Sugary beverages are associated with cardiovascular risk factors in diabetic patients

Anari, Razieh; Amani, Reza; Veissi, Masoud

doi:10.1007/s40200-019-00383-5

Cited by 7 publications

(5 citation statements)

References 49 publications

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“…Sin embargo, otros trabajos han mostrado resultados contrarios. Así, un estudio observó que aproximadamente la mitad de los sujetos con DM2 consumieron al menos 150mL por día de bebidas azucaradas 23 , elevando su riesgo cardiovascular. Incluso, se ha reportado un alto consumo de bebidas azucaradas en pacientes con DM2 sin hemodiálisis (49%) y en aquéllos con DM2 y hemodiálisis (47%) en Nueva Zelanda 24 .…”

Section: Comparación Con Otros Estudiosunclassified

Consumo de bebidas azucaradas, verduras y frutas en sujetos con alteración del metabolismo de la glucosa

Martínez-Velarde

Málaga-Chávez

Bernabé‐Ortiz

2021

Rev Esp Nutr Hum Diet

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Introducción: Poco se conoce sobre los patrones de dieta de individuos con diabetes mellitus tipo 2 (DM2) en Perú. El objetivo del presente estudio fue determinar si existe asociación entre la alteración del metabolismo de la glucosa y ciertos patrones de dieta (consumo de bebidas azucaradas, verduras y frutas). Material y métodos: Análisis secundario de un estudio poblacional de tipo transversal realizado en Tumbes, en el norte del Perú. Las variables resultado fueron consumo de bebidas azucaradas, consumo de verduras y consumo de frutas, definidas por autoreporte; mientras que la exposición fue la alteración del metabolismo de la glucosa (euglicémico, con DM2 pero sin diagnóstico previo, y con DM2 y diagnóstico previo), basado en la prueba de tolerancia oral a la glucosa. Para evaluar las asociaciones de interés, se crearon modelos de regresión de Poisson con varianza robusta y se reportaron razones de prevalencia (RP) e intervalos de confianza al 95% (IC 95%).Resultados: Un total de 1607 individuos, media de edad de 48,2 (DE: 10,6), y 809 (50,3%) mujeres, fueron incluidos en los análisis. La prevalencia de DM2 fue de 11,0% (IC95%: 9,5%–12,6%), y de ellos, 105 (59,7%) tuvieron diagnóstico previo. Solo 213 (13,3%) consumieron bebidas azucaradas >1 vez/semana, mientras que 409 (25,5%) y 736 (45,8%) consumieron verduras y frutas en forma casi diaria, respectivamente. Aquellos con diagnóstico previo de DM2 tuvieron menor probabilidad de consumir bebidas azucaradas (algunas veces vs. nunca: RP=0,57; IC95%: 0,41–0,78 y >1 vez/semana vs. nunca: RP=0,39; IC95%: 0,18–0,85). Ni el consumo de frutas ni el de verduras fue mayor en aquellos con o sin diagnóstico previo de DM2.Conclusiones: Comparados con los euglicémicos, los individuos con diagnóstico previo de DM2 tuvieron un menor consumo de bebidas azucaradas, pero dicha asociación no estuvo presente en aquellos con DM2 sin diagnóstico previo. El consumo de frutas y verduras no fue diferente entre las categorías de alteración del metabolismo de la glucosa estudiadas.

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Section: Comparación Con Otros Estudiosunclassified

Consumo de bebidas azucaradas, verduras y frutas en sujetos con alteración del metabolismo de la glucosa

Martínez-Velarde

Málaga-Chávez

Bernabé‐Ortiz

2021

Rev Esp Nutr Hum Diet

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“…In the analysis for patients with specific cardiometabolic diseases, SSBs consumption was associated with a higher risk of CMM in hypertensive patients but not in patients with diabetes and in patients with cardiovascular diseases. A cross-sectional study found a positive association between SSBs intake and hypertension in patients with type 2 diabetes [ 14 ]; however, this study was limited by small sample size ( N = 157) and was not adjusted for medication use. The confounding effects on drug use in the relationship between SSBs consumption and CMM risk might be partly explained by the biological mechanism through which SSBs contribute to cardiometabolic disease.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study showed that each additional cardiometabolic disease may double the risk of mortality [11]. Previous studies have shown that lifestyle behaviours, including smoking and alcohol consumption, are associated with a higher risk of CMM; however, little is known about the role of dietary factors, especially sweet beverages, in disease progression from the single cardiometabolic disease state to CMM state [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Associations between consumption of three types of beverages and risk of cardiometabolic multimorbidity in UK Biobank participants: a prospective cohort study

