.023). Whole-fat milk consumption was associated with lower risk of high triglycerides (aRR: 0.91; 95% CI: 0.81, 1.00; P for trend = 0.046). With the use of continuous beverage intake, results were similar. Consumers of whole-fat milk and SSBs were more likely to be younger, black, and male and to have lower levels of physical activity and higher total energy intake in comparison with nonconsumers (P &lt; 0.05). CONCLUSIONS: Our findings suggest that higher SSB consumption is associated with cardiometabolic risk. Recommendations to limit consumption of these caloric beverages may help reduce the burden of these risk factors in US adult populations.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>20702604</pmid><doi>10.3945/ajcn.2010.29478</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Adults
adverse effects
Animals
Beverages
Biological and medical sciences
Blacks
blood lipids
Body Mass Index
Body Size
Cardiovascular disease
cholesterol
Cholesterol, HDL - blood
Cholesterol, LDL - blood
cohort studies
Coronary Disease - epidemiology
Diet
diet-related diseases
Dietary Carbohydrates
Energy Intake
ethnic differences
Feeding. Feeding behavior
Female
food intake
Fruit
fruit juices
Fundamental and applied biological sciences. Psychology
gender differences
Heart Diseases - epidemiology
high density lipoprotein
human diseases
human nutrition
Humans
hypertension
longitudinal studies
low density lipoprotein
low fat milk
Male
men
Metabolic Diseases - epidemiology
Metabolic syndrome
Metabolic Syndrome - epidemiology
Milk
Nutritional Epidemiology and Public Health
Original Research Communications
physical activity
Regression analysis
Risk Assessment
Risk Factors
sugar sweetened beverages
Sweetening Agents
triacylglycerols
Triglycerides - blood
Vertebrates: anatomy and physiology, studies on body, several organs or systems
waist circumference
Whites
whole milk
women
Young Adult
young adults
title Drinking caloric beverages increases the risk of adverse cardiometabolic outcomes in the Coronary Artery Risk Development in Young Adults (CARDIA) Study
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