Association of sweetened beverages consumption with all-cause mortality risk among Dutch adults: the Lifelines Cohort Study (the SWEET project)

被引:6
作者
Naomi, Novita D. [1 ]
Brouwer-Brolsma, Elske M. [1 ]
Buso, Marion E. C. [1 ]
Soedamah-Muthu, Sabita S. [2 ,3 ]
Harrold, Joanne A. [4 ]
Halford, Jason C. G. [4 ,5 ]
Raben, Anne [6 ,7 ]
Geleijnse, Johanna M. [1 ]
Feskens, Edith J. M. [1 ]
机构
[1] Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
[2] Tilburg Univ, Ctr Res Psychol Disorders & Somat Dis CORPS, Dept Med & Clin Psychol, Tilburg, Netherlands
[3] Univ Reading, Inst Food Nutr & Hlth, Reading, Berks, England
[4] Univ Liverpool, Dept Psychol, Liverpool, Merseyside, England
[5] Univ Leeds, Sch Psychol, Leeds, W Yorkshire, England
[6] Univ Copenhagen, Fac Sci, Dept Nutr Exercise & Sports, Copenhagen, Denmark
[7] Copenhagen Univ Hosp, Steno Diabet Ctr Copenhagen, Clin Res, Herlev, Denmark
基金
欧盟地平线“2020”;
关键词
Dutch adults; Non-nutritive sweeteners; Artificial sweeteners; Soft drink; Juice; Death; METAANALYSIS; OUTCOMES; DIET; FOOD;
D O I
10.1007/s00394-022-03023-6
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Purpose Examined associations between sugar-sweetened beverages (SSB), low/no-calorie beverages (LNCB), and fruit juice (FJ) consumption and all-cause mortality in Dutch adults. Methods Data of 118,707 adults participating (mean age = 45 years; 60% was women) the Lifelines Cohort Study were prospectively analyzed. Dietary intake was assessed using a validated food-frequency questionnaire. Participants' vital status was followed-up until February 2022 via the National Personal Records Database. Associations between beverages of interest and all-cause mortality risk were investigated using restricted cubic spline and Cox proportional hazard regression analyses, including substitution analyses. Models were adjusted for demographics, lifestyle, and other dietary factors. Results During follow-up (median = 9.8 years), a total of 2852 (2.4%) deaths were documented. Median (IQR) of SSB, LNCB, and FJ consumption were 0.1 (0.0-0.6), 0.1 (0.0-0.6), and 0.2 (0.0-0.6) serving/day, respectively. Dose-response analyses showed linear associations between SSB, LNCB, and FJ consumption and mortality risk. For each additional serving of SSB and LNCB, HRs of all-cause mortality risk were 1.09 (95% CI 1.03-1.16) and 1.06 (95% CI 1.00-1.11). Replacing SSB with LNCB showed a nonsignificant association with a lower mortality risk, particularly in women (HR 0.91, 95% CI 0.81-1.01). Finally, an inverse association between FJ and all-cause mortality was observed at moderate consumption with HR of 0.87 (95% CI 0.79-0.95) for > 0-2 servings/week and HR of 0.89 (95% CI 0.81-0.98) for > 2-< 7 servings/week when compared to no consumption. Conclusions Our study showed adverse associations between SSB consumption and all-cause mortality. Replacing SSB with LNCB might be associated with lower mortality risk, particularly in women. Moderate intake of FJ was associated with lower all-cause mortality risk.
引用
收藏
页码:797 / 806
页数:10
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