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Association between sugar-sweetened beverage consumption and incident hypertension in Korean adults: a prospective study

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Abstract

Purpose

Epidemiological information on the association between sugar-sweetened beverage (SSB) consumption and the risk for hypertension (HTN) in Koreans is very limited. We tested the hypothesis that increased SSB consumption is related to a higher risk of HTN among middle-aged Korean adults in a Korean community-based cohort.

Methods

From participants of the cohort from 2001 to 2010, we selected 5775 subjects without HTN, diabetes, cardiovascular disease, and cancer and who had no information on dietary assessment at baseline. To assess the relationship between SSB consumption and HTN, we estimated hazard ratios (HRs) and 95% confidence intervals using Cox regression analysis. In addition, stratified analysis by body mass index (BMI) was conducted.

Results

During the follow-up, we identified 1175 cases of incident HTN. The adjusted HR of HTN for the highest quartile of SSB consumption was 1.21 compared to the lowest quartile. Furthermore, higher consumption of SSB was significantly associated with increased incidence of HTN in subjects with BMI ≥ 25 kg/m2, whereas there was no significant association among subjects with BMI < 25 kg/m2.

Conclusions

The results of this study suggest that SSB consumption was associated with an increased risk of HTN, particularly among obese participants.

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Acknowledgements

This study was provided with biospecimens and data from the Korean Genome Analysis Project (4845-301), the Korean Genome and Epidemiology Study (4851-302), and Korea Biobank Project (4851-307, KBP-2014-062) that were supported by the Korea Center for Disease Control and Prevention, Republic of Korea. This research was supported by a Grant (17162MFDS118) from Ministry of Food and Drug Safety in 2017–2018.

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Correspondence to Min-Jeong Shin.

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Kwak, J.H., Jo, G., Chung, HK. et al. Association between sugar-sweetened beverage consumption and incident hypertension in Korean adults: a prospective study. Eur J Nutr 58, 1009–1017 (2019). https://doi.org/10.1007/s00394-018-1617-1

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  • DOI: https://doi.org/10.1007/s00394-018-1617-1

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