A systematic review and meta-analysis concluded that habitual consumption of sugar sweetened beverages was associated with a greater incidence of type 2 diabetes (T2D), independently of adiposity. Artificially sweetened beverages and fruit juice were unlikely to be healthy alternatives to sugar sweetened beverages for the prevention of T2D. The study included 17 prospective cohorts of adults free of diabetes (38 253 cases/10 126 754 person years). Higher consumption of sugar sweetened beverages was associated with a greater incidence of T2D, by 18% and 13% per one serving/day before and after adjustment for adiposity; for artificially sweetened beverages, 25% and 8%; and for fruit juice, 5% and 7%. The population attributable fraction was estimated in national surveys in the US, 2009-10 (n=4729 representing 189.1 million adults without diabetes) and the UK, 2008-12 (n=1932 representing 44.7 million). Under specified assumptions for population attributable fraction, of 20.9 million events of T2D predicted to occur over 10 years in the US (absolute event rate 11.0%), 1.8 million would be attributable to consumption of sugar sweetened beverages (population attributable fraction 8.7%); and of 2.6 million events in the UK (absolute event rate 5.8%), 79 000 would be attributable to consumption of sugar sweetened beverages (population attributable fraction 3.6%). There is a wealth of existing evidence that soft drinks can significantly increase risk of diseases including diabetes. Source: http://www.bmj.com/一项系统综述和荟萃分析得出的结论是,无论肥胖与否,习惯饮用含糖饮料与2型糖尿病的发生率较高有关。人工甜味饮料和果汁不可能是含糖饮料健康的替代品,以预防2型糖尿病。这项研究包括17个无糖尿病成年人(38253例/ 10 126 754人年)的前瞻性群组研究。饮用较多的含糖饮料与2型糖尿病的发生率较高有关,调整肥胖前后每天每份含糖饮料增加18%和13%;人工甜饮料为25%和8%;果汁为5%和7%。在全国性调查的基础上估计人口归因比例,美国为2009 – 10年度(N = 4729,代表1.891亿无糖尿病的成年人),英国为2008-12年间(N = 1932,代表4470万)。根据特定假设人口归因比例,预计美国10年间会发生 2090万例2型糖尿病(绝对事件发生率11.0%),180万将归因于饮用含糖饮料(归因人口比例8.7%);英国为260万例(绝对事件发生率5.8%),79 000例将归因于饮用含糖饮料(人口归因比例3.6%)。已有充足的证据表明,软饮料可以显著增加患病,包括糖尿病的风险。来源:http://www.bmj.com/