{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T05:46:00Z","timestamp":1792215960202,"version":"4.4.0"},"reference-count":60,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T00:00:00Z","timestamp":1364342400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2013,11,14]]},"abstract":"<jats:p>The incidence of the metabolic syndrome (MetS) is increasing and lifestyle behaviours may play a role. The aim of the present study was to prospectively assess the association between changes in the consumption of sugar-sweetened beverages (SSB) and the incidence of the MetS and its components in a Spanish cohort of university graduates. We included 8157 participants initially free of the MetS and followed up during at least 6 years. SSB consumption was collected by a FFQ previously validated in Spain. The change in SSB consumption was calculated as the difference between SSB consumption at a 6-year follow-up and baseline consumption. The MetS was defined according to the International Diabetes Federation and the American Heart Association\/National Heart, Lung, and Blood Institute's new definition of the MetS that had harmonised previous definitions. The associations between changes in SSB intake and the MetS were examined using multiple logistic regression. We observed 361 incident cases of the MetS. Participants who increased their consumption of SSB (upper <jats:italic>v<\/jats:italic>. lower quintile) had a significantly higher risk of developing the MetS (adjusted OR 2\u00b72, 95\u00a0% CI 1\u00b74, 3\u00b75; <jats:italic>P<\/jats:italic> for trend\u00a0=\u00a00\u00b7003). Similarly, they presented a significantly higher risk of developing high blood pressure (adjusted OR 1\u00b76, 95\u00a0% CI 1\u00b73, 2\u00b71), central obesity (adjusted OR 2\u00b73, 95\u00a0% CI 1\u00b79, 2\u00b77), hypertriacylglycerolaemia (adjusted OR 1\u00b77, 95\u00a0% CI 1\u00b71, 2\u00b76) or impaired fasting glucose (adjusted OR 1\u00b76, 95\u00a0% CI 1\u00b71, 2\u00b72). In conclusion, an increase in SSB consumption was associated with a higher risk of developing the MetS and other metabolic disorders after 6 years of follow-up in a Mediterranean cohort of university graduates.<\/jats:p>","DOI":"10.1017\/s0007114513000822","type":"journal-article","created":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T14:49:26Z","timestamp":1364395766000},"page":"1722-1731","source":"Crossref","is-referenced-by-count":72,"title":["Prospective study of changes in sugar-sweetened beverage consumption and the incidence of the metabolic syndrome and its components: the SUN cohort"],"prefix":"10.1017","volume":"110","author":[{"given":"Mar\u00eda T.","family":"Barrio-Lopez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel A.","family":"Martinez-Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Fernandez-Montero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan J.","family":"Beunza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itziar","family":"Zazpe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maira","family":"Bes-Rastrollo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,3,27]]},"reference":[{"key":"S0007114513000822_ref30","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.716159"},{"key":"S0007114513000822_ref59","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1203039"},{"key":"S0007114513000822_ref58","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.14.1785"},{"key":"S0007114513000822_ref8","first-page":"797","article-title":"Prevalence of metabolic syndrome in the Spanish working population: MESYAS registry","volume":"58","author":"Alegria","year":"2005","journal-title":"Rev Esp Cardiol"},{"key":"S0007114513000822_ref47","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114511001504"},{"key":"S0007114513000822_ref45","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.169404"},{"key":"S0007114513000822_ref23","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/65.4.908"},{"key":"S0007114513000822_ref24","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/55.4.851"},{"key":"S0007114513000822_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2009.12.022"},{"key":"S0007114513000822_ref51","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/76.5.911"},{"key":"S0007114513000822_ref50","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/79.4.537"},{"key":"S0007114513000822_ref55","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803494"},{"key":"S0007114513000822_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04041-1"},{"key":"S0007114513000822_ref49","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195312911.003.0003"},{"key":"S0007114513000822_ref43","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-5-94"},{"key":"S0007114513000822_ref39","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980009993065"},{"key":"S0007114513000822_ref42","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005745"},{"key":"S0007114513000822_ref36","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-867"},{"key":"S0007114513000822_ref38","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114509993837"},{"key":"S0007114513000822_ref22","first-page":"498","article-title":"The