Evidence map›Paper›PMID 39326863›Full record

ArticleJournal of stroke2024

Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study.

Andrew Smyth, Graeme J Hankey, Albertino Damasceno, Helle Klingenberg Iversen, Shahram Oveisgharan, Fawaz Alhussain, Peter Langhorne, Dennis Xavier, Patricio Lopez Jaramillo, Aytekin Oguz and 9 more

Abstract read
In one paragraph

Article in Journal of stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

19 authors.

Andrew SmythPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.
Graeme J HankeyMedical School, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia, Australia.
Albertino DamascenoFaculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.
Helle Klingenberg IversenStroke Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Shahram OveisgharanRush Alzheimer Disease Research Center, Rush University Medical Center, Chicago, IL, USA.
Fawaz AlhussainKing Saud University, Riyadh, Saudi Arabia.
Peter LanghorneAcademic Section of Geriatric Medicine, Glasgow Royal Infirmary, University of Glasgow, Glasgow, UK.
Dennis XavierSt John's Medical College and Research Institute, Bangalore, India.
Patricio Lopez JaramilloMasira Research Institute, Universidad de Santander, Bucaramanga, Colombia.
Aytekin OguzCardiometabolic Health Foundation, Yumurtaci Abdi Bey Cad, Istanbul, Turkey.
Clodagh McDermottHRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland.
Anna CzlonkowskaInstitute of Psychiatry and Neurology, Warsaw, Poland.
Fernando LanasFaculty of Medicine, Universidad de La Frontera, Temuco, Chile.
Danuta RyglewiczMilitary Institute of Aviation Medicine, Warsaw, Poland.
Catriona ReddinHRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland.
Xingyu WangBeijing Hypertension League Institute, Beijing, China.
Annika RosengrenSahlgrenska University Hospital and Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Salim YusufPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.
Martin O'DonnellPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.

Funding

AstraZenecaBertelsmann FoundationBoehringer Ingelheim (Canada)Canadian Stroke NetworkChest, Heart and Stroke ScotlandCIHRDepartment of Neurology at the University Duisburg-EssenEuropean UnionGerman Ministry of Education and ResearchGerman Research CouncilHealth and Medical Care Committee of the Regional Executive Board, Region Västra GötalandHeart and Stroke Foundation of CanadaHeinzNixdorf FoundationMSDNIH HHSPfizer CanadaStroke AssociationSwedish Heart and Lung FoundationSwedish Research Council FormasUK Stroke Research Network
6 · The paper itself

Abstract

background and purposeCold beverage intake (carbonated drinks, fruit juice/drinks, and water) may be important population-level exposures relevant to stroke risk and prevention. We sought to explore the association between intake of these beverages and stroke.

methodsINTERSTROKE is an international matched case-control study of first stroke. Participants reported beverage intake using food frequency questionnaires or were asked "How many cups do you drink each day of water?" Multivariable conditional logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for associations with stroke.

resultsWe include 13,462 cases and 13,488 controls; mean age was 61.7±13.4 years and 59.6% (n=16,010) were male. After multivariable adjustment, carbonated beverages were linearly associated with ischemic stroke (OR 2.39 [95% CI 1.64-3.49]); only consumption once/day was associated with intracerebral hemorrhage (ICH) (OR 1.58 [95% CI 1.23-2.03]). There was no association between fruit juice/drinks and ischemic stroke, but increased odds of ICH for once/day (OR 1.37 [95% CI 1.08-1.75)] or twice/day (OR 3.18 [95% CI 1.69-5.97]). High water intake (>7 cups/day) was associated ischemic stroke (OR 0.82 [95% CI 0.68-0.99]) but not ICH. Associations differed by Eugeographical region-increased odds for carbonated beverages in some regions only; opposing directions of association of fruit juices/drinks with stroke in selected regions.

conclusionCarbonated beverages were associated with increased odds of ischemic stroke and ICH, fruit juice/drinks were associated with increased odds of ICH, and high water consumption was associated with reduced odds of ischemic stroke, with important regional differences. Our findings suggest optimizing water intake, minimizing fruit juice/drinks, and avoiding carbonated beverages.

Indexed as

Carbonated beveragesDietFruit juiceStrokeWater

Identifiers

PMID39326863
PMCPMC11471353

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.