糖尿病と心臓病の世界的な数百万症例と砂糖入り飲料の関連性を示す新たな研究結果(New Study Links Millions of Diabetes and Heart Disease Cases Globally to Sugary Drinks)

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2025-01-06 タフツ大学

タフツ大学の研究によると、砂糖入り飲料(SSBs)の消費は、毎年全世界で220万件の2型糖尿病と120万件の心血管疾患の新規症例に関連しています。特にサハラ以南のアフリカやラテンアメリカ・カリブ海地域では、糖尿病や心疾患への寄与が顕著。SSBsは急速に消化され血糖値を急上昇させ、長期的にインスリン抵抗性や代謝障害を引き起こします。研究者は広告規制や課税などの介入が急務であると提言しています。

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184カ国における砂糖入り飲料に起因する2型糖尿病と心血管疾患の負荷 Burdens of type 2 diabetes and cardiovascular disease attributable to sugar-sweetened beverages in 184 countries

Laura Lara-Castor,Meghan O’Hearn,Frederick Cudhea,Victoria Miller,Peilin Shi,Jianyi Zhang,Julia R. Sharib,Sean B. Cash,Simon Barquera,Renata Micha,Dariush Mozaffarian & Global Dietary Database
Nature Medicine  Published:06 January 2025
DOI:https://doi.org/10.1038/s41591-024-03345-4

糖尿病と心臓病の世界的な数百万症例と砂糖入り飲料の関連性を示す新たな研究結果(New Study Links Millions of Diabetes and Heart Disease Cases Globally to Sugary Drinks)

Abstract

The consumption of sugar-sweetened beverages (SSBs) is associated with type 2 diabetes (T2D) and cardiovascular diseases (CVD). However, an updated and comprehensive assessment of the global burden attributable to SSBs remains scarce. Here we estimated SSB-attributable T2D and CVD burdens across 184 countries in 1990 and 2020 globally, regionally and nationally, incorporating data from the Global Dietary Database, jointly stratified by age, sex, educational attainment and urbanicity. In 2020, 2.2 million (95% uncertainty interval 2.0–2.3) new T2D cases and 1.2 million (95% uncertainty interval 1.1–1.3) new CVD cases were attributable to SSBs worldwide, representing 9.8% and 3.1%, respectively, of all incident cases. Globally, proportional SSB-attributable burdens were higher among men versus women, younger versus older adults, higher- versus lower-educated adults, and adults in urban versus rural areas. By world region, the highest SSB-attributable percentage burdens were in Latin America and the Caribbean (T2D: 24.4%; CVD: 11.3%) and sub-Saharan Africa (T2D: 21.5%; CVD: 10.5%). From 1990 to 2020, the largest proportional increases in SSB-attributable incident T2D and CVD cases were in sub-Saharan Africa (+8.8% and +4.4%, respectively). Our study highlights the countries and subpopulations most affected by cardiometabolic disease associated with SSB consumption, assisting in shaping effective policies and interventions to reduce these burdens globally.

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