Zhongguo quanke yixue (Sep 2022)
Sugar-sweetened Beverage Intake and Risk of Hypertension: a Dose-response Meta-analysis
Abstract
Background Drinking sugary drinks are common in China, but inadequate intake of which can induce a variety of diseases. Many studies have reported the relationship between intake of sugary drinks and the risk of hypertension, however, there are still disputes over the specific dose-response relationship between them. Objective To assess the dose-response relationship between the intake of sugary drinks and the risk of hypertension. Methods We searched for cross-sectional and prospective studies about the intake of sugary drinks and risk of hypertension in databases of CNKI, CQVIP, SinoMed, Wanfang Data, PubMed, EMBase, Cochrane Library, and Web of Science from inception to November 2021. Two reviewers independently extracted data, and evaluated the quality of included studies. Stata 16.0 was used for meta-analysis. Results Sixteen studies with 316 205 subjects were included. Meta-analysis results showed that the intake of sugary drinks increased the risk of hypertension〔OR=1.12, 95%CI (1.10, 1.15) , P<0.05 〕. Subgroup analyses revealed that by the intake of sugary drinks, the risk of hypertension increased by 34% in Asian population〔OR=1.34, 95%CI (1.20, 1.51) , P<0.05〕, and increased by 11% in North American population〔OR=1.11, 95%CI (1.09, 1.14) , P<0.05〕, and rose by 82% in Oceanian population〔OR=1.82, 95%CI (1.04, 3.21) , P<0.05〕, and grew by 18% in European population〔OR=1.18, 95%CI (1.02, 1.36) , P<0.05〕. Furthermore, the intake of sugary drinks was associated with a 43% higher risk of hypertension in minors〔OR=1.43, 95%CI (1.21, 1.69) , P<0.05〕, and a 12% higher risk of hypertension in adults〔OR=1.12, 95%CI (1.09, 1.15) , P<0.05〕 . In addition, the intake of sugary drinks was associated with a 12% higher risk of hypertension in people with normal BMI〔OR=1.12, 95%CI (1.09, 1.15) , P<0.05〕, a 17% higher risk of hypertension in overweight people〔OR=1.17, 95%CI (1.00, 1.38) , P<0.05〕, and a 19% higher risk of hypertension in obese people〔OR=1.19, 95%CI (1.06, 1.34) , P<0.05〕. Dose-response analysis results showed that for every additional sugary drink (i.e. 12 ounces, about 340 g or 355 ml) per day, the risk of hypertension increases by 16%〔OR=1.16, 95%CI (1.13, 1.18) , P<0.05〕. The basically symmetrical funnel plot and the Begg's test (Z=0.23, P>0.05) and Egger's test (t=1.46, P>0.05) showed no published bias. Conclusion The intake of sugary drinks may be associated with increased risk of hypertension, and for every increased intake of a sugary drink (i.e. 12 ounces, about 340 g or 355 ml) per day, the risk of hypertension increased by 16%. So controlling the intake of sugar is important for preventing hypertension.
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