RT Journal Article
T1 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.
A1 Imamura, Fumiaki
A1 Schulze, Matthias B
A1 Sharp, Stephen J
A1 Guevara, Marcela
A1 Romaguera, Dora
A1 Bendinelli, Benedetta
A1 Salamanca-Fernández, Elena
A1 Ardanaz, Eva
A1 Arriola, Larraitz
A1 Aune, Dagfinn
A1 Boeing, Heiner
A1 Dow, Courtney
A1 Fagherazzi, Guy
A1 Franks, Paul W
A1 Freisling, Heinz
A1 Jakszyn, Paula
A1 Kaaks, Rudolf
A1 Khaw, Kay-Tee
A1 Kühn, Tilman
A1 Mancini, Francesca R
A1 Masala, Giovanna
A1 Chirlaque, Maria-Dolores
A1 Nilsson, Peter M
A1 Overvad, Kim
A1 Pala, Valeria M
A1 Panico, Salvatore
A1 Perez-Cornago, Aurora
A1 Quirós, Jose R
A1 Ricceri, Fulvio
A1 Rodríguez-Barranco, Miguel
A1 Rolandsson, Olov
A1 Sluijs, Ivonne
A1 Stepien, Magdalena
A1 Spijkerman, Annemieke M W
A1 Tjønneland, Anne
A1 Tong, Tammy Y N
A1 Tumino, Rosario
A1 Vissers, Linda E T
A1 Ward, Heather A
A1 Langenberg, Claudia
A1 Riboli, Elio
A1 Forouhi, Nita G
A1 Wareham, Nick J
K1 beverages
K1 diabetes
K1 dietary guidelines
K1 epidemiology
K1 sugar-sweetened beverages
AB 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.
YR 2019
FD 2019
LK http://hdl.handle.net/10668/14382
UL http://hdl.handle.net/10668/14382
LA en
DS RISalud
RD Apr 5, 2025