Soft drink and juice consumption and risk of physician-diagnosed incident type 2 diabetes: the Singapore Chinese Health Study
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Soft drinks and other sweetened beverages may contribute to risk of type 2 diabetes and obesity. However, research has not addressed higher risk and Asian populations. The authors examined the association between soft drinks and juice and the risk of type 2 diabetes among Chinese Singaporeans enrolled in a prospective cohort study of 43,580 participants aged 45-74 years and free of diabetes and other chronic diseases at baseline. The incidence of physician-diagnosed type 2 diabetes was assessed by interview and validated; 2,273 participants developed diabetes during follow-up. After adjustment for potential lifestyle and dietary confounders, participants consuming > or =2 soft drinks per week had a relative risk of type 2 diabetes of 1.42 (95% confidence interval (CI): 1.25, 1.62) compared with those who rarely consumed soft drinks. Similarly, consumption of > or =2 juice beverages per week was associated with an increased risk (relative risk (RR) = 1.29, 95% CI: 1.05, 1.58). The association was modified by 5-year weight gain for > or =2 soft drinks per week among those who gained > or =3 kg (RR = 1.70, 95% CI: 1.34, 2.16) compared with those who gained less weight (RR = 1.20, 95% CI: 1.03, 1.41). Relatively frequent intake of soft drinks and juice is associated with an increased risk for development of type 2 diabetes in Chinese men and women.
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There are practically no data on the effects of SSBs on health outcomes from LMIC.
“However, there are practically no data on the effects of SSBs on health outcomes from LMIC (136,137).”
From Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System (2015) · cites this paper as [136]
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- Authors
- Odegaard, A. O., Koh, W.-P., Arakawa, K., Yu, M. C., & Pereira, M. A.
- Affiliations
- University of Minnesota (US)
- National University of Singapore (SG)
- Corresponding author
- Odegaard, A. O.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02-16
- Volume
- 171
- Issue
- 6
- Pages
- 701-708
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- PMC
- PMC2842218
- OpenAlex
- W2142965222
- Cited by
- 168
- References
- 41
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 12 · 2018: 13 · 2017: 14 · 2016: 11 · 2015: 12 · 2014: 25 · 2013: 14 · 2012: 16
- FWCI
- 11.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- Funders
- National Cancer Institute (R35CA053890, R01CA080205, R01 CA 80205, R01CA055069)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK080720)
- 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 › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- type 2 diabetes, soft drinks, fruit juice, sweetened beverages, diabetes incidence, weight gain, Asian populations, Singapore Chinese, dietary risk factors
- MeSH terms
- Aged, Beverages, Carbonated Beverages, China, Diabetes Mellitus, Type 2, Diet Surveys, Female, Fruit, Humans, Interviews as Topic, Male, Middle Aged, Prospective Studies, Regression Analysis, Risk Factors, Weight Gain, Incidence, Dietary Sucrose
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