Baseline consumption and changes in sugar-sweetened beverage consumption and the incidence of hypertension: The SUN project. Issue 6 (December 2015)

• Record Type: Journal Article
• Authors: Sayon-Orea, Carmen; Martinez-Gonzalez, Miguel A.; Gea, Alfredo; Alonso, Alvaro; Pimenta, Adriano M.; Bes-Rastrollo, Maira
• Is Part Of: Clinical nutrition. Volume 34:Issue 6(2015:Dec.)
• Page Start: 1133
• Page End: 1140
• Publication Date: 2015-12
• Subjects: Hypertension -- Sugar-sweetened beverage -- Women -- Men -- Cohort studies; SSB sugar-sweetened beverage -- SUN Seguimiento Universidad de Navarra. Follow-up University of Navarra -- HR hazard ratio -- OR odds ratio -- FFQ food frequency questionnaire -- Q_6 6th year follow-up questionnaire -- CI confidence interval -- BMI body mass index -- MET metabolic equivalent index -- EI energy intake -- BMR basal metabolic rate -- SD standard deviation -- HPFS Health Professionals' Follow-up Study -- NHS Nurses' Health Study -- NHANES National Health and Nutrition Examination Surveys; Critically ill -- Nutrition -- Periodicals; Diet therapy -- Periodicals; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; Enteral Nutrition -- Periodicals; Parenteral Nutrition -- Periodicals; Metabolism -- Periodicals; Diétothérapie -- Périodiques; Alimentation parentérale -- Périodiques; Alimentation entérale -- Périodiques; Nutrition -- Périodiques; Diet therapy; Enteral feeding; Nutrition; Parenteral feeding; Electronic journals; Periodicals; Electronic journals; 615.854
• DOI: 10.1016/j.clnu.2014.11.010
• Languages: English
• ISSNs: 0261-5614

Abstract

Summary: Background & aims: Sugar-sweetened beverages (SSB) consumption has been associated with increased risk of cardiometabolic diseases. The association of SSB consumption with the risk of hypertension, however, has been seldom studied. Therefore, we aimed to evaluate this association. Methods: The SUN project is a Spanish cohort study of university graduates. For the present analyses we included 13, 843 participants, initially free of hypertension. Participants were followed up through mailed questionnaires. SSBs consumption was assessed at baseline and at the 6-year follow-up questionnaires. The outcome was the incidence of hypertension. To assess the relationship between categories of SSB consumption and the risk of developing hypertension during follow-up, Cox regression models were fitted. Additionally stratified by sex analysis were conducted. Results: During follow-up (median: 8.1-y), 1308 incident cases of hypertension were identified. After adjusting for potential confounders, the hazard ratio for developing hypertension among participants in the highest category (≥7 servings/week) of SSB consumption was 1.33 (95% CI:1.08–1.68) compared to those in the lowest category (non-drinkers) ( p for trend: 0.007). This association seems to be stronger among women [1.55 (95% CI:1.11–2.15) p for trend: 0.007]. As a secondary analysis, after 6-y of follow-up an increase in SSB consumption was associated with 26% higher odds of developing hypertension [OR = 1.26 (95% CI:1.02–1.55)]. Conclusion: In this Mediterranean cohort study, both higher baseline consumption (≥7 servings/week) and an increase in SSB consumption were associated with a higher risk of hypertension. However further longitudinal studies and trials are needed to confirm this association.