| Title: | Associations of sugary beverage intake with type 2 diabetes and the role of physical activity: a prospective cohort study |
| Journal: | Nutrition Journal |
| Published: | 7 Nov 2024 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/39511567/ |
| DOI: | https://doi.org/10.1186/s12937-024-01006-3 |
Publication 14199
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Abstract
BackgroundHigher consumption of sugary beverages (SB) has been associated with type 2 diabetes (T2D), but whether these associations are modified by physical activity remains unclear. This study aimed to examine the associations of SB intake, including sugar-sweetened beverages (SSB), artificially sweetened beverages (ASB), and natural juices (NJ) with the risk of incident T2D, and the potential role of physical activity.MethodsWe included 153,862 diabetes-free participants in the UK Biobank who completed both the International Physical Activity Questionnaire at recruitment (2006-2010) and at least one 24-h dietary recall questionnaire in 2009-2012. We assessed the associations of each SB with the risk of incident T2D using Cox proportional hazard models, and explored the interactions between each SB and physical activity.ResultsDuring a median follow-up of 11.8 years, 6631 participants developed incident T2D. Participants consuming more SSB and ASB (comparing > 2 to 0 unit/d) had a higher hazard of T2D (hazard ratio [HR]: 1.17, 95% confidence interval [CI]: 1.05-1.31 for SSB; 1.54, 1.37-1.74 for ASB), while medium intake of NJ showed an inverse association (HR> 0-1 vs. 0 unit/d: 0.87, 95% CI: 0.82-0.92; HR> 1-2 vs. 0 unit/d: 0.88, 95% CI: 0.81-0.97) with incident T2D. No significant interactions between physical activity and SSB/ASB were found (P-interaction=0.204 for SSB, 0.926 for ASB), but the protective association of medium NJ intake with T2D was stronger among participants with higher level of physical activity (P-interaction = 0.043).ConclusionsHigher intake of SSB and ASB was related to higher risks of T2D. Medium NJ intake was associated with a lower risk of T2D, particularly among individuals with higher physical activity level. These findings emphasized the importance of healthy beverage intake and adequate physical activity in diabetes prevention.</p>
18 Keywords
- Adult
- Aged
- Artificially Sweetened Beverages
- Cohort Studies
- Diabetes Mellitus, Type 2
- Exercise
- Female
- Follow-Up Studies
- Humans
- Incidence
- Male
- Middle Aged
- Proportional Hazards Models
- Prospective Studies
- Risk Factors
- Sugar-Sweetened Beverages
- Surveys and Questionnaires
- United Kingdom
8 Authors
- Yihong Ding
- Hui Chen
- Jie Shen
- Liyan Huang
- Yaying Cao
- Yan Zheng
- Geng Zong
- Changzheng Yuan
1 Application
| Application ID | Title |
|---|---|
| 55005 | Common risk factors and mechanisms in cardiometabolic diseases and neurodegenerative diseases |
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