Cited by 292Diet, Metabolism, and DiseaseNutritional Studies and DietBlood Pressure and Hypertension Studies

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Sugar-sweetened beverages and risk of hypertension and CVD: a dose-response meta-analysis

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Xi, Bo, Huang, Yubei, Reilly, Kathleen Heather, Li, Shuangshuang, Zheng, Ruolong, Barrio-Lopez, Maria T., Martinez-Gonzalez, Miguel A., Zhou, Donghao·2015·British Journal Of Nutrition

DOI 10.1017/s0007114514004383

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Abstract

A number of prospective cohort studies have investigated the associations between consumption of sugar-sweetened beverages (SSB) and the risk of hypertension, CHD and stroke, but revealed mixed results. In the present study, we aimed to perform a dose-response meta-analysis of these prospective studies to clarify these associations. A systematic literature search was conducted using the PubMed and Embase databases up to 5 May 2014. Random- or fixed-effects models were used to calculate the pooled relative risks (RR) with 95 % CI for the highest compared with the lowest category of SSB consumption, and to conduct a dose-response analysis. A total of six prospective studies (240 726 participants and 80 411 incident cases of hypertension) from four publications on hypertension were identified. A total of four prospective studies (194 664 participants and 7396 incident cases of CHD) from four publications on CHD were identified. A total of four prospective studies (259 176 participants and 10 011 incident cases of stroke) from four publications on stroke were identified. The summary RR for incident hypertension was 1·08 (95 % CI 1·04, 1·12) for every additional one serving/d increase in SSB consumption. The summary RR for incident CHD was 1·17 (95 % CI 1·10, 1·24) for every serving/d increase in SSB consumption. There was no significant association between SSB consumption and total stroke (summary RR 1·06, 95 % CI 0·97, 1·15) for every serving/d increase in SSB consumption. The present meta-analysis suggested that a higher consumption of SSB was associated with a higher risk of hypertension and CHD, but not with a higher risk of stroke.

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Additional file 1 of Role of diet in stroke incidence: an umbrella review of meta-analyses of prospective observational studies
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Additional file 4 of Role of diet in stroke incidence: an umbrella review of meta-analyses of prospective observational studies
Guo, N., Zhu, Y., Tian, D., Zhao, Y., Zhang, C., Mu, C., Han, C., Zhu, R., & Liu, X. (2022) · Figshare · doi:10.6084/m9.figshare.19862397
Additional file 3 of Role of diet in stroke incidence: an umbrella review of meta-analyses of prospective observational studies
Guo, N., Zhu, Y., Tian, D., Zhao, Y., Zhang, C., Mu, C., Han, C., Zhu, R., & Liu, X. (2022) · Figshare · doi:10.6084/m9.figshare.19862394
Additional file 2 of Role of diet in stroke incidence: an umbrella review of meta-analyses of prospective observational studies
Guo, N., Zhu, Y., Tian, D., Zhao, Y., Zhang, C., Mu, C., Han, C., Zhu, R., & Liu, X. (2022) · Figshare · doi:10.6084/m9.figshare.19862391
Additional file 2 of Soft drink and non-caloric soft drink intake and their association with blood pressure: the Health Workers Cohort Study
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Additional file 1 of Associations between types and sources of dietary carbohydrates and cardiovascular disease risk: a prospective cohort study of UK Biobank participants
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Additional file 1 of Reactions of industry and associated organisations to the announcement of the UK Soft Drinks Industry Levy: longitudinal thematic analysis of UK media articles, 2016-18
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Additional file 1 of Soft drink and non-caloric soft drink intake and their association with blood pressure: the Health Workers Cohort Study
Hernández‐López, R., Canto‐Osorio, F., Vidaña-Pérez, D., Torres‐Ibarra, L., Rivera‐Paredez, B., Gallegos-Carrillo, K., Velazquez, R., Ramírez, P., Gutiérrez, T. B., Salmerón, J., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20013099
Additional file 5 of Role of diet in stroke incidence: an umbrella review of meta-analyses of prospective observational studies
Guo, N., Zhu, Y., Tian, D., Zhao, Y., Zhang, C., Mu, C., Han, C., Zhu, R., & Liu, X. (2022) · Figshare · doi:10.6084/m9.figshare.19862400
Additional file 1 of Sugar-sweetened beverage consumption among pregnant women attending general and teaching hospitals in Ibadan, Nigeria
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Additional file 6 of Role of diet in stroke incidence: an umbrella review of meta-analyses of prospective observational studies
Guo, N., Zhu, Y., Tian, D., Zhao, Y., Zhang, C., Mu, C., Han, C., Zhu, R., & Liu, X. (2022) · Figshare · doi:10.6084/m9.figshare.19862403
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“Previous meta-analyses have consistently shown that higher consumption of SSB is associated with an increased risk of hypertension [99 – 101].”
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Islam, M. A., Sultana, M., Islam, M. T., & Rahman, T. (2026) · SSRN Electronic Journal · doi:10.2139/ssrn.7230351
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Authors: Xi, B., Huang, Y., Reilly, K. H., Li, S., Zheng, R., Barrio-Lopez, M. T., Martinez-Gonzalez, M. A., & Zhou, D.
Affiliations: Shandong University (CN)
Tianjin Medical University Cancer Institute and Hospital (CN)
Jiangyin People's Hospital (CN)
Linyi People's Hospital (CN)
Corresponding author: Zhou, Donghao
ORCID: Xi, Bo
Huang, Yubei
Reilly, Kathleen Heather
Li, Shuangshuang
Venue: British Journal Of Nutrition
Publisher: Cambridge University Press (CUP)
Published: 2015-03-04
Volume: 113
Issue: 5
Pages: 709-717
ISSN: 0007-1145 (ISSN-L)
1475-2662
DOI: 10.1017/s0007114514004383
OpenAlex: W2115654907
Cited by: 292
References: 36
Citations by year: 2026: 9 · 2025: 14 · 2024: 24 · 2023: 34 · 2022: 41 · 2021: 34 · 2020: 40 · 2019: 31 · 2018: 29 · 2017: 17 · 2016: 16 · 2015: 3
FWCI: 3.26
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified)
Locations: British Journal Of Nutrition (publishedVersion)
PubMed (publishedVersion)
Funders: Natural Science Foundation of Shandong Province
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Keywords: sugar-sweetened beverages, hypertension, cardiovascular disease, coronary artery disease, stroke, dose-response relationship, beverage consumption, prospective cohort
MeSH terms: Beverages, Coronary Disease, Humans, Hypertension, Prospective Studies, Risk, Cohort Studies, Evidence-Based Medicine, Dietary Sucrose, Stroke

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Sugar-sweetened beverages and risk of hypertension and CVD: a dose-response meta-analysis

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