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

<p><strong>Introduction</strong></p> <p>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.</p> <p><strong>Objective<...

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Main Authors: Imamura, F, Schulze, MB, Sharp, SJ, Guevara, M, Romaguera, D, Bendinelli, B, Salamanca-Fernández, E, Ardanaz, E, Arriola, L, Aune, D, Boeing, H, Dow, C, Fagherazzi, G, Franks, PW, Freisling, H, Jakszyn, P, Kaaks, R, Khaw, K-T, Kühn, T, Mancini, FR, Masala, G, Chirlaque, M-D, Nilsson, PM, Overvad, K, Pala, VM, Panicoala, S, Perez-Cornago, A, Quirós, JR, Ricceri, F, Rodríguez-Barranco, M, Rolandsson, O, Sluijs, I, Stepien, M, Spijkerman, AMW, Tjønneland, A, Tong, TYN, Tumino, R, Vissers, LET, Ward, HA, Langenberg, C, Riboli, E, Forouhi, NG, Wareham, NJ
Format: Journal article
Language:English
Published: Oxford University Press 2019
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author Imamura, F
Schulze, MB
Sharp, SJ
Guevara, M
Romaguera, D
Bendinelli, B
Salamanca-Fernández, E
Ardanaz, E
Arriola, L
Aune, D
Boeing, H
Dow, C
Fagherazzi, G
Franks, PW
Freisling, H
Jakszyn, P
Kaaks, R
Khaw, K-T
Kühn, T
Mancini, FR
Masala, G
Chirlaque, M-D
Nilsson, PM
Overvad, K
Pala, VM
Panicoala, S
Perez-Cornago, A
Quirós, JR
Ricceri, F
Rodríguez-Barranco, M
Rolandsson, O
Sluijs, I
Stepien, M
Spijkerman, AMW
Tjønneland, A
Tong, TYN
Tumino, R
Vissers, LET
Ward, HA
Langenberg, C
Riboli, E
Forouhi, NG
Wareham, NJ
author_facet Imamura, F
Schulze, MB
Sharp, SJ
Guevara, M
Romaguera, D
Bendinelli, B
Salamanca-Fernández, E
Ardanaz, E
Arriola, L
Aune, D
Boeing, H
Dow, C
Fagherazzi, G
Franks, PW
Freisling, H
Jakszyn, P
Kaaks, R
Khaw, K-T
Kühn, T
Mancini, FR
Masala, G
Chirlaque, M-D
Nilsson, PM
Overvad, K
Pala, VM
Panicoala, S
Perez-Cornago, A
Quirós, JR
Ricceri, F
Rodríguez-Barranco, M
Rolandsson, O
Sluijs, I
Stepien, M
Spijkerman, AMW
Tjønneland, A
Tong, TYN
Tumino, R
Vissers, LET
Ward, HA
Langenberg, C
Riboli, E
Forouhi, NG
Wareham, NJ
author_sort Imamura, F
collection OXFORD
description <p><strong>Introduction</strong></p> <p>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.</p> <p><strong>Objective</strong></p> <p>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.</p> <p><strong>Methods</strong></p> <p>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.</p> <p><strong>Results</strong></p> <p>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.</p> <p><strong>Conclusions</strong></p> <p>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.</p>
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spelling oxford-uuid:b7cd3f89-17a9-46cd-862f-ccb254c6497f2022-03-27T04:51:26ZEstimated 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 studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b7cd3f89-17a9-46cd-862f-ccb254c6497fEnglishSymplectic Elements at OxfordOxford University Press2019Imamura, FSchulze, MBSharp, SJGuevara, MRomaguera, DBendinelli, BSalamanca-Fernández, EArdanaz, EArriola, LAune, DBoeing, HDow, CFagherazzi, GFranks, PWFreisling, HJakszyn, PKaaks, RKhaw, K-TKühn, TMancini, FRMasala, GChirlaque, M-DNilsson, PMOvervad, KPala, VMPanicoala, SPerez-Cornago, AQuirós, JRRicceri, FRodríguez-Barranco, MRolandsson, OSluijs, IStepien, MSpijkerman, AMWTjønneland, ATong, TYNTumino, RVissers, LETWard, HALangenberg, CRiboli, EForouhi, NGWareham, NJ<p><strong>Introduction</strong></p> <p>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.</p> <p><strong>Objective</strong></p> <p>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.</p> <p><strong>Methods</strong></p> <p>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.</p> <p><strong>Results</strong></p> <p>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.</p> <p><strong>Conclusions</strong></p> <p>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.</p>
spellingShingle Imamura, F
Schulze, MB
Sharp, SJ
Guevara, M
Romaguera, D
Bendinelli, B
Salamanca-Fernández, E
Ardanaz, E
Arriola, L
Aune, D
Boeing, H
Dow, C
Fagherazzi, G
Franks, PW
Freisling, H
Jakszyn, P
Kaaks, R
Khaw, K-T
Kühn, T
Mancini, FR
Masala, G
Chirlaque, M-D
Nilsson, PM
Overvad, K
Pala, VM
Panicoala, S
Perez-Cornago, A
Quirós, JR
Ricceri, F
Rodríguez-Barranco, M
Rolandsson, O
Sluijs, I
Stepien, M
Spijkerman, AMW
Tjønneland, A
Tong, TYN
Tumino, R
Vissers, LET
Ward, HA
Langenberg, C
Riboli, E
Forouhi, NG
Wareham, NJ
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
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