Imamura, FumiakiSchulze, Matthias BSharp, Stephen JGuevara, MarcelaRomaguera, DoraBendinelli, BenedettaSalamanca-Fernandez, ElenaArdanaz, EvaArriola, LarraitzAune, DagfinnBoeing, HeinerDow, CourtneyFagherazzi, GuyFranks, Paul WFreisling, HeinzJakszyn, PaulaKaaks, RudolfKhaw, Kay-TeeKuehn, TilmanMancini, Francesca RMasala, GiovannaChirlaque, María-DoloresNilsson, Peter MOvervad, KimPala, Valeria MPanico, SalvatorePerez-Cornago, AuroraQuiros, Jose RRicceri, FulvioRodríguez-Barranco, MiguelRolandsson, OlovSluijs, IvonneStepien, MagdalenaSpijkerman, Annemieke M. WTjonneland, AnneTong, Tammy Y. NTumino, RosarioVissers, Linda E. TWard, Heather ALangenberg, ClaudiaRiboli, ElioForouhi, Nita GWareham, Nick J2024-09-102024-09-102019-11Imamura 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):1985-93.0022-3166http://hdl.handle.net/20.500.13003/13231https://hdl.handle.net/20.500.12105/22785Introduction: 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.enghttp://creativecommons.org/licenses/by/4.0/DiabetesEpidemiologyDietary guidelinesBeveragesSugar-sweetened beveragesDiabetes Mellitus, Type 2Case-Control StudiesCoffeeHumansMiddle AgedMaleProspective StudiesSugar-Sweetened BeveragesEuropeFemaleRisk FactorsCohort StudiesTeaIncidenceresearch articleAttribution 4.0 International31396627149111985-199310.1093/jn/nxz1561541-6100Journal of Nutritionopen accessEstudios de CohortesIncidenciaBebidas AzucaradasTéFemeninoEuropa (Continente)MasculinoCaféFactores de RiesgoHumanosPersona de Mediana EdadEstudios ProspectivosDiabetes Mellitus Tipo 2Estudios de Casos y Controles2-s2.0-85074551817504324800016L629828175