PMID- 33855443
OWN - NLM
STAT- MEDLINE
DCOM- 20220330
LR  - 20220429
IS  - 1753-4887 (Electronic)
IS  - 0029-6643 (Linking)
VI  - 80
IP  - 1
DP  - 2021 Dec 8
TI  - Sugar-sweetened beverage consumption, weight gain, and risk of type 2 diabetes 
      and cardiovascular diseases in Asia: a systematic review.
PG  - 50-67
LID - 10.1093/nutrit/nuab010 [doi]
AB  - CONTEXT: The prevalence of type 2 diabetes mellitus (T2DM) and cardiovascular 
      diseases (CVDs) is increasing in Asia and several countries are adopting 
      preventive policies to reduce consumption of sugar-sweetened beverages (SSBs). 
      However, evidence on the relation between SSB consumption and cardiometabolic 
      health in Asian populations has not been summarized. OBJECTIVE: In this 
      systematic review, the associations between consumption of SSBs and 
      cardiometabolic outcomes, including obesity, T2DM, and CVD, are examined in Asian 
      populations. DATA SOURCES: The PubMed, Scopus, and Web of Science databases, and 
      gray literature were searched up to October, 2020 to identify relevant articles. 
      DATA EXTRACTION: Two investigators independently extracted data from included 
      studies. DATA ANALYSIS: When sufficient studies were available, a random-effects 
      meta-analysis was used to calculate the pooled estimates (expressed as risk ratio 
      [RR] and 95% confidence interval [CI]). Heterogeneity was tested and quantified 
      using the Cochrane Q test and I2 statistic, respectively. RESULTS: Of the 17 
      studies included, 8 provided results about measures of adiposity (3 on weight 
      change, 4 on body mass index (BMI), 2 on percent body fat, and 1 on abdominal 
      obesity), 6 reported results about T2DM, and 3 reported on different CVD 
      outcomes. High SSB consumption was significantly associated with greater weight 
      gain and with a higher risk of selected CVD outcomes as compared with low 
      consumption. In the meta-analysis, high SSB consumption was associated with 
      greater T2DM risk before (RR, 1.51; 95%CI, 1.15-1.98 for highest vs lowest 
      category; I2 = 76%) and after (RR, 1.38; 95%CI, 1.09-1.73; I2 = 56%) adjustment 
      for BMI. CONCLUSIONS: These findings suggest that high SSB consumption is 
      directly associated with weight gain, risk of T2DM, and, possibly, selected CVD 
      outcomes in Asian populations. Public health strategies to reduce SSB consumption 
      in Asian countries are warranted. SYSTEMATIC REVIEW REGISTRATION: PROSPERO 
      registration no. CRD42019129456.Keywords: adiposity. cardiovascular disease, 
      Asia, sugar-sweetened beverages, type 2 diabetes.
CI  - (c) The Author(s) 2021. Published by Oxford University Press on behalf of the 
      International Life Sciences Institute. All rights reserved. For permissions, 
      please e-mail: journals.permissions@oup.com.
FAU - Neelakantan, Nithya
AU  - Neelakantan N
AD  - Saw Swee Hock School of Public Health, National University of Singapore and 
      National University Health System, Singapore.
FAU - Park, Su Hyun
AU  - Park SH
AD  - Saw Swee Hock School of Public Health, National University of Singapore and 
      National University Health System, Singapore.
FAU - Chen, Guo-Chong
AU  - Chen GC
AD  - Saw Swee Hock School of Public Health, National University of Singapore and 
      National University Health System, Singapore.
AD  - Department of Epidemiology and Population Health, Albert Einstein College of 
      Medicine, Bronx, New York, New York, USA.
FAU - van Dam, Rob M
AU  - van Dam RM
AD  - Saw Swee Hock School of Public Health, National University of Singapore and 
      National University Health System, Singapore.
AD  - Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, 
      Massachusetts, USA.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
PL  - United States
TA  - Nutr Rev
JT  - Nutrition reviews
JID - 0376405
SB  - IM
MH  - Beverages/adverse effects
MH  - *Cardiovascular Diseases/epidemiology/etiology
MH  - *Diabetes Mellitus, Type 2/epidemiology/etiology
MH  - Humans
MH  - Obesity/prevention & control
MH  - *Sugar-Sweetened Beverages/adverse effects
MH  - Weight Gain
EDAT- 2021/04/16 06:00
MHDA- 2022/03/31 06:00
CRDT- 2021/04/15 07:35
PHST- 2020/08/20 00:00 [received]
PHST- 2020/12/21 00:00 [revised]
PHST- 2021/02/19 00:00 [accepted]
PHST- 2021/04/16 06:00 [pubmed]
PHST- 2022/03/31 06:00 [medline]
PHST- 2021/04/15 07:35 [entrez]
AID - 6225963 [pii]
AID - 10.1093/nutrit/nuab010 [doi]
PST - ppublish
SO  - Nutr Rev. 2021 Dec 8;80(1):50-67. doi: 10.1093/nutrit/nuab010.