Thursday, May 7, 2015

Milk Drinks and Diabetes

Jude Fabiano shares the latest. Check it out!

Check out the latest from Jude Fabiano!

Jude Fabiano Nesquik

While such drinks as Nesquik have been known to be unhealthy for quite some time, it’s now clear that they also cause diabetes.

Recently, a study has indicated that there’s a direct link between sweetened milk drinks and type 2 diabetes.  This indicates that efforts to reduce the intake of sugar-sweetened beverages (SSBs) should include both milkshakes and flavored milks, such as milkshakes or Ovaltine.  Previously, research viewed SSBs as soft drinks, including sodas and juice drinks, although this study raises the possibility that daily consumption of sweetened milk drinks is directly related to a higher risk of new-onset diabetes.

In addition to the association between type 2 diabetes and sweetened milk drinks, the study also calculated that the risk of developing type 2 diabetes could increase by a staggering 18% for every 5% increase of a person’s total energy intake through sweet drinks.  Researchers have also stressed that replacing the daily consumption of one serving of a sugary drink with either water or unsweetened tea or coffee can lower the risk of developing diabetes by anywhere between 14% and 15%.

For their study, the researchers assessed the beverage consumption of 25,639 adults in the UK without diabetes at baseline between 1993 and 1997, who were taking part in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk study.  They utilized comprehensive 7-day food diaries, making it the first study of its kind to employ this form of dietary assessment.  The participants recorded everything they ate and drank for 7 days, covering weekdays and weekend days, with a particular emphasis on the type, amount and frequency of consumption, as well as whether the participants added sugar.  Through this, the researchers were able to examine sweetened and unsweetened tea or coffee intake, something that other studies weren’t able to do.

Over the 10.8 years of follow-up after the research was complete, 847 incident type 2 diabetes cases were verified.  There were some positive associations after adjustment, with a hazard ratio (HR) for type 2 diabetes per serving per day of 1.21 for soft drinks, 1.22 for sweetened-milk beverages and 1.22 for artificially sweetened drinks.  However, there were null associations for sweetened tea and coffee (.98) and fruit juice (1.01).  After adjusting further for adiposity, or using BMI and waist circumferences as obesity markers, there remained a higher risk of diabetes associated with drinking both soft drinks and sweetened milk drinks, even though the link with artificially-sweetened beverages (ASB) was attenuated, with a HR of 1.06.  Although the researchers found no evidence of a risk of diabetes associated with ASBs, other studies have shown a positive association between the two, even after accounting for obesity.

The current findings on SSBs are in keeping with other publications, with an increased risk of type 2 diabetes per serving of soft drinks.  However, some of the findings related to drinking tea and coffee are novel.  Even though there’s plenty of evidence to suggest that they’re both inversely associated with incident diabetes, this is one of, if not the, first epidemiological studies to distinguish between sweetened and unsweetened tea or coffee.  However, the study didn’t examine the correlation between consuming sweetened soft drinks or milk drinks, but rather on replacing sugary drinks with non-sugary drinks, meaning that it’s difficult to give advice in regards to fruit-juice consumption.  This null association between fruit juice and incidence of diabetes is in keeping with some previous work, although there were also some mixed findings elsewhere, and there’s still further research required to clarify whether consuming juice on a regular basis is linked to diabetes.

Jude Fabiano DDS http://ift.tt/1cbn4px


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