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

Novita D. Naomi; Elske M. Brouwer-Brolsma; Marion E. C. Buso; Sabita S. Soedamah-Muthu; Joanne A. Harrold; Jason C. G. Halford; Anne Raben; Johanna M. Geleijnse; Edith J. M. Feskens

doi:10.1007/s00394-022-03023-6

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

Novita D. Naomi, Elske M. Brouwer-Brolsma, Marion E. C. Buso, Sabita S. Soedamah-Muthu, Joanne A. Harrold, Jason C. G. Halford, Anne Raben, Johanna M. Geleijnse, Edith J. M. Feskens^*

^*Corresponding author for this work

Medical and Clinical Psychology

Research output: Contribution to journal › Article › Scientific › peer-review

4 Citations (Scopus)

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.

Original language	English
Pages (from-to)	797-806
Journal	European Journal of Nutrition
Volume	62
Issue number	2
DOIs	https://doi.org/10.1007/s00394-022-03023-6
Publication status	Published - 2023

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

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10.1007/s00394-022-03023-6

Cite this

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, 62(2), 797-806. https://doi.org/10.1007/s00394-022-03023-6

@article{712a765c3ede45d896ec6c6e8ef8de2a,

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

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.",

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",

author = "Naomi, {Novita D.} and Brouwer-Brolsma, {Elske M.} and Buso, {Marion E. C.} and Soedamah-Muthu, {Sabita S.} and Harrold, {Joanne A.} and Halford, {Jason C. G.} and Anne Raben and Geleijnse, {Johanna M.} and Feskens, {Edith J. M.}",

year = "2023",

doi = "10.1007/s00394-022-03023-6",

language = "English",

volume = "62",

pages = "797--806",

journal = "European Journal of Nutrition",

issn = "1436-6207",

publisher = "Springer Science and Business Media Deutschland GmbH",

number = "2",

}

Naomi, ND, Brouwer-Brolsma, EM, Buso, MEC, Soedamah-Muthu, SS, Harrold, JA, Halford, JCG, Raben, A, Geleijnse, JM & Feskens, EJM 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

TY - JOUR

T1 - Association of sweetened beverages consumption with all-cause mortality risk among Dutch adults

T2 - The Lifelines Cohort Study (the SWEET project)

AU - Naomi, Novita D.

AU - Brouwer-Brolsma, Elske M.

AU - Buso, Marion E. C.

AU - Soedamah-Muthu, Sabita S.

AU - Harrold, Joanne A.

AU - Halford, Jason C. G.

AU - Raben, Anne

AU - Geleijnse, Johanna M.

AU - Feskens, Edith J. M.

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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.

KW - Adult

KW - Beverages/adverse effects

KW - Cohort Studies

KW - Energy Intake

KW - Female

KW - Fruit and Vegetable Juices

KW - Humans

KW - Middle Aged

KW - Sugar-Sweetened Beverages/adverse effects

KW - Dutch adults

KW - Juice

KW - Artificial sweeteners

KW - Non-nutritive sweeteners

KW - Death

KW - Soft drink

UR - http://www.scopus.com/inward/record.url?scp=85140393238&partnerID=8YFLogxK

U2 - 10.1007/s00394-022-03023-6

DO - 10.1007/s00394-022-03023-6

M3 - Article

C2 - 36271197

SN - 1436-6207

VL - 62

SP - 797

EP - 806

JO - European Journal of Nutrition

JF - European Journal of Nutrition

IS - 2

ER -

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

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