Alcoholic beverage preference and diabetes incidence across Europe: the Consortium on Health and Ageing Network of Cohorts in Europe and the United States (CHANCES) project

Title
Alcoholic beverage preference and diabetes incidence across Europe: the Consortium on Health and Ageing Network of Cohorts in Europe and the United States (CHANCES) project
Publication type
Journal Article
Year of Publication
2017
Journal
European Jouranl of Clinical Nutrition
Volume
71
Issue
5
Pagination
659-668
Keywords
Abstract

Abstract

Background/Objectives: It is unknown if wine, beer, and spirit intake lead to a similar association with diabetes. We studied the association between alcoholic beverage preference and type 2 diabetes incidence in persons who reported to consume alcohol.

Subjects/Methods: Ten European cohort studies from the Consortium on Health and Ageing: Network of Cohorts in Europe and the United States (CHANCES) were included, comprising participant data of 62 458 adults who reported alcohol consumption at baseline. Diabetes incidence was based on documented and/or self-reported diagnosis during follow-up. Preference was defined as ≥70% of total alcohol consumed was either beer, wine or spirits. Adjusted hazard ratios (HRs) were computed using Cox proportional hazard regression. Single cohort HRs were pooled by random-effects meta-analysis.

Results: Beer, wine, or spirit preference was not related to diabetes risk compared with having no preference. The pooled HRs were HR 1.06 (95%CI 0.93, 1.20) for beer, HR 0.99 (95%CI 0.88, 1.11) for wine, and  HR 1.19 (95%CI 0.97, 1.46) for spirit preference. Absolute wine intake, adjusted for total alcohol, was associated with a lower diabetes risk: pooled HR per 6 grams/day was 0.96 (95% CI 0.93, 0.99). A spirit preference was related to a higher diabetes risk in those with a higher BMI, in men and  women separately, but not after excluding persons with prevalent diseases

Conclusions: This large individual-level meta-analysis among persons who reported alcohol consumption revealed that the preference for beer, wine, and spirits was similarly associated with diabetes incidence compared with having no preference.