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Sweetened beverages and risk of frailty among older women in the Nurses' Health Study: A cohort study

Struijk, Ellen A ; Rodríguez-Artalejo, Fernando ; Fung, Teresa T ; Willett, Walter C ; Hu, Frank B ; Lopez-Garcia, Esther Brayne, Carol

PLoS medicine, 2020-12, Vol.17 (12), p.e1003453 [Periódico revisado por pares]

United States: Public Library of Science

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Sweetened beverages and risk of frailty among older women in the Nurses' Health Study: A cohort study
Autor: Struijk, Ellen A ; Rodríguez-Artalejo, Fernando ; Fung, Teresa T ; Willett, Walter C ; Hu, Frank B ; Lopez-Garcia, Esther
Brayne, Carol
Assuntos: Age Factors ; Aged ; Aging ; Artificially Sweetened Beverages - adverse effects ; Beverages ; Biology and Life Sciences ; Body weight loss ; Caffeine ; Cardiovascular diseases ; Chronic diseases ; Chronic illnesses ; Cohort analysis ; Demographic aspects ; Diabetes ; Diet ; Disease ; Exercise ; Female ; Food ; Food and nutrition ; Food habits ; Frail Elderly ; Frailty ; Frailty - diagnosis ; Frailty - epidemiology ; Fruit and Vegetable Juices - adverse effects ; Fruit juices ; Health aspects ; Health Status ; Health Surveys ; Humans ; Malnutrition ; Medicine and Health Sciences ; Micronutrients ; Middle Aged ; Middle aged women ; Mortality ; Muscle weakness ; Nurses ; Nursing ; Nutritional aspects ; Obesity ; Older people ; People and Places ; Physical fitness ; Physiological aspects ; Population ; Prospective Studies ; Protective Factors ; Questionnaires ; Registered nurses ; Risk Assessment ; Risk Factors ; Sex Factors ; Sugar-Sweetened Beverages - adverse effects ; Time Factors ; Type 2 diabetes ; United States - epidemiology ; Womens health
É parte de: PLoS medicine, 2020-12, Vol.17 (12), p.e1003453
Notas: The authors have declared that no competing interests exist.
Descrição: Consumption of sugar-sweetened beverages (SSBs) has been consistently associated with a higher risk of obesity, type 2 diabetes, cardiovascular disease, and premature mortality, whereas evidence for artificially sweetened beverages (ASBs) and fruit juices on health is less solid. The aim of this study was to evaluate the consumption of SSBs, ASBs, and fruit juices in association with frailty risk among older women. We analyzed data from 71,935 women aged ≥60 (average baseline age was 63) participating in the Nurses' Health Study (NHS), an ongoing cohort study initiated in 1976 among female registered nurses in the United States. Consumption of beverages was derived from 6 repeated food frequency questionnaires (FFQs) administered between 1990 and 2010. Frailty was defined as having at least 3 of the following 5 criteria from the FRAIL scale: fatigue, poor strength, reduced aerobic capacity, having ≥5 chronic illnesses, and weight loss ≥5%. The occurrence of frailty was assessed every 4 years from 1992 to 2014. During 22 years of follow-up, we identified 11,559 incident cases of frailty. Consumption of SSBs was associated with higher risk of frailty after adjustment for diet quality, body mass index (BMI), smoking status, and medication use, specifically, the relative risks (RRs) and 95% confidence interval (95% CI) for ≥2 serving/day versus no SSB consumption was 1.32 (1.10, 1.57); p-value <0.001. ASBs were also associated with frailty [RR ≥2 serving/day versus no consumption: 1.28 (1.17, 1.39); p-value <0.001]. Orange juice was associated with lower risk of frailty [RR ≥1 serving/day versus no consumption: 0.82 (0.76, 0.87); p-value <0.001], whereas other juices were associated with a slightly higher risk [RR ≥1 serving/day versus no consumption: 1.15 (1.03, 1.28); p-value <0.001]. A limitation of this study is that, due to self-reporting of diet and frailty, certain misclassification bias cannot be ruled out; also, some residual confounding may persist. In this study, we observed that consumption of SSBs and ASBs was associated with a higher risk of frailty. However, orange juice intake showed an inverse association with frailty. These results need to be confirmed in further studies using other frailty definitions.
Editor: United States: Public Library of Science
Idioma: Inglês

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Sweetened beverages and risk of frailty among older women in the Nurses' Health Study: A cohort study

Struijk, Ellen A ; Rodríguez-Artalejo, Fernando ; Fung, Teresa T ; Willett, Walter C ; Hu, Frank B ; Lopez-Garcia, Esther Brayne, Carol

United States: Public Library of Science

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