Sugar-sweetened beverage and diet soda consumption and the 7-year risk for type 2 diabetes mellitus in middle-aged Japanese men

  • Sakurai M
  • Nakamura K
  • Miura K
 et al. 
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Abstract

Purpose This cohort study investigated the association between sugar-sweetened beverage (SSB) and diet soda con-sumption and the incidence of type 2 diabetes in Japanese men. Methods 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 question-naire. 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. Results 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, C1 serving/week and \1 serving/day, and C1 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 C1 serving/day SSB. Diet soda consumption was significantly associated with the incident risk of diabetes (P for trend = 0.013), and mul-tivariate-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 C1 serving/week. Conclusions Consumption of diet soda was significantly associated with an increased risk for diabetes in Japanese

Author-supplied keywords

  • Cohort study
  • Epidemiology
  • Incidence
  • Nutrition

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