兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Association of soft drink and 100% fruit juice consumption with all-cause mortality, cardiovascular diseases mortality, and cancer mortality: A systematic review and dose-response meta-analysis of prospective cohort studies

Long Ge; Jiancheng Wang
2021-06-13
Sugar-sweetened beverages (SSBs), artificially sweetened beverages (ASBs), and 100% fruit juices are frequently consumed and have been documented that they could lead to serious disease burden. However, inconsistent evidence on the association between SSBs, ASBs, and 100% fruit juices consumption and mortality have been presented. PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and PsycINFO were systematically searched. We conducted a random-effects meta-analysis and dose-response meta-analysis to assess the association and calculated the pooled hazard ratio with 95% confidence interval. And we evaluated the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Thirteen studies with 1,539,127 participants proved eligible. An SSB-consumption increase per 250 mL/day was associated with a 4% greater risk of all-cause mortality (5 more per 1000 persons; low certainty) and 8% greater risk of cardiovascular disease mortality (3 more per 1000 persons; low certainty). ASB-consumption increase per 250 mL/day demonstrated a 4% greater risk of all-cause mortality (5 more per 1000 persons; low certainty) and 4% greater risk of cardiovascular disease mortality (2 more per 1000 persons; low certainty). The association of SSBs and ASBs with cancer mortality was not significant, with a very low certainty of evidence. There was evidence of a linear dose-response association between SSB intake and cancer mortality, as well as between ASB intake and all-cause mortality and cancer mortality. We observed a non-linear dose-response association between ASB intake and CVD mortality and SSB intake and all-cause and CVD mortality. Low certainty of evidence demonstrated that per 250 mL/day consumption increase in SSBs and ASBs had a small impact on all-cause and cardiovascular disease mortality but not on cancer mortality. The association of 100% fruit juice consumption with all-cause and cardiovascular disease mortality was uncertain.
Critical Reviews in Food Science and Nutrition
卷号:62|期号:32|页码:8908-8919
ISSN:1040-8398|收录类别:SCIE
DOI
10.1080/10408398.2021.1937040
EISSN
1549-7852
出版日期
2021-06-13
资助信息
National research projectdevelopment plan of Gansu Provincial Hospital(19SYPYB-18).
资助机构
甘肃省人民医院
相关链接
https://www.tandfonline.com/doi/full/10.1080/10408398.2021.1937040
语种
英文
国家
中国
学科领域
循证医学
被引频次(WOS)
41
来源机构
Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China
研究类型
Meta分析
关键词
100% fruit juices artificially sweetened beverages dose-response meta-analysis mortality sugar-sweetened beverages
WOS学科分类
Food Science TechnologyNutrition Dietetics