Affiliation:
1. Department of Family Medicine and Public Health School of Medicine University of California San Diego La Jolla CA
2. School of Public Health San Diego State University San Diego CA
3. Division of Health Analytics Department of Computational and Quantitative Medicine City of Hope Duarte CA
4. Moores Cancer Center University of California San Diego La Jolla CA
5. College of Health Solutions Arizona State University Phoenix AZ
Abstract
Background
Sugar‐sweetened beverage (
SSB
) consumption has been associated with cardiometabolic risk. However, the association between total and type of
SSB
intake and incident cardiovascular disease (
CVD
) end points such as myocardial infarction, stroke, and revascularization is limited.
Methods and Results
We examined the prospective association of baseline
SSB
consumption with incident
CVD
in 106 178 women free from
CVD
and diabetes mellitus in the CTS (California Teachers Study), a cohort of female teachers and administrators, followed since 1995.
SSB
s were defined as caloric soft drinks, sweetened bottled waters or teas, and fruit drinks, and derived from a self‐administered food frequency questionnaire.
CVD
end points were based on annual linkage with statewide inpatient hospitalization records. Cox proportional hazards models were used to assess the association between
SSB
consumption and incident
CVD
. A total of 8848
CVD
incident cases were documented over 20 years of follow‐up. After adjusting for potential confounders, we observed higher hazard ratios (
HRs
) for
CVD
(HR, 1.19; 95% CI, 1.06–1.34), revascularization (HR, 1.26; 95% CI, 1.04–1.54]), and stroke (HR, 1.21; 95% CI, 1.04–1.41) in women who consumed ≥1 serving per day of
SSB
s compared with rare/never consumers. We also observed a higher risk of
CVD
in women who consumed ≥1 serving per day of fruit drinks (HR, 1.42; 95% CI, 1.00–2.01 [
P
trend=0.021]) and caloric soft drinks (HR, 1.23; 95% CI, 1.05–1.44 [
P
trend=0.0002]), compared with rare/never consumers.
Conclusions
Consuming ≥1 serving per day of
SSB
was associated with
CVD
, revascularization, and stroke.
SSB
intake might be a modifiable dietary target to reduce risk of
CVD
among women.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Cardiology and Cardiovascular Medicine
Reference48 articles.
1. U.S. Department of Health and Human Services and U.S. Department of Agriculture
. 2015–2020 Dietary Guidelines for Americans. 2015. Available at: http://health.gov/dietaryguidelines/2015/guidelines/. Accessed February 7 2019.
2. Dietary Sugars Intake and Cardiovascular Health
3. Added Sugars Intake Across the Distribution of US Children and Adult Consumers: 1977-2012
4. Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction