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Association Between...
Association Between Soft Drink Consumption and Mortality in 10 European Countries
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- Mullee, Amy (author)
- University College Dublin,International Agency for Research on Cancer, World Health Organization
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- Romaguera, Dora (author)
- Hospital Universitario Son Espases,CIBER de Fisiopatología Obesidad y Nutricion (CIBEROBN)
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- Pearson-Stuttard, Jonathan (author)
- Imperial College London
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Viallon, Vivian (author)
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Stepien, Magdalena (author)
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Freisling, Heinz (author)
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Fagherazzi, Guy (author)
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Mancini, Francesca Romana (author)
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Boutron-Ruault, Marie-Christine (author)
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Kühn, Tilman (author)
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Kaaks, Rudolf (author)
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Boeing, Heiner (author)
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Aleksandrova, Krasimira (author)
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Tjønneland, Anne (author)
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Halkjær, Jytte (author)
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Overvad, Kim (author)
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Weiderpass, Elisabete (author)
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Skeie, Guri (author)
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Parr, Christine L. (author)
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Quirós, J Ramón (author)
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Agudo, Antonio (author)
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Sánchez, Maria-Jose (author)
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Amiano, Pilar (author)
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Cirera, Lluís (author)
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- Ardanaz, Eva (author)
- Navarre Public Health Institute (ISPN),Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)
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Khaw, Kay-Tee (author)
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Tong, Tammy Y. N. (author)
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Schmidt, Julie A. (author)
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Trichopoulou, Antonia (author)
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Martimianaki, Georgia (author)
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Karakatsani, Anna (author)
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Palli, Domenico (author)
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Agnoli, Claudia (author)
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Tumino, Rosario (author)
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Sacerdote, Carlotta (author)
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Panico, Salvatore (author)
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Bueno-de-Mesquita, Bas (author)
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Verschuren, W. M. Monique (author)
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Boer, Jolanda M. A. (author)
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Vermeulen, Roel (author)
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- Ramne, Stina (author)
- Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups
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- Sonestedt, Emily (author)
- Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups
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- van Guelpen, Bethany (author)
- Umeå universitet,Onkologi
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- Lif Holgerson, Pernilla (author)
- Umeå universitet,Onkologi
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Tsilidis, Konstantinos K. (author)
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Heath, Alicia K. (author)
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Muller, David (author)
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Riboli, Elio (author)
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Gunter, Marc J. (author)
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- Murphy, Neil (author)
- International Agency for Research on Cancer, World Health Organization
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(creator_code:org_t)
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et al
- American Medical Association (AMA), 2019
- 2019
- English.
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In: JAMA Internal Medicine. - : American Medical Association (AMA). - 2168-6106 .- 2168-6114. ; :11, s. 1479-1490
- Related links:
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http://diposit.ub.ed...
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- Importance: Soft drinks are frequently consumed, but whether this consumption is associated with mortality risk is unknown and has been understudied in European populations to date.Objective: To examine the association between total, sugar-sweetened, and artificially sweetened soft drink consumption and subsequent total and cause-specific mortality.Design, Setting, and Participants: This population-based cohort study involved participants (n = 451 743 of the full cohort) in the European Prospective Investigation into Cancer and Nutrition (EPIC), an ongoing, large multinational cohort of people from 10 European countries (Denmark, France, Germany, Greece, Italy, the Netherlands, Norway, Spain, Sweden, and the United Kingdom), with participants recruited between January 1, 1992, and December 31, 2000. Excluded participants were those who reported cancer, heart disease, stroke, or diabetes at baseline; those with implausible dietary intake data; and those with missing soft drink consumption or follow-up information. Data analyses were performed from February 1, 2018, to October 1, 2018.Exposure: Consumption of total, sugar-sweetened, and artificially sweetened soft drinks.Main Outcomes and Measures: Total mortality and cause-specific mortality. Hazard ratios (HRs) and 95% CIs were estimated using multivariable Cox proportional hazards regression models adjusted for other mortality risk factors.Results: In total, 521 330 individuals were enrolled. Of this total, 451 743 (86.7%) were included in the study, with a mean (SD) age of 50.8 (9.8) years and with 321 081 women (71.1%). During a mean (range) follow-up of 16.4 (11.1 in Greece to 19.2 in France) years, 41 693 deaths occurred. Higher all-cause mortality was found among participants who consumed 2 or more glasses per day (vs consumers of <1 glass per month) of total soft drinks (hazard ratio [HR], 1.17; 95% CI, 1.11-1.22; P < .001), sugar-sweetened soft drinks (HR, 1.08; 95% CI, 1.01-1.16; P = .004), and artificially sweetened soft drinks (HR, 1.26; 95% CI, 1.16-1.35; P < .001). Positive associations were also observed between artificially sweetened soft drinks and deaths from circulatory diseases (≥2 glasses per day vs <1 glass per month; HR, 1.52; 95% CI, 1.30-1.78; P < .001) and between sugar-sweetened soft drinks and deaths from digestive diseases (≥1 glass per day vs <1 glass per month; HR, 1.59; 95% CI, 1.24-2.05; P < .001).Conclusions and Relevance: This study found that consumption of total, sugar-sweetened, and artificially sweetened soft drinks was positively associated with all-cause deaths in this large European cohort; the results are supportive of public health campaigns aimed at limiting the consumption of soft drinks.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Mullee, Amy
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Romaguera, Dora
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Pearson-Stuttard ...
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Viallon, Vivian
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Stepien, Magdale ...
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Freisling, Heinz
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show more...
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Fagherazzi, Guy
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Mancini, Frances ...
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Boutron-Ruault, ...
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Kühn, Tilman
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Kaaks, Rudolf
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Boeing, Heiner
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Aleksandrova, Kr ...
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Tjønneland, Anne
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Halkjær, Jytte
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Overvad, Kim
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Weiderpass, Elis ...
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Skeie, Guri
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Parr, Christine ...
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Quirós, J Ramón
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Agudo, Antonio
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Sánchez, Maria-J ...
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Amiano, Pilar
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Cirera, Lluís
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Ardanaz, Eva
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Khaw, Kay-Tee
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Tong, Tammy Y. N ...
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Schmidt, Julie A ...
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Trichopoulou, An ...
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Martimianaki, Ge ...
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Karakatsani, Ann ...
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Palli, Domenico
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Agnoli, Claudia
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Tumino, Rosario
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Sacerdote, Carlo ...
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Panico, Salvator ...
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Bueno-de-Mesquit ...
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Verschuren, W. M ...
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Boer, Jolanda M. ...
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Vermeulen, Roel
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Ramne, Stina
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Sonestedt, Emily
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van Guelpen, Bet ...
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Lif Holgerson, P ...
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Tsilidis, Konsta ...
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Heath, Alicia K.
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Muller, David
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Riboli, Elio
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Gunter, Marc J.
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Murphy, Neil
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Dentistry
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nutrition and Di ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
- Articles in the publication
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JAMA Internal Me ...
- By the university
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Umeå University
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Lund University