학술논문
Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean.
Document Type
Academic Journal
Author
Oladele CR; Equity Research and Innovation Center, Yale School of Medicine, 100 Church Street South, Suite A200, New Haven, CT06510, USA.; Khandpur N; Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, São Paulo, Brazil.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.; Galusha D; Equity Research and Innovation Center, Yale School of Medicine, 100 Church Street South, Suite A200, New Haven, CT06510, USA.; Hassan S; Equity Research and Innovation Center, Yale School of Medicine, 100 Church Street South, Suite A200, New Haven, CT06510, USA.; Colón-Ramos U; Milken Institute School of Public Health, George Washington University, Washington, DC, USA.; Miller M; Equity Research and Innovation Center, Yale School of Medicine, 100 Church Street South, Suite A200, New Haven, CT06510, USA.; Adams OP; The University of the West Indies, Cave Hill Campus, Barbados.; Maharaj RG; The University of the West Indies, St. Augustine Campus, Trinidad and Tobago.; Nazario CM; Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.; Nunez M; University of the Virgin Islands, School of Nursing, St. Thomas, VI, USA.; Pérez-Escamilla R; Yale University, School of Public Health, New Haven, CT, USA.; Hassell T; Healthy Caribbean Coalition, Bridgetown, Barbados.; Nunez-Smith M; Equity Research and Innovation Center, Yale School of Medicine, 100 Church Street South, Suite A200, New Haven, CT06510, USA.
Source
Publisher: Cambridge University Press Country of Publication: England NLM ID: 9808463 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-2727 (Electronic) Linking ISSN: 13689800 NLM ISO Abbreviation: Public Health Nutr Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: Sugar-sweetened beverages (SSB) are implicated in the increasing risk of diabetes in the Caribbean. Few studies have examined associations between SSB consumption and diabetes in the Caribbean.
Design: SSB was measured as teaspoon/d using questions from the National Cancer Institute Dietary Screener Questionnaire about intake of soda, juice and coffee/tea during the past month. Diabetes was measured using self-report, HbA1C and use of medication. Logistic regression was used to examine associations.
Setting: Baseline data from the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS), collected in Barbados, Puerto Rico, Trinidad and Tobago and US Virgin Islands, were used for analysis.
Participants: Participants ( n 1701) enrolled in the ECS.
Results: Thirty-six percentage of participants were unaware of their diabetes, 33% aware and 31% normoglycaemic. Total mean intake of added sugar from SSB was higher among persons 40-49 (9·4 tsp/d), men (9·2 tsp/d) and persons with low education (7·0 tsp/d). Participants who were unaware (7·4 tsp/d) or did not have diabetes (7·6 tsp/d) had higher mean SSB intake compared to those with known diabetes (5·6 tsp/d). In multivariate analysis, total added sugar from beverages was not significantly associated with diabetes status. Results by beverage type showed consumption of added sugar from soda was associated with greater odds of known (OR = 1·37, 95 % CI (1·03, 1·82)) and unknown diabetes (OR = 1·54, 95 % CI (1·12, 2·13)).
Conclusions: Findings indicate the need for continued implementation and evaluation of policies and interventions to reduce SSB consumption in the Caribbean.
Design: SSB was measured as teaspoon/d using questions from the National Cancer Institute Dietary Screener Questionnaire about intake of soda, juice and coffee/tea during the past month. Diabetes was measured using self-report, HbA1C and use of medication. Logistic regression was used to examine associations.
Setting: Baseline data from the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS), collected in Barbados, Puerto Rico, Trinidad and Tobago and US Virgin Islands, were used for analysis.
Participants: Participants ( n 1701) enrolled in the ECS.
Results: Thirty-six percentage of participants were unaware of their diabetes, 33% aware and 31% normoglycaemic. Total mean intake of added sugar from SSB was higher among persons 40-49 (9·4 tsp/d), men (9·2 tsp/d) and persons with low education (7·0 tsp/d). Participants who were unaware (7·4 tsp/d) or did not have diabetes (7·6 tsp/d) had higher mean SSB intake compared to those with known diabetes (5·6 tsp/d). In multivariate analysis, total added sugar from beverages was not significantly associated with diabetes status. Results by beverage type showed consumption of added sugar from soda was associated with greater odds of known (OR = 1·37, 95 % CI (1·03, 1·82)) and unknown diabetes (OR = 1·54, 95 % CI (1·12, 2·13)).
Conclusions: Findings indicate the need for continued implementation and evaluation of policies and interventions to reduce SSB consumption in the Caribbean.