Thursday, November 21, 2019

Surgary Drinks and Diabetes

May 30, 2019 by  
Filed under Articles

Sugary drink consumption associated with type 2 diabetes risk in women

Thai (Thailand) woman who reported consuming at least one sugar-sweetened beverage per day were twice as likely to develop type 2 diabetes over 8 years verses those who reported rarely consuming sugary drinks, according to study findings published June 2017, in Nutrition & Diabetes.

Keren Papier, a PhD student at the National Center for Epidemiology and Population Health at the Australian National University in Canberra, analyzed data from 39,175 Thai adults, without diabetes, as a baseline, in 2005, participating in the Thai Cohort Study, a prospective study of students enrolled at Sukothai Thammithirat Open University, designed to examine the health-risk transition in Thailand. Participants completed questionnaires on sociodemographic, health and lifestyle factors, including sugary drink consumption, and health outcomes; follow-up questionnaires were completed in 2009 and 2013. Researchers used logistic regression analysis to assess associations between sugar-sweetened beverage intake and type 2 diabetes incidence over 8 years, as well as counterfactual mediation analysis to explore the potential mediation of the sugar-sweetened beverage intake and type 2 diabetes-risk relationship.

Over the course of follow-up, 695 participants reported a new diagnosis of diabetes.

Researchers found that, in 2013 among women, consuming a sugar-sweetened beverage at least once daily at baseline, was associated with type 2 diabetes incidence when compared with women who reported rarely consuming sweetened drinks at baseline. There was no observed link between sugar-sweetened beverage intake in men and type 2 diabetes risk. These results for men and women persisted even after adjusting for age and Body Mass Index(BMI).

“We estimated that 1% of [type 2 diabetes] in men and 5% [of type 2 diabetes] in women could be attributed to daily sugar-sweetened beverage consumption,” the researchers wrote. “Assuming a causal sugar-sweetened beverage intake–type 2 diabetes association, 1,500 [type 2 diabetes] cases in men and 2,700 in women per year may have been prevented in the national Thai population if daily sugar-sweetened beverage consumption was avoided.”

Obesity in 2009 was found to mediate 23% of the total association between sugar-sweetened beverage intake in 2005 and type 2 diabetes risk in 2013, according to researchers, with a natural indirect effect of 1.15%.

The researchers noted that the questionnaires did not differentiate between sugar-sweetened and artificially sweetened beverages, and there was no information available on non-carbonated, sweetened beverages, such as juices. In addition, there was insufficient food frequency information to estimate the contribution of sugar-sweetened beverages to total energy intake, they wrote.

“The findings from this cohort suggest that at this point of the Thai health-risk transition sugar-sweetened beverage intake is increasing the risk of type 2 diabetes in women,” the researchers wrote. “As sugar-sweetened beverages have no nutritional value and do not protect
against disease, they are an ideal target for public health efforts aimed at preventing increasing national type 2 diabetes incidence … targeting sugar-sweetened beverages could serve as one focal point to prevent a national rise in the incidence of [type 2 diabetes].” Authored by Regina Schaffer

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