Sugar-sweetened beverages increase cardiovascular risk in diabetic patients

Razieh Anari,1,* Reza amani,2 Masoud veissi,3

1. Ahvaz Jundishapur University of Medical Sciences
2. Isfahan University of Medical Sciences
3. Ahvaz Jundishapur University of Medical Sciences



Sugar sweetened beverages (ssbs) are any type of sugar-added drinks like soft drink, syrup, etc. ssbs consumption has increased over the last decades. as type 2 diabetes mellitus (t2dm) patients are at increased risk of cardiovascular events we designed a study to evaluate the association between ssbs intake and metabolic syndrome in this population.


T2dm adults participated in a cross-sectional study. ssbs intake was extracted from a validated food frequency questionnaire and a 24-h food recall. metabolic syndrome (mets) (including abnormal fbs, triglyceride, hdl-c, blood pressure, and obesity) was measured according to international diabetes federation criteria. subjects were divided into two groups: <1 serving/week and ≥1 serving/week.


Mean ssbs intake was 145.6 ml/d. about half of participants consumed at least one serving of ssbs per week. higher ssbs intake was associated with hypertension (or=2.55, 95% ci: 1.14-5.71) and obesity (or=4.32, 95% ci: 1.26-14.87). energy intake and macronutrients were similar in both sub groups. after adjustment for confounding factors, metabolic syndrome was associated with drinking ssbs ≥1 serving/week (or= 3.49, 95% ci: 1.22-9.93) compared to those consumed <1 serving/week.


Higher ssbs intake was associated with higher odds of mets, obesity and hypertension. reducing ssbs intake could be simply advised to these patients to reduce metabolic abnormalities.


Diabetes; metabolic syndrome; sugar-sweetened beverages.