Consumption of Low-Calorie Sweetened Beverages Compared to Water Is Associated with Reduced Intake of Carbohydrates and Sugar, with No Adverse Relationships to Glycemic Responses: Results from the 2001-2012 National Health and Nutrition Examination Surveys

Although the 2015 Dietary Guidelines Advisory Committee concluded that there was moderate evidence that substituting sugar-containing sweeteners with low-calorie sweeteners (LCS) reduces calorie intake and weight, dietary recommendations encourage substituting only water for sugar-sweetened beverage...

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Bibliographic Details
Published in:Nutrients 2017-08, Vol.9 (9), p.928
Main Authors: Leahy, Marge, Ratliff, Joseph C, Riedt, Claudia S, Fulgoni, Victor L
Format: Article
Language:English
Subjects:
added sugars
Adult
Adults
Beverages
Beverages - adverse effects
Biomarkers - blood
Blood Glucose - metabolism
Caloric Restriction - adverse effects
carbohydrate intake
Carbohydrates
Cross-Sectional Studies
diabetes
Diabetes mellitus
Dietary Guidelines
Dietary intake
Dietary Sugars - administration & dosage
Dietary Sugars - adverse effects
Drinking
Drinking Water - administration & dosage
energy intake
Feeding Behavior
Female
food intake
Glycated Hemoglobin A - metabolism
glycemic effect
glycohemoglobin
Hemoglobin
Humans
Insulin
Insulin - blood
Insulin resistance
Least-Squares Analysis
Logistic Models
Male
Middle Aged
National Health and Nutrition Examination Survey
Nutrition
Nutrition Surveys
Odds Ratio
Polls & surveys
Prediabetic State - blood
Prediabetic State - diagnosis
Prediabetic State - epidemiology
Recommended Dietary Allowances
reducing sugars
Risk Factors
Sugar
sugar sweetened beverages
sweeteners
United States - epidemiology
Water consumption
Water intake
Water intakes
weight control
Weight reduction
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Summary:Although the 2015 Dietary Guidelines Advisory Committee concluded that there was moderate evidence that substituting sugar-containing sweeteners with low-calorie sweeteners (LCS) reduces calorie intake and weight, dietary recommendations encourage substituting only water for sugar-sweetened beverages during weight management. This cross-sectional study evaluated the relation of water and no- and low-calorie sweetened beverage (LCSB) intake with nutrient intakes and prediabetes criteria using data from the National Health and Nutrition Examination Survey (NHANES) 2001-2012 in 25,817 adults that were free of diabetes. Although linear trends were observed with both beverages, higher LCSB intake was associated with significantly lower consumption of carbohydrates (-9.1 g/day vs. -1.4 g/day), total sugars (-10.9 g/day vs. -2.2 g/day), and added sugars (-2.0 tsp eq vs. -0.8 tsp eq) than those associated with higher water intake. Higher intake of both beverages was significantly associated with lower insulin levels ( < 0.01); however, higher intake of LCSB was also associated with lower hemoglobin A1c (HbA1c) and lower homeostatic model assessment of insulin resistance (HOMA-IR) ( < 0.01). We observed lower odds ratios for elevated HbA1c (adjusted odds ratio [OR] 0.79, 95% CI 0.64-0.98), HOMA-IR (0.68, 0.53-0.87), and insulin levels (0.63, 0.49-0.80) in LCSB among the higher (2+ servings) intake group compared to the lowest (
ISSN:2072-6643
2072-6643
DOI:10.3390/nu9090928