Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean.

Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean.
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DOI:
10.1017/s1368980023000381
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发表时间:
2023-07
影响因子:
3.2
通讯作者:
Nunez-Smith, Marcella
Nunez-Smith, Marcella
中科院分区:
医学3区
文献类型:
--
作者:
Oladele, Carol R.;Khandpur, Neha;Galusha, Deron;Hassan, Saria;Colon-Ramos, Uriyoan;Miller, Mary;Adams, Oswald P.;Maharaj, Rohan G.;Nazario, Cruz M.;Nunez, Maxine;Perez-Escamilla, Rafael;Hassell, Trevor;Nunez-Smith, Marcella

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加糖饮料(SSB)与加勒比地区糖尿病风险增加有关。很少有研究探讨SSB消费和糖尿病之间的联系在加勒比地区。SSB是用国家癌症研究所饮食筛选问卷中关于过去一个月苏打水、果汁和咖啡/茶摄入量的问题来测量的。通过自我报告、HbA 1C和药物使用来测量糖尿病。Logistic回归用于研究相关性。基线数据来自东加勒比健康结局研究网络队列研究(ECS),收集于巴巴多斯、波多黎各、特立尼达和托巴哥以及美属维尔京群岛,用于分析。参与者(n 1701)入组ECS。36%的参与者不知道他们的糖尿病,33%的人知道,31%的人血糖正常。40-49岁的人(9.4 tsp/d)、男性(9.2 tsp/d)和教育程度低的人(7.0 tsp/d)从SSB中摄入的添加糖的总平均摄入量较高。不知情(7.4 tsp/d)或未患糖尿病(7.6 tsp/d)的参与者的平均SSB摄入量高于已知糖尿病患者(5.6 tsp/d)。在多变量分析中,饮料中添加的总糖与糖尿病状态无显著相关性。饮料类型的结果显示,从苏打水中添加糖的消费与已知糖尿病(OR = 1.37,95%CI(1.03,1.82))和未知糖尿病(OR = 1.54,95%CI(1.12,2.13))的更大几率相关。调查结果表明,需要继续执行和评估政策和干预措施,以减少在加勒比地区的SSB消费。
Sugar-sweetened beverages (SSB) are implicated in the increasing risk of diabetes in the Caribbean. Few studies have examined associations between SSB consumption and diabetes in the Caribbean. SSB was measured as teaspoon/d using questions from the National Cancer Institute Dietary Screener Questionnaire about intake of soda, juice and coffee/tea during the past month. Diabetes was measured using self-report, HbA1C and use of medication. Logistic regression was used to examine associations. Baseline data from the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS), collected in Barbados, Puerto Rico, Trinidad and Tobago and US Virgin Islands, were used for analysis. Participants (n 1701) enrolled in the ECS. Thirty-six percentage of participants were unaware of their diabetes, 33% aware and 31% normoglycaemic. Total mean intake of added sugar from SSB was higher among persons 40–49 (9·4 tsp/d), men (9·2 tsp/d) and persons with low education (7·0 tsp/d). Participants who were unaware (7·4 tsp/d) or did not have diabetes (7·6 tsp/d) had higher mean SSB intake compared to those with known diabetes (5·6 tsp/d). In multivariate analysis, total added sugar from beverages was not significantly associated with diabetes status. Results by beverage type showed consumption of added sugar from soda was associated with greater odds of known (OR = 1·37, 95 % CI (1·03, 1·82)) and unknown diabetes (OR = 1·54, 95 % CI (1·12, 2·13)). Findings indicate the need for continued implementation and evaluation of policies and interventions to reduce SSB consumption in the Caribbean.
DOI: 10.1007/s10552-018-1005-4
发表时间: 2018-03
期刊: Cancer causes & control : CCC
影响因子: --
作者:
Wang KH;Thompson TA;Galusha D;Friedman H;Nazario CM;Nunez M;Maharaj RG;Adams OP;Nunez-Smith M;ECHORN Writing Group
通讯作者: ECHORN Writing Group
DOI: 10.1016/j.pmedr.2022.101694
发表时间: 2022-04
影响因子: 2.8
作者:
Oladele CR;Colón-Ramos U;Galusha D;Tran E;Adams OP;Maharaj RG;Nazario CM;Nunez M;Pérez-Escamilla R;Nunez-Smith M
通讯作者: Nunez-Smith M