Sugar-sweetened beverages and incidence of type 2 diabetes mellitus in African American women.
Sugar-sweetened beverages and incidence of type 2 diabetes mellitus in African American women.
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DOI：
10.1001/archinte.168.14.1487
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发表时间：
2008-07-28
影响因子：
--
通讯作者：
Rosenberg, Lynn
中科院分区：
文献类型：
--
作者：
Palmer, Julie R.;Boggs, Deborah A.;Krishnan, Supriya;Hu, Frank B.;Singer, Martha;Rosenberg, Lynn
2型糖尿病是非洲裔美国妇女中日益严重的健康问题。在2项研究中，含糖饮料的消费与糖尿病风险增加有关，但在第三项研究中则没有;然而，据我们所知，没有关于非裔美国人的数据。我们的目的是研究非裔美国妇女中含糖饮料的消费、体重增加和2型糖尿病发病率之间的关系。自1995年以来，对59 000名非洲裔美国妇女进行了前瞻性随访研究。与会者报告了1995年和2001年的食品和饮料消费情况。两年一次的随访问卷调查确定了2型糖尿病的新诊断。目前的分析包括43960名妇女，她们提供了完整的饮食和体重信息，并且在基线时没有糖尿病。在338884人年的随访中，我们确定了2713例2型糖尿病的发病病例。主要结果指标是2型糖尿病的发病率。2型糖尿病的发病率随着含糖软饮料和水果饮料摄入量的增加而增加。在调整了包括其他饮食因素在内的混杂变量后，每天喝2杯或更多软饮料的发病率比为1.24（95%置信区间，1.06 - 1.45）。对于水果饮料，可比的发病率比为1.31（95%置信区间，1.13 - 1.52）。糖尿病与软饮料消费的关联几乎完全由身体质量指数介导，而与水果饮料消费的关联独立于身体质量指数。经常饮用含糖软饮料和水果饮料与非洲裔美国妇女患2型糖尿病的风险增加有关。虽然公众越来越意识到软饮料对健康的不利影响，但很少有人注意到水果饮料，水果饮料通常被作为软饮料的健康替代品销售。
Type 2 diabetes mellitus is an increasingly serious health problem among African American women. Consumption of sugar-sweetened drinks was associated with an increased risk of diabetes in 2 studies but not in a third; however, to our knowledge, no data are available on African Americans regarding this issue. Our objective was to examine the association between consumption of sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes mellitus in African American women. A prospective follow-up study of 59 000 African American women has been in progress since 1995. Participants reported on food and beverage consumption in 1995 and 2001. Biennial follow-up questionnaires ascertained new diagnoses of type 2 diabetes. The present analyses included 43 960 women who gave complete dietary and weight information and were free from diabetes at baseline. We identified 2713 incident cases of type 2 diabetes mellitus during 338 884 person-years of follow-up. The main outcome measure was the incidence of type 2 diabetes mellitus. The incidence of type 2 diabetes mellitus was higher with higher intake of both sugar-sweetened soft drinks and fruit drinks. After adjustment for confounding variables including other dietary factors, the incidence rate ratio for 2 or more soft drinks per day was 1.24 (95% confidence interval, 1.06–1.45). For fruit drinks, the comparable incidence rate ratio was 1.31 (95% confidence interval, 1.13–1.52). The association of diabetes with soft drink consumption was almost entirely mediated by body mass index, whereas the association with fruit drink consumption was independent of body mass index. Regular consumption of sugar-sweetened soft drinks and fruit drinks is associated with an increased risk of type 2 diabetes mellitus in African American women. While there has been increasing public awareness of the adverse health effects of soft drinks, little attention has been given to fruit drinks, which are often marketed as a healthier alternative to soft drinks.
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影响因子：
5.8
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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作者：
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通讯作者：
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