Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort
It is still unknown whether excessive consumption of sugar-sweetened beverages may be linked to gestational hypertensive disorders, other than preeclampsia. This study investigated the association between soft drink consumption and hypertension during pregnancy, analyzing the relationship from the p...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Divulgação Científica
2021-01-01
|
| Series: | Brazilian Journal of Medical and Biological Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/bjmbr/v54n1/1414-431X-bjmbr-54-1-e10162.pdf |
| _version_ | 1798026328880971776 |
|---|---|
| author | J.M.A. Barbosa A.A.M. da Silva G. Kac V.M.F. Simões H. Bettiol R.C. Cavalli M.A. Barbieri C.C.C. Ribeiro |
| author_facet | J.M.A. Barbosa A.A.M. da Silva G. Kac V.M.F. Simões H. Bettiol R.C. Cavalli M.A. Barbieri C.C.C. Ribeiro |
| author_sort | J.M.A. Barbosa |
| collection | DOAJ |
| description | It is still unknown whether excessive consumption of sugar-sweetened beverages may be linked to gestational hypertensive disorders, other than preeclampsia. This study investigated the association between soft drink consumption and hypertension during pregnancy, analyzing the relationship from the perspective of counterfactual causal theory. Data from pregnant women of the BRISA cohort were analyzed (1,380 in São Luis and 1,370 in Ribeirão Preto, Brazil). The explanatory variable was the frequency of soft drink consumption during pregnancy obtained in a prenatal interview. The outcome was gestational hypertension based on medical diagnosis, at the time of delivery. A theoretical model of the association between soft drink consumption and gestational hypertension was constructed using a directed acyclic graph. Marginal structural models (MSM) weighted by the inverse of the probability of soft drink consumption were also employed. Using Poisson regression analysis, high soft drink consumption (≥7 times/week) was associated with gestational hypertension in São Luís (RR=1.48; 95%CI: 1.03-2.10), in Ribeirão Preto (RR=1.51; 95%CI: 1.13-2.01), and in the two cohorts combined (RR=1.45; 95%CI: 1.16-1.82) compared to lower exposure (<7 times/week). In the MSM, the association between high soft drink consumption and gestational hypertension was observed in Ribeirão Preto (RR=1.63; 95%CI: 1.21-2.19) and in the two cohorts combined (RR=1.51; 95%CI: 1.15-1.97), but not in São Luís (RR=1.26; 95%CI: 0.79-2.00). High soft drink consumption seems to be a risk factor for gestational hypertension, suggesting that it should be discouraged during pregnancy. |
| first_indexed | 2024-04-11T18:33:37Z |
| format | Article |
| id | doaj.art-dc484d18318646c387fa6eebe61edf2a |
| institution | Directory Open Access Journal |
| issn | 1414-431X |
| language | English |
| last_indexed | 2024-04-11T18:33:37Z |
| publishDate | 2021-01-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-dc484d18318646c387fa6eebe61edf2a2022-12-22T04:09:22ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2021-01-0154110.1590/1414-431x202010162Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohortJ.M.A. Barbosahttps://orcid.org/0000-0001-5263-6586A.A.M. da Silvahttps://orcid.org/0000-0003-4968-5138G. Kachttps://orcid.org/0000-0001-8603-9077V.M.F. Simõeshttps://orcid.org/0000-0001-8351-1348H. Bettiolhttps://orcid.org/0000-0001-8744-4373R.C. Cavallihttps://orcid.org/0000-0001-5010-4914M.A. Barbierihttps://orcid.org/0000-0001-8060-1428C.C.C. Ribeirohttps://orcid.org/0000-0003-0041-7618It is still unknown whether excessive consumption of sugar-sweetened beverages may be linked to gestational hypertensive disorders, other than preeclampsia. This study investigated the association between soft drink consumption and hypertension during pregnancy, analyzing the relationship from the perspective of counterfactual causal theory. Data from pregnant women of the BRISA cohort were analyzed (1,380 in São Luis and 1,370 in Ribeirão Preto, Brazil). The explanatory variable was the frequency of soft drink consumption during pregnancy obtained in a prenatal interview. The outcome was gestational hypertension based on medical diagnosis, at the time of delivery. A theoretical model of the association between soft drink consumption and gestational hypertension was constructed using a directed acyclic graph. Marginal structural models (MSM) weighted by the inverse of the probability of soft drink consumption were also employed. Using Poisson regression analysis, high soft drink consumption (≥7 times/week) was associated with gestational hypertension in São Luís (RR=1.48; 95%CI: 1.03-2.10), in Ribeirão Preto (RR=1.51; 95%CI: 1.13-2.01), and in the two cohorts combined (RR=1.45; 95%CI: 1.16-1.82) compared to lower exposure (<7 times/week). In the MSM, the association between high soft drink consumption and gestational hypertension was observed in Ribeirão Preto (RR=1.63; 95%CI: 1.21-2.19) and in the two cohorts combined (RR=1.51; 95%CI: 1.15-1.97), but not in São Luís (RR=1.26; 95%CI: 0.79-2.00). High soft drink consumption seems to be a risk factor for gestational hypertension, suggesting that it should be discouraged during pregnancy.http://www.scielo.br/pdf/bjmbr/v54n1/1414-431X-bjmbr-54-1-e10162.pdfGestational hypertensive disordersSoft drink consumptionCohort studyMarginal structural modelPregnancy |
| spellingShingle | J.M.A. Barbosa A.A.M. da Silva G. Kac V.M.F. Simões H. Bettiol R.C. Cavalli M.A. Barbieri C.C.C. Ribeiro Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort Brazilian Journal of Medical and Biological Research Gestational hypertensive disorders Soft drink consumption Cohort study Marginal structural model Pregnancy |
| title | Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort |
| title_full | Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort |
| title_fullStr | Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort |
| title_full_unstemmed | Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort |
| title_short | Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort |
| title_sort | is soft drink consumption associated with gestational hypertension results from the brisa cohort |
| topic | Gestational hypertensive disorders Soft drink consumption Cohort study Marginal structural model Pregnancy |
| url | http://www.scielo.br/pdf/bjmbr/v54n1/1414-431X-bjmbr-54-1-e10162.pdf |
| work_keys_str_mv | AT jmabarbosa issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT aamdasilva issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT gkac issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT vmfsimoes issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT hbettiol issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT rccavalli issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT mabarbieri issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort AT cccribeiro issoftdrinkconsumptionassociatedwithgestationalhypertensionresultsfromthebrisacohort |