title: Sweetened Soft Drinks Consumption Is Associated with Metabolic Syndrome: Cross-sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
abstract: To estimate the association between regular consumption of sweetened soft drinks, natural fruit juice, and coconut water with metabolic syndrome (MetS).
  
  
  
  This was a cross-sectional study including men and women aged 35-74 years from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) Study, excluding patients with type 2 diabetes. The main explanatory variables were beverage consumption and the outcome variable was metabolic syndrome (Adult Treatment Panel III).
  
  
  
  After adjustments, a daily intake of 250 ml of soft drink increased the chance of metabolic syndrome (odds ratio [OR] = 1.95; 95% confidence interval [CI], 1.60-2.38). There was no association between coconut water and MetS. Moderate consumption of fruit juices has low odds of MetS compared to no consumption.
  
  
  
  Our results add evidence to potential negative effects of sweetened soft drinks on cluster metabolic abnormalities in middle-income countries.
authors: a Departamento Materno Infantil e Saúde Pública. Escola de Enfermagem , Universidade Federal de Minas Gerais , Santa Efigênia, Belo Horizonte , Minas Gerais , BRASIL.
authors: Gustavo
authors: G
authors: Velasquez-Melendez
authors: c Departamento de Educação Integrada em Saúde , Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo , Vitória , BRASIL.
authors: Maria Del Carmen B
authors: MD
authors: Molina
authors: d Centro de Pesquisa Clínica e Epidemiológica , Hospital Universitário, Universidade de São Paulo , São Paulo , BRASIL.
authors: Isabela M
authors: IM
authors: Benseñor
authors: e Departamento de Epidemiologia e Métodos Quantitativos , Escola Nacional de Saúde Pública , Fundação Oswaldo Cruz, Rio de Janeiro , BRASIL.
authors: Leticia O
authors: LO
authors: Cardoso
authors: e Departamento de Epidemiologia e Métodos Quantitativos , Escola Nacional de Saúde Pública , Fundação Oswaldo Cruz, Rio de Janeiro , BRASIL.
authors: Maria de Jesus M
authors: MJ
authors: Fonseca
authors: a Departamento Materno Infantil e Saúde Pública. Escola de Enfermagem , Universidade Federal de Minas Gerais , Santa Efigênia, Belo Horizonte , Minas Gerais , BRASIL.
authors: Alexandra D
authors: AD
authors: Moreira
authors: c Departamento de Educação Integrada em Saúde , Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo , Vitória , BRASIL.
authors: Taísa Sabrina S
authors: TS
authors: Pereira
authors: b Departamento de Medicina Preventiva e Social, Faculdade de Medicina , Universidade Federal de Minas Gerais , Santa Efigênia, Belo Horizonte , Minas Gerais , BRASIL.
authors: Sandhi M
authors: SM
authors: Barreto
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D002253:Carbonated Beverages / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D024821:Metabolic Syndrome / Q000139:chemically induced* / Q000453:epidemiology*; D008875:Middle Aged; D016017:Odds Ratio; D013549:Sweetening Agents / Q000009:adverse effects*
chemical_list: D013549:Sweetening Agents
keywords: metabolic syndrome; obesity; sugar-sweetened soft drinks intake