Sugar-sweetened beverage and diet soda consumption and the 7-year risk for type 2 diabetes mellitus in middle-aged Japanese men
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This cohort study investigated the association between sugar-sweetened beverage (SSB) and diet soda consumption and the incidence of type 2 diabetes in Japanese men.
The participants were 2,037 employees of a factory in Japan. We measured consumption of SSB and diet soda using a self-administered diet history questionnaire. The incidence of diabetes was determined in annual medical examinations over a 7-year period. Hazard ratios (HRs) with 95 % confidence intervals (CIs) for diabetes were estimated after adjusting for age, body mass index, family history, and dietary and other lifestyle factors.
During the study, 170 participants developed diabetes. The crude incidence rates (/1,000 person-years) across participants who were rare/never SSB consumers, <1 serving/week, ≥1 serving/week and <1 serving/day, and ≥1 serving/day were 15.5, 12.7, 14.9, and 17.4, respectively. The multivariate-adjusted HR compared to rare/never SSB consumers was 1.35 (95 % CI 0.80–2.27) for participants who consumed ≥1 serving/day SSB. Diet soda consumption was significantly associated with the incident risk of diabetes (P for trend = 0.013), and multivariate-adjusted HRs compared to rare/never diet soda consumers were 1.05 (0.62–1.78) and 1.70 (1.13–2.55), respectively, for participants who consumed <1 serving/week and ≥1 serving/week.
Consumption of diet soda was significantly associated with an increased risk for diabetes in Japanese men. Diet soda is not always effective at preventing type 2 diabetes even though it is a zero-calorie drink.
- Sugar-sweetened beverage and diet soda consumption and the 7-year risk for type 2 diabetes mellitus in middle-aged Japanese men
European Journal of Nutrition
Volume 53, Issue 1 , pp 251-258
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- Springer Berlin Heidelberg
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- Cohort study
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- Author Affiliations
- 1. Department of Epidemiology and Public Health, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan
- 2. Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 3. Department of Health Science, Shiga University of Medical Science, Otsu, Japan
- 4. Department of Disease Control and Homeostasis, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
- 5. Department of Food Science and Nutrition, Graduate School of Human Life Science, Osaka City University, Osaka, Japan
- 6. Department of Social and Environmental Medicine, Kanazawa Medical University, Ishikawa, Japan
- 7. School of Health Sciences, College of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan
- 8. Department of Community and Geriatric Nursing, Toyama University, Toyama, Japan
- 9. Department of Occupation and Environmental Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan
- 10. Department of Social and Preventive Epidemiology, School of Public Health, University of Tokyo, Tokyo, Japan