Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis
IntroductionSugar-sweetened beverage (SSB) intake is associated with an increased risk of cardiometabolic diseases. However, evidence regarding associations of artificially sweetened beverages (ASBs) and fruit juices with cardiometabolic diseases is mixed. In this study, we aimed to investigate the...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1019534/full |
| _version_ | 1797870573749010432 |
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| author | Baoyu Li Ni Yan Hong Jiang Meng Cui Min Wu Lina Wang Baibing Mi Zhaofang Li Jia Shi Yahui Fan Mougni Mohamed Azalati Chao Li Fangyao Chen Mao Ma Duolao Wang Le Ma Le Ma |
| author_facet | Baoyu Li Ni Yan Hong Jiang Meng Cui Min Wu Lina Wang Baibing Mi Zhaofang Li Jia Shi Yahui Fan Mougni Mohamed Azalati Chao Li Fangyao Chen Mao Ma Duolao Wang Le Ma Le Ma |
| author_sort | Baoyu Li |
| collection | DOAJ |
| description | IntroductionSugar-sweetened beverage (SSB) intake is associated with an increased risk of cardiometabolic diseases. However, evidence regarding associations of artificially sweetened beverages (ASBs) and fruit juices with cardiometabolic diseases is mixed. In this study, we aimed to investigate the association between the SSB, ASB and fruit juice consumption with the incidence of cardiometabolic conditions and mortality.MethodsRelevant prospective studies were identified by searching PubMed, Web of Science, Embase, and Cochrane Library until December 2022 without language restrictions. The pooled relative risk (RR) and 95% confidence intervals (CIs) were estimated for the association of SSBs, ASBs, and fruit juices with the risk of type 2 diabetes (T2D), cardiovascular disease (CVD), and mortality by using random-effect models.ResultsA total of 72 articles were included in this meta-analysis study. Significantly positive associations were observed between the consumption of individual beverages and T2D risk (RR: 1.27; 95% CI: 1.17, 1.38 for SSBs; RR: 1.32; 95% CI: 1.11, 1.56 for ASBs; and RR:0.98; 95% CI: 0.93, 1.03 for fruit juices). Moreover, our findings showed that intakes of SSBs and ASBs were significantly associated with risk of hypertension, stroke, and all-cause mortality (RR ranging from 1.08 to 1.54; all p < 0.05). A dose-response meta-analysis showed monotonic associations between SSB intake and hypertension, T2D, coronary heart disease (CHD), stroke and mortality, and the linear association was only significant between ASB consumption and hypertension risk. Higher SSB and ASB consumptions were associated with a greater risk of developing cardiometabolic diseases and mortality. Fruit juice intake was associated with a higher risk of T2D.ConclusionTherefore, our findings suggest that neither ASBs nor fruit juices could be considered as healthier beverages alternative to SSBs for achieving improved health.Systematic Review Registration: [PROSPERO], identifier [No. CRD42022307003]. |
| first_indexed | 2024-04-10T00:30:38Z |
| format | Article |
| id | doaj.art-24a40a5d57cc48f7ac08cde474cc8117 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-10T00:30:38Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-24a40a5d57cc48f7ac08cde474cc81172023-03-15T04:22:45ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-03-011010.3389/fnut.2023.10195341019534Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysisBaoyu Li0Ni Yan1Hong Jiang2Meng Cui3Min Wu4Lina Wang5Baibing Mi6Zhaofang Li7Jia Shi8Yahui Fan9Mougni Mohamed Azalati10Chao Li11Fangyao Chen12Mao Ma13Duolao Wang14Le Ma15Le Ma16School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaThe First Affiliated Hospital, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaKey Laboratory of Environment and Genes Related to Diseases (Xi’an Jiaotong University), Ministry of Education of China, Xi’an, ChinaIntroductionSugar-sweetened beverage (SSB) intake is associated with an increased risk of cardiometabolic diseases. However, evidence regarding associations of artificially sweetened beverages (ASBs) and fruit juices with cardiometabolic diseases is mixed. In this study, we aimed to investigate the association between the SSB, ASB and fruit juice consumption with the incidence of cardiometabolic conditions and mortality.MethodsRelevant prospective studies were identified by searching PubMed, Web of Science, Embase, and Cochrane Library until December 2022 without language restrictions. The pooled relative risk (RR) and 95% confidence intervals (CIs) were estimated for the association of SSBs, ASBs, and fruit juices with the risk of type 2 diabetes (T2D), cardiovascular disease (CVD), and mortality by using random-effect models.ResultsA total of 72 articles were included in this meta-analysis study. Significantly positive associations were observed between the consumption of individual beverages and T2D risk (RR: 1.27; 95% CI: 1.17, 1.38 for SSBs; RR: 1.32; 95% CI: 1.11, 1.56 for ASBs; and RR:0.98; 95% CI: 0.93, 1.03 for fruit juices). Moreover, our findings showed that intakes of SSBs and ASBs were significantly associated with risk of hypertension, stroke, and all-cause mortality (RR ranging from 1.08 to 1.54; all p < 0.05). A dose-response meta-analysis showed monotonic associations between SSB intake and hypertension, T2D, coronary heart disease (CHD), stroke and mortality, and the linear association was only significant between ASB consumption and hypertension risk. Higher SSB and ASB consumptions were associated with a greater risk of developing cardiometabolic diseases and mortality. Fruit juice intake was associated with a higher risk of T2D.ConclusionTherefore, our findings suggest that neither ASBs nor fruit juices could be considered as healthier beverages alternative to SSBs for achieving improved health.Systematic Review Registration: [PROSPERO], identifier [No. CRD42022307003].https://www.frontiersin.org/articles/10.3389/fnut.2023.1019534/fullsugar sweetened beveragesartificially sweetened beveragesfruit juiceshypertensiontype 2 diabetescardiovascular disease |
| spellingShingle | Baoyu Li Ni Yan Hong Jiang Meng Cui Min Wu Lina Wang Baibing Mi Zhaofang Li Jia Shi Yahui Fan Mougni Mohamed Azalati Chao Li Fangyao Chen Mao Ma Duolao Wang Le Ma Le Ma Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis Frontiers in Nutrition sugar sweetened beverages artificially sweetened beverages fruit juices hypertension type 2 diabetes cardiovascular disease |
| title | Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis |
| title_full | Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis |
| title_fullStr | Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis |
| title_full_unstemmed | Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis |
| title_short | Consumption of sugar sweetened beverages, artificially sweetened beverages and fruit juices and risk of type 2 diabetes, hypertension, cardiovascular disease, and mortality: A meta-analysis |
| title_sort | consumption of sugar sweetened beverages artificially sweetened beverages and fruit juices and risk of type 2 diabetes hypertension cardiovascular disease and mortality a meta analysis |
| topic | sugar sweetened beverages artificially sweetened beverages fruit juices hypertension type 2 diabetes cardiovascular disease |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1019534/full |
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