title: Effects of sugar-sweetened beverage intake on the development of type 2 diabetes mellitus in subjects with impaired glucose tolerance: the Mihama diabetes prevention study.
abstract: In Japan, the incidence of type 2 diabetes mellitus (T2DM) is increasing for several reasons, including increased consumption of sugar-sweetened beverages (SSBs). However, whether SSBs cause T2DM by excess of energy production resulting in obesity remains unclear. Therefore, the present study was designed to evaluate the effects of SSB intake on the development of T2DM in subjects with impaired glucose tolerance (IGT). Ninety-three subjects (30 males and 63 females) with IGT aged 40-69 y and residing in the Mihama district (southern Mie Prefecture, Japan) were included in the study. The mean observational period was 3.6 y. All subjects underwent the 75-g oral glucose tolerance test (OGTT) and completed a lifestyle questionnaire survey related to SSB intake. OGTT results and SSB intake were evaluated before and after the observational period. In addition, the correlation between SSB intake and development of T2DM was investigated. Of the 93 subjects, 20 (21.5%) developed T2DM (T2DM group) and demonstrated a significantly high SSB intake compared with the group that did not develop the disease (non-T2DM group). The odds ratio for the incidence of T2DM based on SSB intake was 3.26 (95% confidence interval, 1.17-9.06). The body mass index (BMI; kg/m(2)) and the homeostasis model assessment for insulin resistance (HOMA-R) values was significantly higher in the T2DM group than in the non-T2DM group, while the insulinogenic indices were significantly lower in the former than in the latter group. The sum of insulin secretion levels during OGTT was not significantly different between groups. SSB intake correlated with the predisposition for developing T2DM, possibly by influencing body weight, insulin resistance, and the ability of the pancreatic beta cells to effectively compensate for the insulin resistance.
authors.affiliation: Division of Dietary Service, Mie University Hospital.
authors.forename: Nobuko
authors.initials: N
authors.lastname: Teshima
authors.forename: Miho
authors.initials: M
authors.lastname: Shimo
authors.forename: Kae
authors.initials: K
authors.lastname: Miyazawa
authors.forename: Sachi
authors.initials: S
authors.lastname: Konegawa
authors.forename: Aki
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Yuki
authors.initials: Y
authors.lastname: Onishi
authors.forename: Ryoma
authors.initials: R
authors.lastname: Sasaki
authors.forename: Toshinari
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yano
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Tomomi
authors.initials: T
authors.lastname: Yamada
authors.forename: Esteban Cesar
authors.initials: EC
authors.lastname: Gabazza
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Takei
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Sumida
mesh_terms: D001628:Beverages / Q000009:adverse effects*; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D004032:Diet / Q000009:adverse effects; D019422:Dietary Sucrose / Q000009:adverse effects*; D005247:Feeding Behavior; D005260:Female; D018149:Glucose Intolerance / Q000097:blood / Q000150:complications*; D005951:Glucose Tolerance Test; D006801:Humans; D007328:Insulin / Q000378:metabolism*; D007333:Insulin Resistance; D000078790:Insulin Secretion; D050417:Insulin-Secreting Cells / Q000378:metabolism; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000097:blood / Q000209:etiology; D016017:Odds Ratio; D011795:Surveys and Questionnaires; D013549:Sweetening Agents / Q000009:adverse effects
chemical_list: D001786:Blood Glucose; D019422:Dietary Sucrose; D007328:Insulin; D013549:Sweetening Agents