Abstract

Sugar sweetened beverages (SSB), artificially sweetened beverages (ASB), juice, coffee and tea has been associated with risk of metabolic disease. High consumption of these beverages may be associated with certain characteristics of the overall diet that would be important to take into account when analysing beverage-disease associations. Here, we investigate five beverages and their association with lifestyle and diet in 25,112 individuals from the Malmö Diet and Cancer Cohort. We observed that high consumption of SSB was associated with lower intakes of foods perceived as healthy. However, high consumption of both tea and juice was associated with higher intakes of foods perceived as healthy. Further, high consumption of ASB was associated with higher intakes of low-fat products. High consumption of coffee was associated with higher intakes of meat and high-fat margarine, and lower intake of breakfast cereals. We observe five beverages to associate with different lifestyle and dietary patterns.

Highlights

  • Dietary habits have, in large parts of the world, changed over the last decades towards higher intakes of processed and energy rich foods, including beverages (Fagherazzi et al 2013)

  • Some studies have examined the covariance between foods and beverages; consumption of pure orange juice has for example been associated with a higher overall diet quality (Crowe-White et al 2016; Rampersaud and Valim 2017), whereas consumption of artificially sweetened beverages (ASB) has been associated with lower diet quality and CONTACT Louise Brunkwall louise.brunkwall@med.lu.se Clinical Research Center 60-013-26, Jan Waldenstr€oms gata 35, SE-205 02 Malm€o, Sweden

  • Higher intake of coffee was significantly associated with younger age, higher Body mass index (BMI), lower total energy intake, lower alcohol intake and a lower frequency of never smokers and individuals with a university degree

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Summary

Introduction

In large parts of the world, changed over the last decades towards higher intakes of processed and energy rich foods, including beverages (Fagherazzi et al 2013). Several studies have found consistent associations between specific beverages and metabolic disease (Fagherazzi et al 2013; Ding et al 2014; Larsson et al 2014; Vuong 2014) These findings may have great public health relevance since the consumption of several beverages has increased, especially consumption of sugar-sweetened beverages (SSB) (Nielsen and Popkin 2004; Malik et al 2013), which have been linked to increased risk of obesity, diabetes and CVD in the cohort assessed in this study (Brunkwall et al 2016; Ericson 2017) as well as in other populations (Hu and Malik 2010; Malik et al 2010; Larsson et al 2014). Some studies have examined the covariance between foods and beverages; consumption of pure orange juice has for example been associated with a higher overall diet quality (Crowe-White et al 2016; Rampersaud and Valim 2017), whereas consumption of artificially sweetened beverages (ASB) has been associated with lower diet quality and Supplemental data for this article can be accessed here

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