Prevalence and Related Factors of Artificially Sweetened Beverage Intake among Patients with Type 2 Diabetes

Abstract

Aim: Recently, artificially sweetened beverages (ASBs) have inundated the market because of their low calorie value. We examined the prevalence and related factors of ASB intake among patients with type 2 diabetes (T2DM) using questionnaires.

Methods: This study randomly selected 209 patients with T2DM who visited our center between December 1 and 20, 2016. For validation of questionnaires on ASB and sugar sweetened beverage (SSB) intake, 1-month beverages' record was performed in 40 patients with and without DM.

Results: The agreement between the recorded information and answers to the questionnaires on ASB/SSB intake was over 75 %. The prevalence of ASB and SSB intake was 27 % and 17 %, respectively. In total, 71 % of patients initiated ASB intake after T2DM onset. Multivariable logistic regression analysis showed that ORs (95 % CIs) for intake of ASB related to age 60-69 and ≥70 years old compared with <60 years old were 0.2 (0.1-0.5) and 0.1 (0.03-0.3). The corresponding values for HbA1c 6.5-7.1 and ≥7.2 % compared with <6.5 % were 2.6 (0.9-6.9) and 2.9 (1.1-7.6).

Conclusion: The prevalence of ASB intake anticipated from questionnaires was 27 %, with 71 % of these patients initiating ASB intake after T2DM onset. Not older age and a higher HbA1c were independently related to ASB intake.