The association of sweetened beverage intake with risk of type 2 diabetes in an Australian population: A longitudinal study

IF 5.8 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & metabolism Pub Date : 2025-11-01 Epub Date: 2025-05-16 DOI:10.1016/j.diabet.2025.101665

Robel Hussen Kabthymer , Tongzhi Wu , Sara Beigrezaei , Oscar H Franco , Allison M Hodge , Barbora de Courten

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引用次数: 0

Abstract

Aim

Globally, sugar intake from sugar-sweetened beverages (SSBs) exceeds the daily recommended limits for intake levels of free sugar. Artificially sweetened beverages (ASBs), widely used to replace SSBs, are increasingly linked to adverse health outcomes. Hence, we assessed the association of sweetened beverage intake (SSBs and ASBs) with the risk of type 2 diabetes (T2DM).

Methods

Data from the Melbourne Collaborative Cohort Study (MCCS) on 36,608 individuals aged 40 to 69 years were used. Self-reported data on diabetes were collected. The frequency of SSBs and ASBs consumption was categorized as: never or < 1 time/month; 1–3 per month; 1–6 times per week; ≥1 time / day. The association of sweetened beverage intake with the incidence of T2DM was assessed using modified Poisson regression, adjusted for lifestyle, obesity, socioeconomic, and other confounders.

Results

Intakes of SSBs and ASBs were associated with an increased risk of T2DM. A high intake (≥ 1 time/day) compared to a low intake (never or < 1 time / month) was associated with increased risk of T2DM for SSB intake (incidence risk ratio (IRR) = 1.23; 95 % CI: 1.05–1.45; P for trend = 0.006) and for ASB intake (IRR = 1.38; 95 % CI: 1.18–1.61; P for trend < 0.001). Further adjustment for body mass index (BMI) and waist-to hip ratio (WHR) eliminated the association for SSBs, but not ASBs intake.

Conclusions

Both sugar and artificially sweetened beverages were linked to an increased risk of T2DM. The findings highlight the need for public health measures to control the intake of sweetened beverages.

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澳大利亚人群中含糖饮料摄入与2型糖尿病风险的关系：一项纵向研究。

目的：在全球范围内，从含糖饮料（SSBs）中摄入的糖超过了每日游离糖摄入量的推荐限制。人工加糖饮料（asb）被广泛用于替代ssb，与不良健康结果的联系越来越紧密。因此，我们评估了甜饮料摄入（ssb和asb）与2型糖尿病（T2DM）风险的关系。方法：来自墨尔本合作队列研究（MCCS）的数据，涉及36,608名年龄在40至69岁之间的个体。收集自我报告的糖尿病数据。SSBs和ASBs的使用频率分为：从不或< 1次/月；每月1-3次；每周1-6次；≥1次/天。使用修正泊松回归评估含糖饮料摄入量与T2DM发病率的关系，并根据生活方式、肥胖、社会经济和其他混杂因素进行调整。结果：ssb和asb的摄入与T2DM风险增加相关。高摄入量（≥1次/天）与低摄入量（从不或< 1次/月）相比，SSB摄入增加了T2DM的风险(发病率风险比（IRR） = 1.23；95% ci: 1.05-1.45；趋势P = 0.006)和ASB摄入量P (IRR = 1.38；95% ci: 1.18-1.61；P表示趋势< 0.001)。进一步调整身体质量指数（BMI）和腰臀比（WHR）消除了与ssb的关联，但没有消除与asb摄入量的关联。结论：糖和人工加糖饮料都与2型糖尿病风险增加有关。研究结果强调需要采取公共卫生措施来控制加糖饮料的摄入。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes & metabolism 医学-内分泌学与代谢

CiteScore

12.00

自引率

4.20%

发文量

审稿时长

13 days

期刊介绍： A high quality scientific journal with an international readership Official publication of the SFD, Diabetes & Metabolism, publishes high-quality papers by leading teams, forming a close link between hospital and research units. Diabetes & Metabolism is published in English language and is indexed in all major databases with its impact factor constantly progressing. Diabetes & Metabolism contains original articles, short reports and comprehensive reviews.