Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk

Ferreira Pêgo, Cíntia; Babio, Nancy; Bes-Rastrollo, Maira; Corella, Dolores; Estruch, Ramón; Ros, Emilio; Fitó Colomer, Montserrat; Serra Majem, Lluís; Arós, Fernando; Fiol, Miquel; Santos-Lozano, José; Muñoz-Bravo, Carlos; Pintó Sala, Xavier; Ruiz-Canela, Miguel; Salas-Salvadó, Jordi; PREDIMED investigators

Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk

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dc.contributor.author Ferreira Pêgo, Cíntiaca
dc.contributor.author Babio, Nancyca
dc.contributor.author Bes-Rastrollo, Mairaca
dc.contributor.author Corella, Doloresca
dc.contributor.author Estruch, Ramónca
dc.contributor.author Ros, Emilioca
dc.contributor.author Fitó Colomer, Montserratca
dc.contributor.author Serra Majem, Lluísca
dc.contributor.author Arós, Fernandoca
dc.contributor.author Fiol, Miquelca
dc.contributor.author Santos-Lozano, Joséca
dc.contributor.author Muñoz-Bravo, Carlosca
dc.contributor.author Pintó Sala, Xavierca
dc.contributor.author Ruiz-Canela, Miguelca
dc.contributor.author Salas-Salvadó, Jordica
dc.contributor.author PREDIMED investigatorsca
dc.date.accessioned 2018-01-24T08:12:08Z
dc.date.available 2018-01-24T08:12:08Z
dc.date.issued 2016
dc.description.abstract BACKGROUND: The relation between the consumption of sweetened beverages and metabolic syndrome (MetS) is controversial. OBJECTIVE: This analysis evaluated the associations between intakes of sugar-sweetened beverages (SSBs), artificially sweetened beverages, and natural and bottled fruit juices and the incidence of MetS in elderly individuals at high risk of cardiovascular disease (CVD) and without MetS at baseline. METHODS: We prospectively examined 1868 participants free of MetS at baseline from the PREDIMED (PREvención con DIeta MEDiterránea) study. MetS was defined by using the updated harmonized criteria of the International Diabetes Federation, the American Heart Association, and National Heart, Lung, and Blood Institute. Energy and nutrient intakes were evaluated at baseline and then yearly by using a validated 137-item food-frequency questionnaire. Multivariable-adjusted HRs for MetS and its components were estimated from mean intakes during follow-up. We compared the 2 highest consumption categories (1-5 and >5 servings/wk) with the lowest category (<1 serving/wk). RESULTS: A total of 930 incident cases of MetS were documented during a median follow-up of 3.24 y. When we compared consumption of >5 servings/wk with consumption of <1 serving/wk, multivariable HRs (95% CIs) for MetS incidence were 1.43 (1.00, 2.15), 1.74 (1.26, 2.41), 1.30 (1.00, 1.69), and 1.14 (1.04, 1.65) for SSBs, artificially sweetened beverages, natural fruit juices, and bottled fruit juices, respectively. CONCLUSIONS: The occasional consumption of SSBs and artificially sweetened beverages (1-5 servings/wk) was not associated with the incidence of MetS in middle-aged and elderly individuals at high risk of CVD. The consumption of >5 servings/wk of all of the types of beverages analyzed was associated with an increased risk of MetS and some of its components. However, for SSBs and bottled fruit juices these associations must be interpreted with caution because of the low frequency of consumption in this population. This trial was registered at clinicaltrials.gov as ISRCTN35739639.
dc.format.mimetype application/pdf
dc.identifier.citation Ferreira-Pêgo C, Babio N, Bes-Rastrollo M, Corella D, Estruch R, Ros E. et al. Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk. J Nutr. 2016 Aug;146(8):1528-36. DOI: 10.3945/jn.116.230367
dc.identifier.doi http://dx.doi.org/10.3945/jn.116.230367
dc.identifier.issn 0022-3166
dc.identifier.uri http://hdl.handle.net/10230/33739
dc.language.iso eng
dc.publisher American Society for Nutritionca
dc.relation.ispartof Journal of Nutrition. 2016 Aug;146(8):1528-36
dc.rights c) 2016 American Society for Nutrition.
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.subject.keyword PREDIMED study
dc.subject.keyword Artificially sweetened beverages
dc.subject.keyword Metabolic syndrome
dc.subject.keyword Metabolic syndrome components
dc.subject.keyword Sugar-sweetened beverages
dc.subject.other Síndrome metabòlica
dc.subject.other Begudes
dc.subject.other Sucre
dc.title Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Riskca
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/acceptedVersion

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