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Association of sweetened beverages consumption with all-cause mortality risk among Dutch adults: The Lifelines Cohort Study (the SWEET project)

Naomi,Novita D.
; 
Brouwer-Brolsma,Elske M.
; 
Buso,Marion E. C.
; 
Soedamah-Muthu,Sabita S.
; 
Harrold,Joanne A.
; 
Halford,Jason C. G.
; 
Raben,Anne
; 
Geleijnse,Johanna M.
; 
Feskens,Edith J. M.
Abstract
Purpose: Examined associations between sugar-sweetened beverages (SSB), low/no-calorie beverages (LNCB), and fruit juice (FJ) consumption and all-cause mortality in Dutch adults. Methods: Data of 118,707 adults participating (mean age = 45 years; 60% was women) the Lifelines Cohort Study were prospectively analyzed. Dietary intake was assessed using a validated food-frequency questionnaire. Participants' vital status was followed-up until February 2022 via the National Personal Records Database. Associations between beverages of interest and all-cause mortality risk were investigated using restricted cubic spline and Cox proportional hazard regression analyses, including substitution analyses. Models were adjusted for demographics, lifestyle, and other dietary factors. Results: During follow-up (median = 9.8 years), a total of 2852 (2.4%) deaths were documented. Median (IQR) of SSB, LNCB, and FJ consumption were 0.1 (0.0-0.6), 0.1 (0.0-0.6), and 0.2 (0.0-0.6) serving/day, respectively. Dose-response analyses showed linear associations between SSB, LNCB, and FJ consumption and mortality risk. For each additional serving of SSB and LNCB, HRs of all-cause mortality risk were 1.09 (95% CI 1.03-1.16) and 1.06 (95% CI 1.00-1.11). Replacing SSB with LNCB showed a nonsignificant association with a lower mortality risk, particularly in women (HR 0.91, 95% CI 0.81-1.01). Finally, an inverse association between FJ and all-cause mortality was observed at moderate consumption with HR of 0.87 (95% CI 0.79-0.95) for > 0-2 servings/week and HR of 0.89 (95% CI 0.81-0.98) for > 2-< 7 servings/week when compared to no consumption. Conclusions: Our study showed adverse associations between SSB consumption and all-cause mortality. Replacing SSB with LNCB might be associated with lower mortality risk, particularly in women. Moderate intake of FJ was associated with lower all-cause mortality risk.
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Date
2023
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Tilburg University Research Output Collection
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Keywords
Adult, Beverages/adverse effects, Cohort Studies, Energy Intake, Female, Fruit and Vegetable Juices, Humans, Middle Aged, Sugar-Sweetened Beverages/adverse effects, Dutch adults, Juice, Artificial sweeteners, Non-nutritive sweeteners, Death, Soft drink
Citation
Naomi, N D, Brouwer-Brolsma, E M, Buso, M E C, Soedamah-Muthu, S S, Harrold, J A, Halford, J C G, Raben, A, Geleijnse, J M & Feskens, E J M 2023, 'Association of sweetened beverages consumption with all-cause mortality risk among Dutch adults : The Lifelines Cohort Study (the SWEET project)', European Journal of Nutrition, vol. 62, no. 2, pp. 797-806. https://doi.org/10.1007/s00394-022-03023-6
URI
https://hdl.handle.net/20.500.14602/78184
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