Luo

et al. 2022

BMC Med

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Background Although the association between beverages and a single cardiometabolic disease has been well studied, their role in disease progression from the single cardiometabolic disease state to cardiometabolic multimorbidity (CMM) state remains unclear. This study examined the associations between three types of beverages: sugar-sweetened beverages (SSBs), artificially sweetened beverages (ASBs), and pure fruit/vegetable juices, and the incidence of CMM in patients with a single cardiometabolic disease. Methods Our analysis included 37,994 participants from the UK Biobank who completed at least one dietary questionnaire and were diagnosed with only one cardiometabolic disease at the time of recruitment. Competing risk models were used to examine the association between the three types of beverages and incidence of CMM. We conducted analysis both in patients with any single cardiometabolic disease and in patients with specific cardiometabolic disease. Results During a median follow-up of 9.1 years (interquartile range [IQR] 9.0–9.8), a total of 6399 participants developed CMM. The consumption of SSBs and ASBs (>1 serving per day) was associated with a higher risk of CMM (SSBs: hazard ratio [HR] 1.19, 95% confidence interval [95% CI] 1.08–1.31; ASBs: HR 1.15, 95% CI 1.04–1.27). Intake of pure fruit/vegetable juices was inversely associated with the incidence of CMM (0–1 serving per day: HR 0.90, 95% CI 0.85–0.94; >1 serving per day: HR 0.90, 95% CI 0.81–0.99). However, the association of the high-level consumption of pure fruit/vegetable juices (>1 serving per day) was not statistically significant after correcting for multiple testing. In the analysis of patients with specific cardiometabolic diseases, positive associations were observed in patients with hypertension for SSBs consumption, while inverse associations persisted in patients with cardiovascular disease (coronary heart disease or stroke) and in hypertensive patients for pure fruit/vegetable juice consumption. Conclusions Consuming >1 serving of SSBs and ASBs per day was associated with a higher risk of CMM in patients with a single cardiometabolic disease. In contrast, intake of pure fruit/vegetable juices was inversely associated with the risk of CMM. Our findings highlight the need to limit the use of SSBs and ASBs in patients with a single cardiometabolic disease.

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“…SSB consumption has been proven to be associated with adverse health consequences in both the overall and the diabetic populations. Previous literature has reported that adults with T2DM who consumed more SSBs had an elevated risk of developing numerous adverse health outcomes such as abdominal obesity[ 34 ], cardiovascular diseases[ 35 ], gout[ 36 ], poor cognitive function[ 37 ], and tooth loss[ 34 - 38 ]. Although these studies applied a cross-sectional design using a survey questionnaire, a positive association between SSB intake and risk of adverse health outcomes was identified, which should motivate T2DM patients to reduce SSB intake or stop consuming SSBs altogether to decrease the risk of adverse outcomes.…”

Section: Ssb Consumption In T2dm Patientsmentioning

confidence: 99%

Sugar intake from sweetened beverages and diabetes: A narrative review

Tseng¹,

Lin²,

Gonzalez³

et al. 2021

WJD

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Type 2 diabetes mellitus (T2DM) is one of the fastest growing public health concerns around the world. Sugar-sweetened beverage (SSB) consumption has been proven to be associated with adverse health consequences in the diabetic population. Reducing SSB consumption, body weight control, healthy diets, and increased physical activity have been suggested as strategies to improve diabetes prevention and management. This literature review provides an overview of: (1) The association between SSB consumption and the risk of T2DM; (2) Types of SSB consumption and T2DM; (3) The effect of obesity and inflammation on the association between SSB consumption and risk of T2DM; and (4) SSB consumption in T2DM patients. There is still work to be done to determine how SSB consumption is related to T2DM, but the current research on identifying the association between SSB consumption and T2DM is promising, with the most promising studies confirming the connection between SSBs, T2DM risk, and diabetes management. Future studies should explore more effective SSB related diabetes prevention and management interventions.

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Sugary beverages are associated with cardiovascular risk factors in diabetic patients

Cited by 7 publications

References 49 publications

Consumo de bebidas azucaradas, verduras y frutas en sujetos con alteración del metabolismo de la glucosa

Consumo de bebidas azucaradas, verduras y frutas en sujetos con alteración del metabolismo de la glucosa

Associations between consumption of three types of beverages and risk of cardiometabolic multimorbidity in UK Biobank participants: a prospective cohort study

Sugar intake from sweetened beverages and diabetes: A narrative review

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