Evidence map›Paper›PMID 27934644›Full record

ArticleThe Journal of nutrition2016

Sugar-Sweetened Beverage but Not Diet Soda Consumption Is Positively Associated with Progression of Insulin Resistance and Prediabetes.

Jiantao Ma, Paul F Jacques, James B Meigs, Caroline S Fox, Gail T Rogers, Caren E Smith, Adela Hruby, Edward Saltzman, Nicola M McKeown

Abstract read
In one paragraph

Article in The Journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Use of technology in prediabetes and precision prevention.Journal of diabetes investigation · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jiantao MaNutritional Epidemiology Laboratory.
Paul F JacquesNutritional Epidemiology Laboratory.
James B MeigsDivision of General Internal Medicine, Department of Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, MA; and.
Caroline S FoxFramingham Heart Study, Population Science Branch, National Heart, Lung, and Blood Institute, Framingham, MA.
Gail T RogersNutritional Epidemiology Laboratory.
Caren E SmithNutrition and Genomics Laboratory, and.
Adela HrubyNutritional Epidemiology Laboratory.
Edward SaltzmanEnergy Metabolism Laboratory, USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA.
Nicola M McKeownNutritional Epidemiology Laboratory, nicola.mckeown@tufts.edu.

Funding

Rare Sequence Variation and Diabetes Quantitative TraitsU01DK078616 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MEIGS, JAMES B · 2015 to 2019
$3.6M
Epidemiology of Precursors to Type 2 DiabetesK24DK080140 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MEIGS, JAMES B · 2007 to 2016
$1.9M
Genetic predictors of metabolic responses to dairyK08HL112845 · NHLBI · TUFTS UNIVERSITY BOSTON · PI SMITH, CAREN ELIZABETH · 2013 to 2017
$474k
NHLBI NIH HHS K08 HL112845NIDDK NIH HHS K24 DK080140NIDDK NIH HHS U01 DK078616
6 · The paper itself

Abstract

backgroundPrevious studies have shown an inconsistent relation between habitual beverage consumption and insulin resistance and prediabetes.

objectiveThe objective of the present study was to test the hypothesis that the consumption of sugar-sweetened beverages (SSBs), rather than diet soda, is associated with long-term progression of insulin resistance and the development of prediabetes.

methodsWe analyzed the prospective association between cumulative mean consumption of SSBs or diet soda and incident prediabetes (n = 1685) identified across a median of 14 y of follow-up in participants [mean ± SD age: 51.9 ± 9.2 y; 59.6% women; mean ± SD body mass index (BMI; kg/m

resultsAfter adjustment for multiple potential confounders, including baseline BMI, we observed that SSB intake was positively associated with incident prediabetes (P-trend < 0.001); the highest SSB consumers (>3 servings/wk; median: 6 servings/wk) had a 46% higher risk of developing prediabetes than did the SSB nonconsumers (HR: 1.46; 95% CI: 1.16, 1.83). Higher SSB intake was also associated with a greater increase in HOMA-IR (P-trend = 0.006). No prospective associations were observed between diet soda intake and risk of prediabetes (P-trend = 0.24) or changes in HOMA-IR (P-trend = 0.25). These associations were similar after additional adjustment for change in BMI.

conclusionRegular SSB intake, but not diet soda intake, is associated with a greater increase in insulin resistance and a higher risk of developing prediabetes in a group of middle-aged adults.

Indexed as

Insulin ResistancePrediabetic StateAdultCarbohydratesCarbonated BeveragesFemaleHumansMaleMiddle AgedSweetening AgentsCarbohydratesSweetening Agentsdiet sodaHOMA-IRinsulin resistanceprediabetessugar-sweetened beverages

Identifiers

PMID27934644
PMCPMC5118762

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.