Association between soft drink consumption and cardiovascular disease risk among Brazilian adults: a cross-sectional study.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Sao Paulo Medical Journal Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI:10.1590/1516-3180.2023.0433.R1.29112024

Karla Cordeiro Gonçalves, Luís Antônio Batista Tonaco, Guilherme Augusto Veloso, Alexandra Dias Moreira, Mariana Santos Felisbino-Mendes, Deborah Carvalho Malta, Gustavo Velasquez-Melendez

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引用次数: 0

Abstract

Background: Inadequate diet is considered a major risk factor for chronic noncommunicable diseases and mortality. Among the ultra-processed foods, sweetened soft drinks are significant contributors to high-calorie diets and are associated with adverse health outcomes.

Objective: To estimate the association between soft drink consumption and the risk of cardiovascular events.

Design and setting: A cross-sectional study was conducted using data of adults aged ≥ 18 years from the 2013 National Health Survey.

Methods: The explanatory variable was the daily consumption of sugar-sweetened soft drinks. Cardiovascular risk (CVR) was calculated using the Framingham score. Multinomial logistic regression was used for the analyses. Two models were used: one adjusted for age and body mass index and the other for age and waist circumference. Both models were applied to the general population and stratified by race and educational attainment.

Results: The study sample consisted of 8,391 participants. Individuals with sugary soda consumption ≥ 0.4 cups/day were associated with a higher CVR, which escalated with increasing consumption of soft drinks.

Conclusions: CVR was observed across all consumption categories and difference in risk was based on the intake quantity.

Abstract Image

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巴西成年人饮用软饮料与心血管疾病风险之间的关系：一项横断面研究

背景：饮食不足被认为是慢性非传染性疾病和死亡的主要危险因素。在超加工食品中，加糖软饮料是高热量饮食的重要来源，并与不利的健康结果有关。目的：评估软饮料消费与心血管事件风险之间的关系。设计和环境：采用2013年全国健康调查中年龄≥18岁的成年人数据进行横断面研究。方法：解释变量为每日含糖软饮料的消费量。使用Framingham评分计算心血管风险（CVR）。采用多项逻辑回归进行分析。使用了两种模型：一种根据年龄和体重指数进行调整，另一种根据年龄和腰围进行调整。这两个模型都适用于普通人群，并按种族和教育程度分层。结果：研究样本包括8,391名参与者。含糖苏打水摄入量≥0.4杯/天的个体CVR较高，且随软饮料摄入量的增加而升高。结论：在所有消费类别中均观察到CVR，风险差异基于摄入量。

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

Sao Paulo Medical Journal 医学-医学：内科

CiteScore

2.20

自引率

7.10%

发文量

210

审稿时长

6-12 weeks

期刊介绍： Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.