Evidence map›Paper›PMID 33218344›Full record

ArticleNutrition journal2020

Regular consumption of soft drinks is associated with type 2 diabetes incidence in Mexican adults: findings from a prospective cohort study.

Leticia Torres-Ibarra, Berenice Rivera-Paredez, Rubí Hernández-López, Francisco Canto-Osorio, Luz María Sánchez-Romero, Nancy López-Olmedo, Romina González-Morales, Paula Ramírez, Jorge Salmerón, Tonatiuh Barrientos-Gutiérrez

Abstract read
In one paragraph

Article in Nutrition journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Leticia Torres-IbarraCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Berenice Rivera-ParedezResearch Center on Policies, Population and Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Rubí Hernández-LópezResearch Center on Policies, Population and Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Francisco Canto-OsorioCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Luz María Sánchez-RomeroCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Nancy López-OlmedoCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico. nancy.lopez@insp.mx.ORCID 0000-0002-7528-0954
Romina González-MoralesCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Paula RamírezEpidemiological Research and Health Services Unit, Mexican Institute of Social Security, Cuernavaca, Morelos, Mexico.
Jorge SalmerónResearch Center on Policies, Population and Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Tonatiuh Barrientos-GutiérrezCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough high consumption of soft drinks has been associated with excess of type 2 diabetes risk, the strength of this association in the Mexican population, where a type 2 diabetes genetic susceptibility has been well established, has been scarcely studied. This study aimed to estimate the risk of type 2 diabetes due to soft drinks consumption in a cohort of Mexicans.

methodsWe used data on 1445 participants from the Health Workers Cohort Study, a prospective cohort conducted in Cuernavaca, Mexico. Soft drinks consumption was assessed with a semi-quantitative 116-item food frequency questionnaire. Incident type 2 diabetes was defined as self-report of physician-diagnosed type 2 diabetes, fasting glucose > 126 mg/dl, or hypoglycemic medication at any examination. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazard models.

resultsWith a total of 9526.2 person-years of follow-up, 109 incident cases of type 2 diabetes were observed. Type 2 diabetes incidence rate was 7.6, 11.0, and 17.1 per 1000 person-years across levels of soft drinks consumption of < 1, 1-4, and ≥ 5 servings/week, respectively (p < 0.001 for trend). The intake of ≥5 soft drinks/week was significantly associated with an increased risk of type 2 diabetes (HR 1.9 95% CI:1.0-3.5) compared with consumption of < 1/week (p-trend = 0.040). The HR was attenuated by further adjustment for body mass index (HR 1.5 95%CI:0.8-2.8) and abdominal obesity (HR 1.6 95%CI:0.8-3.0).

conclusionsThe consumption of soft drinks was associated with a higher risk of type 2 diabetes in a cohort of Mexican adults. Our results further support recommendations to limit soft drinks intake to address the growing diabetes epidemic in Mexico.

Indexed as

Diabetes Mellitus, Type 2AdultCarbonated BeveragesCohort StudiesHumansIncidenceMexicoProportional Hazards ModelsProspective StudiesRisk FactorsAdultsCohortMexicoSoft drinksType 2 diabetes

Identifiers

PMID33218344
PMCPMC7678283

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LicenceCC BY
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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.