Patterns of beverage consumption and risk of CHD among Mexican adults

Br J Nutr. 2018 Jul;120(2):210-219. doi: 10.1017/S0007114518001411.

Abstract

CHD is becoming an increasing priority worldwide, as it is one of the main causes of death in low- and middle-income countries lately. This study aims to evaluate the association between beverage consumption patterns and the risk of CHD among Mexican adult population. We performed a cross-sectional analysis using data from 6640 adults participating in the Health Workers' Cohort Study. Factor analysis was performed to identify beverage patterns using sex-specific Framingham prediction algorithms to estimate CHD risk. The prevalence of moderate to high CHD risk was 17·8 %. We identified four major beverage consumption patterns, which were categorised as alcohol, coffee/tea, soft drinks and low-fat milk. We observed a lower risk of CHD (OR=0·61; 95 % CI 0·46, 0·80; and OR=0·58; 95 % CI 0·43, 0·79, respectively) among participants in the upper quintile of alcohol or low-fat milk consumption compared with those in the bottom quintile. In contrast, a higher consumption of soft drinks was positively associated with CHD risk (OR=1·64; 95 % CI 1·21, 2·20) when compared with other extreme quintiles. Finally, coffee/tea consumption was not significantly associated with CHD risk. Our findings suggest that a beverage pattern characterised by a higher intake of sugar-sweetened beverages may be associated with an increased risk of CHD among the Mexican adult population, whereas patterns of moderate alcohol intake and low-fat milk may be associated with a reduced risk.

Keywords: SSB sugar-sweetened beverages; Alcohol; Beverage patterns; CHD; Mexican adults; Soft drinks.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Alcohol Drinking
  • Algorithms
  • Animals
  • Anthropometry
  • Beverages*
  • Carbonated Beverages
  • Coffee
  • Cohort Studies
  • Coronary Disease / epidemiology*
  • Coronary Disease / etiology*
  • Cross-Sectional Studies
  • Diet*
  • Energy Intake
  • Female
  • Humans
  • Life Style
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Milk
  • Public Health
  • Risk Assessment*
  • Young Adult

Substances

  • Coffee