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Sweetened Soft Drinks Consumption Is Associated with Metabolic Syndrome: Cross-sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Authors:Gustavo Velasquez-Melendez  Maria del Carmen B. Molina  Isabela M. Benseñor  Leticia O. Cardoso  Maria de Jesus M. Fonseca  Alexandra D. Moreira
Affiliation:1. Departamento Materno Infantil e Saúde Pública. Escola de Enfermagem, Universidade Federal de Minas Gerais, Santa Efigênia, Belo Horizonte, Minas Gerais, BRASIL;2. Departamento de Educa??o Integrada em Saúde, Programa de Pós-Gradua??o em Saúde Coletiva, Universidade Federal do Espírito Santo, Vitória, BRASIL;3. Centro de Pesquisa Clínica e Epidemiológica, Hospital Universitário, Universidade de S?o Paulo, S?o Paulo, BRASIL;4. Departamento de Epidemiologia e Métodos Quantitativos, Escola Nacional de Saúde Pública, Funda??o Oswaldo Cruz, Rio de Janeiro, BRASIL
Abstract:Objective: To estimate the association between regular consumption of sweetened soft drinks, natural fruit juice, and coconut water with metabolic syndrome (MetS).

Methods: This was a cross-sectional study including men and women aged 35–74 years from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) Study, excluding patients with type 2 diabetes. The main explanatory variables were beverage consumption and the outcome variable was metabolic syndrome (Adult Treatment Panel III).

Results: After adjustments, a daily intake of 250 ml of soft drink increased the chance of metabolic syndrome (odds ratio [OR] = 1.95; 95% confidence interval [CI], 1.60–2.38). There was no association between coconut water and MetS. Moderate consumption of fruit juices has low odds of MetS compared to no consumption.

Conclusion: Our results add evidence to potential negative effects of sweetened soft drinks on cluster metabolic abnormalities in middle-income countries.

Keywords:sugar-sweetened soft drinks intake  metabolic syndrome  obesity
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