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Sugar-Sweetened Beverage Consumption Is Associated With Weight Gain and Incidence of Type 2 Diabetes

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	STUDY

 
Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, Willett WC, Hu FB: Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA292 : 927-934,2004[Abstract/Free Full Text]

	SUMMARY

 
Objective. To examine the association between consumption of sugar-sweetened beverages, weight change, and risk for type 2 diabetes in women.

Design. A prospective cohort study.

Participants. Study participants were drawn from the 116,671 women aged 22-44 years enrolled in the Nurses' Health Study II. Women lacking dietary or physical activity data or with a history of diabetes, cancer, or cardiovascular disease were excluded. A total of 91,249 women were included in the diabetes analysis. Of these, 51,603 women for whom height and weight data were available were included in the analysis on weight change.

Methods. Information on weight and morbidity was collected every 2 years from 1991 through 1999 using a mailed questionnaire. Dietary data were collected through a food frequency questionnaire every 4 years. Women were asked how often, on average over the previous year, they consumed the following beverages: sugar-sweetened soft drinks ("Coke, Pepsi, or other cola with sugar," "caffeine-free Coke, Pepsi, or other cola with sugar," and "other carbonated beverages with sugar"); fruit juice ("apple juice," "orange juice," grapefruit juice," and "other juice"); fruit punch; and diet soft drinks ("low-calorie cola with caffeine," "low-calorie caffeine-free cola," and "other low-calorie beverages").

The impact of sugar-sweetened soft drink consumption on total calorie intake, weight gain, and incidence of type 2 diabetes was assessed. Similar comparisons were made for fruit punch, fruit juice, and diet soft drink consumption.

The mean weight change in groups . . . [Full Text of this Article]

	COMMENTARY

 

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