Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study
Aims: Although diet is one of the main modifiable risk factors of cardiovascular disease, few studies have investigated the association between added sugar intake and cardiovascular disease risk. This study aims to investigate the associations between intake of total added sugar, different sugar-swe...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-12-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2020.603653/full |
| _version_ | 1830484491507859456 |
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| author | Suzanne Janzi Stina Ramne Esther González-Padilla Linda Johnson Emily Sonestedt |
| author_facet | Suzanne Janzi Stina Ramne Esther González-Padilla Linda Johnson Emily Sonestedt |
| author_sort | Suzanne Janzi |
| collection | DOAJ |
| description | Aims: Although diet is one of the main modifiable risk factors of cardiovascular disease, few studies have investigated the association between added sugar intake and cardiovascular disease risk. This study aims to investigate the associations between intake of total added sugar, different sugar-sweetened foods and beverages, and the risks of stroke, coronary events, atrial fibrillation and aortic stenosis.Methods: The study population consists of 25,877 individuals from the Malmö Diet and Cancer Study, a Swedish population-based prospective cohort. Dietary data were collected using a modified diet history method. National registers were used for outcome ascertainment.Results: During the mean follow-up of 19.5 years, there were 2,580 stroke cases, 2,840 coronary events, 4,241 atrial fibrillation cases, and 669 aortic stenosis cases. Added sugar intakes above 20 energy percentage were associated with increased risk of coronary events compared to the lowest intake category (HR: 1.39; 95% CI: 1.09–1.78), and increased stroke risk compared to intakes between 7.5 and 10 energy percentage (HR: 1.31; 95% CI: 1.03 and 1.66). Subjects in the lowest intake group for added sugar had the highest risk of atrial fibrillation and aortic stenosis. More than 8 servings/week of sugar-sweetened beverages were associated with increased stroke risk, while ≤2 servings/week of treats were associated with the highest risks of stroke, coronary events and atrial fibrillation.Conclusion: The results indicate that the associations between different added sugar sources and cardiovascular diseases vary. These findings emphasize the complexity of the studied associations and the importance of considering different added sugar sources when investigating health outcomes. |
| first_indexed | 2024-12-21T18:10:22Z |
| format | Article |
| id | doaj.art-2f46909d5f854393940926fcd19f9acd |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-12-21T18:10:22Z |
| publishDate | 2020-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-2f46909d5f854393940926fcd19f9acd2022-12-21T18:54:49ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2020-12-01710.3389/fnut.2020.603653603653Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort StudySuzanne Janzi0Stina Ramne1Esther González-Padilla2Linda Johnson3Emily Sonestedt4Nutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Lund, SwedenNutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Lund, SwedenNutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Lund, SwedenCardiovascular Research, Department of Clinical Sciences Malmö, Lund University, Lund, SwedenNutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Lund, SwedenAims: Although diet is one of the main modifiable risk factors of cardiovascular disease, few studies have investigated the association between added sugar intake and cardiovascular disease risk. This study aims to investigate the associations between intake of total added sugar, different sugar-sweetened foods and beverages, and the risks of stroke, coronary events, atrial fibrillation and aortic stenosis.Methods: The study population consists of 25,877 individuals from the Malmö Diet and Cancer Study, a Swedish population-based prospective cohort. Dietary data were collected using a modified diet history method. National registers were used for outcome ascertainment.Results: During the mean follow-up of 19.5 years, there were 2,580 stroke cases, 2,840 coronary events, 4,241 atrial fibrillation cases, and 669 aortic stenosis cases. Added sugar intakes above 20 energy percentage were associated with increased risk of coronary events compared to the lowest intake category (HR: 1.39; 95% CI: 1.09–1.78), and increased stroke risk compared to intakes between 7.5 and 10 energy percentage (HR: 1.31; 95% CI: 1.03 and 1.66). Subjects in the lowest intake group for added sugar had the highest risk of atrial fibrillation and aortic stenosis. More than 8 servings/week of sugar-sweetened beverages were associated with increased stroke risk, while ≤2 servings/week of treats were associated with the highest risks of stroke, coronary events and atrial fibrillation.Conclusion: The results indicate that the associations between different added sugar sources and cardiovascular diseases vary. These findings emphasize the complexity of the studied associations and the importance of considering different added sugar sources when investigating health outcomes.https://www.frontiersin.org/articles/10.3389/fnut.2020.603653/fullcardiovascular diseasesadded sugar intakedietary sugarsugar-sweetened beveragescardiometabolic risk factors |
| spellingShingle | Suzanne Janzi Stina Ramne Esther González-Padilla Linda Johnson Emily Sonestedt Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study Frontiers in Nutrition cardiovascular diseases added sugar intake dietary sugar sugar-sweetened beverages cardiometabolic risk factors |
| title | Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study |
| title_full | Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study |
| title_fullStr | Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study |
| title_full_unstemmed | Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study |
| title_short | Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study |
| title_sort | associations between added sugar intake and risk of four different cardiovascular diseases in a swedish population based prospective cohort study |
| topic | cardiovascular diseases added sugar intake dietary sugar sugar-sweetened beverages cardiometabolic risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2020.603653/full |
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