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00925njm 22002777a 4500 dc Imamura, Fumiaki author Schulze, Matthias B author Sharp, Stephen J author Guevara, Marcela author Romaguera, Dora author Bendinelli, Benedetta author Salamanca-Fernandez, Elena author Ardanaz, Eva author Arriola, Larraitz author Aune, Dagfinn author Boeing, Heiner author Dow, Courtney author Fagherazzi, Guy author Franks, Paul W author Freisling, Heinz author Jakszyn, Paula author Kaaks, Rudolf author Khaw, Kay-Tee author Kuehn, Tilman author Mancini, Francesca R author Masala, Giovanna author Chirlaque, María-Dolores author Nilsson, Peter M author Overvad, Kim author Pala, Valeria M author Panico, Salvatore author Perez-Cornago, Aurora author Quiros, Jose R author Ricceri, Fulvio author Rodríguez-Barranco, Miguel author Rolandsson, Olov author Sluijs, Ivonne author Stepien, Magdalena author Spijkerman, Annemieke M. W author Tjonneland, Anne author Tong, Tammy Y. N author Tumino, Rosario author Vissers, Linda E. T author Ward, Heather A author Langenberg, Claudia author Riboli, Elio author Forouhi, Nita G author Wareham, Nick J author 2019-11 Introduction: Beverage consumption is a modifiable risk factor for type 2 diabetes (T2D), but there is insufficient evidence to inform the suitability of substituting 1 type of beverage for another. Objective: The aim of this study was to estimate the risk of T2D when consumption of sugar-sweetened beverages (SSBs) was replaced with consumption of fruit juice, milk, coffee, or tea. Methods: In the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohort study of 8 European countries (n = 27,662, with 12,333 cases of incident T2D, 1992-2007), beverage consumption was estimated at baseline by dietary questionnaires. Using Prentice-weighted Cox regression adjusting for other beverages and potential confounders, we estimated associations of substituting 1 type of beverage for another on incident T2D. Results: Mean +/- SD of estimated consumption of SSB was 55 +/- 105 g/d. Means +/- SDs for the other beverages were as follows: fruit juice, 59 +/- 101 g/d; milk, 209 +/- 203 g/d; coffee, 381 +/- 372 g/d; and tea, 152 +/- 282 g/d. Substituting coffee for SSBs by 250 g/d was associated with a 21% lower incidence of T2D (95% CI: 12%, 29%). The rate difference was -12.0 (95% CI: -20.0, -5.0) per 10,000 person-years among adults consuming SSBs >= 250 g/d (absolute rate = 48.3/10,000). Substituting tea for SSBs was estimated to lower T2D incidence by 22% (95% CI: 15%, 28%) or -11.0 (95% CI:-20.0, -2.6) per 10,000 person-years, whereas substituting fruit juice or milk was estimated not to alter T2D risk significantly. Conclusions: These findings indicate a potential benefit of substituting coffee or tea for SSBs for the primary prevention of T2D and may help formulate public health recommendations on beverage consumption in different populations. Imamura F, Schulze MB, Sharp SJ, Guevara M, Romaguera D, Bendinelli B, et al. Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case-Cohort Analysis across 8 European Countries in the EPIC-InterAct Study. J Nutr. 2019 Nov;149(11):1985-93. 10.1093/jn/nxz156 1541-6100 0022-3166 Journal of Nutrition http://hdl.handle.net/20.500.13003/13231 31396627 L629828175 2-s2.0-85074551817 https://hdl.handle.net/20.500.12105/22785 504324800016 Diabetes Epidemiology Dietary guidelines Beverages Sugar-sweetened beverages Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case-Cohort Analysis across 8 European Countries in the EPIC-InterAct Study