%0 Journal Article
%A Imamura, Fumiaki
%A Schulze, Matthias B
%A Sharp, Stephen J
%A Guevara, Marcela
%A Romaguera, Dora
%A Bendinelli, Benedetta
%A Salamanca-Fernández, Elena
%A Ardanaz, Eva
%A Arriola, Larraitz
%A Aune, Dagfinn
%A Boeing, Heiner
%A Dow, Courtney
%A Fagherazzi, Guy
%A Franks, Paul W
%A Freisling, Heinz
%A Jakszyn, Paula
%A Kaaks, Rudolf
%A Khaw, Kay-Tee
%A Kühn, Tilman
%A Mancini, Francesca R
%A Masala, Giovanna
%A Chirlaque, Maria-Dolores
%A Nilsson, Peter M
%A Overvad, Kim
%A Pala, Valeria M
%A Panico, Salvatore
%A Perez-Cornago, Aurora
%A Quirós, Jose R
%A Ricceri, Fulvio
%A Rodríguez-Barranco, Miguel
%A Rolandsson, Olov
%A Sluijs, Ivonne
%A Stepien, Magdalena
%A Spijkerman, Annemieke M W
%A Tjønneland, Anne
%A Tong, Tammy Y N
%A Tumino, Rosario
%A Vissers, Linda E T
%A Ward, Heather A
%A Langenberg, Claudia
%A Riboli, Elio
%A Forouhi, Nita G
%A Wareham, Nick J
%T Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case-Cohort Analysis across 8 European Countries in the EPIC-InterAct Study.
%D 2019
%U http://hdl.handle.net/10668/14382
%X 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. 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. 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. 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. 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.
%K beverages
%K diabetes
%K dietary guidelines
%K epidemiology
%K sugar-sweetened beverages
%~