| Title |
Prospective associations and population impact of sweet beverage intake and type 2 diabetes, and effects of substitutions with alternative beverages
|
|---|---|
| Published in |
Diabetologia, May 2015
|
| DOI | 10.1007/s00125-015-3572-1 |
| Pubmed ID | |
| Authors |
Laura O’Connor, Fumiaki Imamura, Marleen A. H. Lentjes, Kay-Tee Khaw, Nicholas J. Wareham, Nita G. Forouhi |
| Abstract |
This study aimed to evaluate the association of types of sugar-sweetened beverages (SSB) (soft drinks, sweetened-milk beverages, sweetened tea/coffee), artificially sweetened beverages (ASB) and fruit juice with incident type 2 diabetes and determine the effects of substituting non-SSB for SSB and the population-attributable fraction of type 2 diabetes due to total sweet beverages. Beverage consumption of 25,639 UK-resident adults without diabetes at baseline (1993-1997) in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk study was assessed using 7-day food diaries. During 10.8 years of follow-up 847 incident type 2 diabetes cases were verified. In adjusted Cox regression analyses there were positive associations (HR [95% CI] per serving/day]) for soft drinks 1.21 (1.05, 1.39), sweetened-milk beverages 1.22 (1.05, 1.43) and ASB 1.22 (1.11, 1.33), but not for sweetened tea/coffee 0.98 (0.94, 1.02) or fruit juice 1.01 (0.88, 1.15). Further adjustment for adiposity attenuated the association of ASB, HR 1.06 (0.93, 1.20). There was a positive dose-response relationship with total sweet beverages: HR per 5% energy 1.18 (1.11, 1.26). Substituting ASB for any SSB did not reduce the incidence in analyses accounting for energy intake and adiposity. Substituting one serving/day of water or unsweetened tea/coffee for soft drinks and for sweetened-milk beverages reduced the incidence by 14%-25%. If sweet beverage consumers reduced intake to below 2% energy, 15% of incident diabetes might be prevented. The consumption of soft drinks, sweetened-milk beverages and energy from total sweet beverages was associated with higher type 2 diabetes risk independently of adiposity. Water or unsweetened tea/coffee appear to be suitable alternatives to SSB for diabetes prevention. These findings support the implementation of population-based interventions to reduce SSB consumption and increase the consumption of suitable alternatives. |
X Demographics
The data shown below were collected from the profiles of 41 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 12 | 29% |
| Spain | 7 | 17% |
| United States | 3 | 7% |
| Japan | 2 | 5% |
| Australia | 1 | 2% |
| Brazil | 1 | 2% |
| Israel | 1 | 2% |
| Uruguay | 1 | 2% |
| Unknown | 13 | 32% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 25 | 61% |
| Practitioners (doctors, other healthcare professionals) | 8 | 20% |
| Scientists | 8 | 20% |
Mendeley readers
The data shown below were compiled from readership statistics for 253 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Brazil | 2 | <1% |
| Germany | 1 | <1% |
| United Kingdom | 1 | <1% |
| Spain | 1 | <1% |
| Japan | 1 | <1% |
| Unknown | 247 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 45 | 18% |
| Student > Bachelor | 43 | 17% |
| Student > Ph. D. Student | 36 | 14% |
| Researcher | 28 | 11% |
| Student > Postgraduate | 14 | 6% |
| Other | 37 | 15% |
| Unknown | 50 | 20% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 84 | 33% |
| Nursing and Health Professions | 25 | 10% |
| Agricultural and Biological Sciences | 23 | 9% |
| Biochemistry, Genetics and Molecular Biology | 15 | 6% |
| Social Sciences | 10 | 4% |
| Other | 33 | 13% |
| Unknown | 63 | 25% |
Attention Score in Context
This research output has an Altmetric Attention Score of 136. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 August 2022.
All research outputs
#309,380
of 25,837,817 outputs
Outputs from Diabetologia
#179
of 5,411 outputs
Outputs of similar age
#3,249
of 281,039 outputs
Outputs of similar age from Diabetologia
#4
of 74 outputs
Altmetric has tracked 25,837,817 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,411 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 24.7. This one has done particularly well, scoring higher than 96% of its peers.
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We're also able to compare this research output to 74 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.