Sugar-sweetened beverage intake and cardiovascular risk factor profile in youth with type 1 diabetes: Application of measurement error methodology in the SEARCH Nutrition Ancillary Study

Details

• Alternative Title:
  Br J Nutr
• Personal Author:
  Liese, Angela D. ; Crandell, Jamie L. ; Tooze, Janet A. ; Kipnis, Victor ; Bell, Ronny ; Couch, Sarah C. ; Dabelea, Dana ; Crume, Tessa L. ; Mayer-Davis, Elizabeth J.
• Description:
  Objective
  
  The SEARCH Nutrition Ancillary Study aims to investigate the role of dietary intake on the development of long-term complications of type 1diabetes in youth and capitalize on measurement error (ME) adjustment methodology.
  
  Research Design and Methods
  
  Using the National Cancer Institute (NCI) method for episodically-consumed foods, we evaluated the relationship of sugar-sweetened beverage (SSB) intake and cardiovascular risk factor profile, applying ME adjustment. The calibration sample included 166 youth with two FFQs and three 24-hour dietary recalls within one month. The full sample included 2,286 youth with type 1 diabetes.
  
  Results
  
  SSB intake was significantly associated with higher triglycerides, total and LDL-cholesterol, adjusted for energy, age, diabetes duration, race/ethnicity, gender, education. The estimated effect size was larger (model coefficients increased approximately threefold) after application of the NCI method than without ME adjustment. Compared to individuals consuming one serving of SSB every two weeks, those who consumed one serving every two days had 3.7 mg/dL higher triglycerides, 4.0 mg/dL higher total cholesterol and LDL cholesterol, adjusted for ME and covariates. SSB intake was not associated with measures of adiposity and blood pressure.
  
  Conclusions
  
  Our findings suggest that SSB intake is significantly related to increased lipid levels in youth with type 1diabetes and that estimates of the effect size of SSB on lipid levels are severely attenuated in the presence of measurement error. Future studies in youth with diabetes should consider a design that will allow for the adjustment for measurement error when studying the influence of diet on health status.
  
  
• Subjects:
  Adiposity Adolescent Beverages Blood Pressure Cardiovascular Diseases Cholesterol, LDL Diabetes Mellitus, Type 1 Dietary Carbohydrates Diet Records Diet Surveys Female Health Status Humans Male National Cancer Institute (U.S.) Risk Factors Triglycerides United States

  More +
• Keywords:
  Diabetes Mellitus Food Frequency Questionnaire Validation Reliability Youth
• Source:
  Br J Nutr. 114(3):430-438
• Pubmed ID:
  26177613
• Pubmed Central ID:
  PMC4817246
• Document Type:
  Journal Article
• Funding:
  U18DP002708/DP/NCCDPHP CDC HHSUnited States/ ; P30 DK057516/DK/NIDDK NIH HHSUnited States/ ; 1U18DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU819241-3/PHS HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; R01 DK077949/DK/NIDDK NIH HHSUnited States/ ; 8 UL1 TR000077/TR/NCATS NIH HHSUnited States/ ; U18 DP002710/DP/NCCDPHP CDC HHSUnited States/ ; U18DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000245/DP/NCCDPHP CDC HHSUnited States/ ; DP-05-069/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU419249/PHS HHSUnited States/ ; 200-2010-35 171/PHS HHSUnited States/ ; UL1 TR000154/TR/NCATS NIH HHSUnited States/ ; U18 DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU919219/PHS HHSUnited States/ ; DP-10-001/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; P30 DK57516/DK/NIDDK NIH HHSUnited States/ ; U58CCU919256/PHS HHSUnited States/ ; U18DP000247-06A1/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR00423/TR/NCATS NIH HHSUnited States/ ; DK-56 350/DK/NIDDK NIH HHSUnited States/ ; U48/CCU519239/PHS HHSUnited States/ ; U18DP002710-01/DP/NCCDPHP CDC HHSUnited States/ ; UL1 RR029882/RR/NCRR NIH HHSUnited States/ ; U58/CCU019235-4/PHS HHSUnited States/ ; U18 DP002709/DP/NCCDPHP CDC HHSUnited States/ ; 5R01DK077949/DK/NIDDK NIH HHSUnited States/ ; UL1 TR001425/TR/NCATS NIH HHSUnited States/ ; UL1 TR002319/TR/NCATS NIH HHSUnited States/ ; P30 DK056350/DK/NIDDK NIH HHSUnited States/ ; UL1 TR000077/TR/NCATS NIH HHSUnited States/ ; UL1 TR000423/TR/NCATS NIH HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002708/DP/NCCDPHP CDC HHSUnited States/ ; UL1RR029882/RR/NCRR NIH HHSUnited States/ ; HIR 10-001/HX/HSRD VAUnited States/
• Volume:
  114
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7f2712f199fbce4662ac42ec772cecd4ec929474f98b6bd9ae39514231433ea8
• Download URL:
  https://stacks.cdc.gov/view/cdc/38762/cdc_38762_DS1.pdf
• File Type:
  [PDF - 123.32 KB ]