effect of reduced extrinsic sucrose intake on plasma triglyceride levels","volume":"50","author":"Smith","year":"1996","journal-title":"Eur J Clin Nutr"},{"key":"S0007114513000822_ref54","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.025437"},{"key":"S0007114513000822_ref25","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2005.136"},{"key":"S0007114513000822_ref60","first-page":"168","volume-title":"Modern Epidemiology","author":"Rothman","year":"2008"},{"key":"S0007114513000822_ref18","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1079"},{"key":"S0007114513000822_ref34","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192644"},{"key":"S0007114513000822_ref32","doi-asserted-by":"publisher","DOI":"10.1080\/10284150290007047"},{"key":"S0007114513000822_ref33","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyl223"},{"key":"S0007114513000822_ref56","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17663-0"},{"key":"S0007114513000822_ref41","first-page":"352","article-title":"Validaci\u00f3n del peso e \u00edndice de masa corporal auto-declarados de los participantes de una cohorte de graduados universitarios. Spanish (Validation of the self-reported weight and body mass index of participants in a cohort of university graduates)","volume":"3","author":"Bes-Rastrollo","year":"2005","journal-title":"Rev Esp Obes"},{"key":"S0007114513000822_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.07.031"},{"key":"S0007114513000822_ref28","doi-asserted-by":"publisher","DOI":"10.1139\/H10-080"},{"key":"S0007114513000822_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.3.356"},{"key":"S0007114513000822_ref13","doi-asserted-by":"publisher","DOI":"10.3945\/jn.108.092163"},{"key":"S0007114513000822_ref57","doi-asserted-by":"publisher","DOI":"10.1053\/jada.2003.50006"},{"key":"S0007114513000822_ref19","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.18.2330"},{"key":"S0007114513000822_ref31","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1079"},{"key":"S0007114513000822_ref37","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/22.3.512"},{"key":"S0007114513000822_ref48","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2010.29478"},{"key":"S0007114513000822_ref14","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.018366"},{"key":"S0007114513000822_ref44","unstructured":"European Fruit Juice Association (2012) Liquid Fruit. Market Report. Brussels: AIJN. http:\/\/www.aijn.org\/pages\/main\/facts-figures.html (accessed February 2013)."},{"key":"S0007114513000822_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaceta.2011.02.009"},{"key":"S0007114513000822_ref11","doi-asserted-by":"publisher","DOI":"10.1038\/482027a"},{"key":"S0007114513000822_ref46","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67402-8"},{"key":"S0007114513000822_ref27","doi-asserted-by":"publisher","DOI":"10.1139\/H09-094"},{"key":"S0007114513000822_ref20","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.067017"},{"key":"S0007114513000822_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-0407.2010.00078.x"},{"key":"S0007114513000822_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-4"},{"key":"S0007114513000822_ref15","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.876185"},{"key":"S0007114513000822_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2011.10.015"},{"key":"S0007114513000822_ref53","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/76.1.274S"},{"key":"S0007114513000822_ref17","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.8.927"},{"key":"S0007114513000822_ref1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.10.2444"},{"key":"S0007114513000822_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/71.2.412"},{"key":"S0007114513000822_ref40","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa025039"},{"key":"S0007114513000822_ref6","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-2109"},{"key":"S0007114513000822_ref29","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-1799"},{"key":"S0007114513000822_ref2","doi-asserted-by":"publisher","DOI":"10.1185\/030079905X53333"},{"key":"S0007114513000822_ref26","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.689935"},{"key":"S0007114513000822_ref52","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)07164-5"},{"key":"S0007114513000822_ref7","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-1800"}],"container-title":["British Journal of Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007114513000822","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T19:06:25Z","timestamp":1556046385000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007114513000822\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,27]]},"references-count":60,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,11,14]]}},"alternative-id":["S0007114513000822"],"URL":"https:\/\/doi.org\/10.1017\/s0007114513000822","relation":{},"ISSN":["0007-1145","1475-2662"],"issn-type":[{"value":"0007-1145","type":"print"},{"value":"1475-2662","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,27]]}}}