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Intake of Fruit Juice and Incidence of Type 2 Diabetes: A Systematic Review and Meta-Analysis

Author

Listed:
  • Bo Xi
  • Shuangshuang Li
  • Zhaolu Liu
  • Huan Tian
  • Xiuxiu Yin
  • Pengcheng Huai
  • Weihong Tang
  • Donghao Zhou
  • Lyn M Steffen

Abstract

Background: Several prospective studies have been conducted to examine the relationship between fruit juice intake and risk of incident type 2 diabetes, but results have been mixed. In the present study, we aimed to estimate the association between fruit juice intake and risk of type 2 diabetes. Methods: PubMed and Embase databases were searched up to December 2013. All prospective cohort studies of fruit juice intake with risk of type 2 diabetes were included. The pooled relative risks (RRs) with 95% confidence intervals (CIs) for highest vs. lowest category of fruit juice intake were estimated using a random-effects model. Results: A total of four studies (191,686 participants, including 12,375 with type 2 diabetes) investigated the association between sugar-sweetened fruit juice and risk of incident type 2 diabetes, and four studies (137,663 participants and 4,906 cases) investigated the association between 100% fruit juice and risk of incident type 2 diabetes. A higher intake of sugar-sweetened fruit juice was significantly associated with risk of type 2 diabetes (RR = 1.28, 95%CI = 1.04–1.59, p = 0.02), while intake of 100% fruit juice was not associated with risk of developing type 2 diabetes (RR = 1.03, 95% CI = 0.91–1.18, p = 0.62). Conclusions: Our findings support dietary recommendations to limit sugar-sweetened beverages, such as fruit juice with added sugar, to prevent the development of type 2 diabetes.

Suggested Citation

  • Bo Xi & Shuangshuang Li & Zhaolu Liu & Huan Tian & Xiuxiu Yin & Pengcheng Huai & Weihong Tang & Donghao Zhou & Lyn M Steffen, 2014. "Intake of Fruit Juice and Incidence of Type 2 Diabetes: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-6, March.
    • Handle: RePEc:plo:pone00:0093471
    DOI: 10.1371/journal.pone.0093471
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    Cited by:

    1. Vanesa Bellou & Lazaros Belbasis & Ioanna Tzoulaki & Evangelos Evangelou, 2018. "Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-27, March.

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