Sugar-sweetened beverage consumption and calcified atherosclerotic plaques in the coronary arteries: The NHLBI family heart study

Yash R. Patel, Tasnim F. Imran, R. Curtis Ellison, Steven C. Hunt, John Jeffrey Carr, Gerardo Heiss, Donna K. Arnett, James S. Pankow, J. Michael Gaziano, Luc Djoussé

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Sugar-sweetened beverage (SSB) intake is associated with higher risk of weight gain, diabetes, hypertension, cardiovascular disease, and cardiovascular mortality. However, the association of SSB with subclinical atherosclerosis in the general population is unknown. Objec-tive: Our primary objective was to investigate the association between SSB intake and prevalence of atherosclerotic plaque in the coronary arteries in The National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study. Methods: We studied 1991 participants of the NHLBI Family Heart Study without known coronary heart disease. Intake of SSB was assessed through a semi-quantitative food frequency questionnaire. Coronary artery calcium (CAC) was measured by cardiac Computed Tomography (CT) and prevalent CAC was defined as an Agatston score ≥100. We used generalized estimating equations to calculate adjusted prevalence ratios of CAC. A sensitivity analysis was also performed at different ranges of cut points for CAC. Results: Mean age and body mass index (BMI) were 55.0 years and 29.5 kg/m2, respectively, and 60% were female. In analysis adjusted for age, sex, BMI, smoking, alcohol use, physical activity, energy intake, and field center, higher SSB consumption was not associated with higher prevalence of CAC [prevalence ratio (95% confidence interval) of: 1.0 (reference), 1.36 (0.70–2.63), 1.69 (0.93–3.09), 1.21 (0.69–2.12), 1.05 (0.60–1.84), and 1.58 (0.85–2.94) for SSB consumption of almost never, 1–3/month, 1/week, 2–6/week, 1/day, and ≥2/day, respectively (p for linear trend 0.32)]. In a sensitivity analysis, there was no evidence of association between SSB and prevalent CAC when different CAC cut points of 0, 50, 150, 200, and 300 were used. Conclusions: These data do not provide evidence for an association between SSB consumption and prevalent CAC in adult men and women.

Original languageEnglish (US)
Article number1775
JournalNutrients
Volume13
Issue number6
DOIs
StatePublished - May 22 2021

Bibliographical note

Funding Information:
Funding: This study was supported by grants from the National Heart, Lung, & Blood Institute (U01 HL067901, U01 HL067897, U01 HL067896, U01 HL067894, U01 HL067893, U01 HL067900, and U01 HL067899).

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Atherosclerosis
  • Coronary calcium
  • Nutrition
  • Soda consumption
  • Sugar-sweetened beverages

PubMed: MeSH publication types

  • Journal Article

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