TY - JOUR
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
AU - Imamura, Fumiaki
AU - Schulze, Matthias B
AU - Sharp, Stephen J
AU - Guevara, Marcela
AU - Romaguera, Dora
AU - Bendinelli, Benedetta
AU - Salamanca-Fernández, Elena
AU - Ardanaz, Eva
AU - Arriola, Larraitz
AU - Aune, Dagfinn
AU - Boeing, Heiner
AU - Dow, Courtney
AU - Fagherazzi, Guy
AU - Franks, Paul W
AU - Freisling, Heinz
AU - Jakszyn, Paula
AU - Kaaks, Rudolf
AU - Khaw, Kay-Tee
AU - Kühn, Tilman
AU - Mancini, Francesca R
AU - Masala, Giovanna
AU - Chirlaque, Maria-Dolores
AU - Nilsson, Peter M
AU - Overvad, Kim
AU - Pala, Valeria M
AU - Panico, Salvatore
AU - Perez-Cornago, Aurora
AU - Quirós, Jose R
AU - Ricceri, Fulvio
AU - Rodríguez-Barranco, Miguel
AU - Rolandsson, Olov
AU - Sluijs, Ivonne
AU - Stepien, Magdalena
AU - Spijkerman, Annemieke M W
AU - Tjønneland, Anne
AU - Tong, Tammy Y N
AU - Tumino, Rosario
AU - Vissers, Linda E T
AU - Ward, Heather A
AU - Langenberg, Claudia
AU - Riboli, Elio
AU - Forouhi, Nita G
AU - Wareham, Nick J
PY - 2019/11
Y1 - 2019/11
N2 - INTRODUCTION: 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.OBJECTIVE: 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.METHODS: 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.RESULTS: 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.CONCLUSIONS: 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.
AB - INTRODUCTION: 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.OBJECTIVE: 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.METHODS: 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.RESULTS: 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.CONCLUSIONS: 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.
KW - beverages
KW - diabetes
KW - dietary guidelines
KW - epidemiology
KW - sugar-sweetened beverages
UR - http://www.scopus.com/inward/record.url?scp=85074551817&partnerID=8YFLogxK
U2 - 10.1093/jn/nxz156
DO - 10.1093/jn/nxz156
M3 - Journal article
C2 - 31396627
SN - 0022-3166
VL - 149
SP - 1985
EP - 1993
JO - The Journal of Nutrition
JF - The Journal of Nutrition
IS - 11
ER -