Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, 2-2 Yamadoka, Suita Shi, Osaka 565-0871, Japan.
Clin Nutr. 2013 Apr;32(2):300-8. doi: 10.1016/j.clnu.2012.08.003. Epub 2012 Aug 13.
BACKGROUND & AIMS: Japan has experienced a jump in the diabetes prevalence rates. We want to examine whether increased intake of soft drink and juices have contributed to this jump.
Participants were 27,585 Japanese men and women aged 40-59 years who had no prior history of diabetes. Intakes of soft drink, 100% fruit juice and vegetable juice were measured by a validated food frequency questionnaire. Odds ratios of type 2 diabetes over 5 and 10 years were estimated by using logistic regression.
A total of 484 men and 340 women reported newly diagnosed diabetes during 10 years. High soft drink intake was associated with increased risk of type 2 diabetes in women but not men; odds ratio (95% CI) for women with almost daily consumption versus non-consumers was 2.10 (1.23-3.59; P-trend = 0.004) and 1.79 (1.11-2.89; P-trend = 0.01) at 5 and 10 years, respectively. The association was evident in overweight, highly educated and premenopausal women, and women with blue collar job. Intakes of 100% fruit juice and vegetable juice were not associated with risk of type 2 diabetes for either gender (P-trend >0.05).
Soft drink but not pure juices consumption was associated with increased risk of type 2 diabetes in Japanese women.
日本的糖尿病患病率出现了大幅上升。我们希望研究软饮料和果汁摄入量的增加是否对此有所贡献。
研究对象为 27585 名年龄在 40-59 岁、无糖尿病既往史的日本男女。通过经过验证的食物频率问卷来测量软饮料、100%纯果汁和蔬菜汁的摄入量。使用逻辑回归来估计 5 年和 10 年内 2 型糖尿病的比值比。
共有 484 名男性和 340 名女性在 10 年内报告新诊断出糖尿病。高软饮料摄入量与女性 2 型糖尿病风险增加相关,但与男性无关;每天饮用与不饮用的女性比值比(95%置信区间)分别为 2.10(1.23-3.59;P 趋势=0.004)和 1.79(1.11-2.89;P 趋势=0.01),分别在 5 年和 10 年时。这种关联在超重、高学历和绝经前女性以及蓝领工作女性中更为明显,而与职业无关。对于男性和女性来说,100%纯果汁和蔬菜汁的摄入量与 2 型糖尿病的风险无关(P 趋势>0.05)。
软饮料的摄入而不是纯果汁的摄入与日本女性 2 型糖尿病的风险增加相关。