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BiomarkersNCT03173586

Sugar Sweetened Beverage Intake and Biomarkers of Cardiometabolic Risk in US Women

An observational study of Biomarkers, run by Harvard School of Public Health (HSPH) at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a secondary analysis of data collected in the Nurses' Health Study (NHS) that will evaluat the association between intake of sugar sweetened beverages (SSB), juice and artificially sweetened beverages in relation to biomarkers of hepatic function, lipid metabolism, inflammation and glycemic control. Read more about this study

Who is it for?
Ages 30 to 55 years, women onlyHealthy volunteers can take part
Conditions the study is for
Biomarkers
What is being tested?
Sugar sweetened beverage (SSB)
How many people
33,000 participants
Where
1 siteUnited States
Study dates
16 Sep 1999to 31 Mar 2009
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 55 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Study population: The Nurses' Health Study (NHS) is a prospective cohort study of 121,700 female registered nurses aged 30-55 years at baseline in 1976. Mailed questionnaires were administered biennially to collect data on medical, dietary, and lifestyle factors, with a follow-up rate exceeding 90% for each 2-year cycle. Blood samples were collected from 32,826 participants between 1989 and 1990 (biospecimen collection cycle 1) and 18,717 participants between 2000 and 2001 (biospecimen collection cycle 2). Participants who provided a blood specimen were generally similar to those who did not in terms of diet and lifestyle

Who may be able to join

  • For the current study, we included participants who provided a blood sample and were previously selected as controls for nested case-control analyses of type 2 diabetes, coronary heart disease, stroke, colon cancer, colon polyps, pancreatic cancer, and breast cancer in the Nurse's Health Study.

Who cannot join

  • Participants with self-reported prevalent diabetes or cardiovascular disease (CVD) at blood draw were excluded. After exclusions, a total of 8,492 individuals (6,961 from cycle 1 and 1,531 from cycle 2) with valid beverage intake data were included in the current analysis.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Harvard T.H. Chan School of Public Health

    Boston, Massachusetts, 02115

Other trials in United States

About this study

Official title: Association Between Sugar Sweetened Beverage Intake and Biomarkers of Cardiometabolic Risk in US Women

This study is a secondary analysis of data collected in the Nurses' Health Study (NHS) that will evaluat the association between intake of sugar sweetened beverages (SSB), juice and artificially sweetened beverages in relation to biomarkers of hepatic function, lipid metabolism, inflammation and glycemic control.

Read the detailed description

The investigators will analyze cross-sectional data from 8,492 participants in the Nurses' Health Study who were free of diabetes and cardiovascular disease to evaluate the association between intake of sugar sweetened beverages (SSB), juice and artificially sweetened beverages (ASB) and biomarkers of hepatic function, lipid metabolism, inflammation and glycemic control. Biomarkers were measured from blood samples that were collected in 2 cycles, approximately 10 years apart.

Specifically, multivariate linear regression will be used to assess the associations of SSB, ASB, and fruit juice intake with concentrations of fetuin-A, alanine transaminase, gamma-glutamyl transferase, triglycerides, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol, C-reactive protein (CRP), intracellular adhesion molecule 1 (ICAM-1), vascular cell adhesion protein 1 (VCAM-1), adiponectin, insulin, and hemoglobin A1c as well as total cholesterol/HDL-C ratio.

Conditions
Biomarkers
Being tested
Sugar sweetened beverage (SSB)
Keywords
Sugar sweetened beverage, biomarker

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Sugar sweetened beverage (SSB)Other

    Also called Artificially sweetened beverage (ASB), juice

    This is an observational study examining sugar sweetened beverage intake in relation to biomarkers in the NHS.

Study groups in NCT03173586
Study groupRoleWhat they receive
NHSLeast-squares mean (95% CI) concentrations of biomarkers by frequency of sugar sweetened beverage (SSB) intake among participants free of diabetes and cardiovascular disease in the NHS. Least-squares mean (95% CI) concentrations of biomarkers by frequency of artificially sweetened beverage (ASB) intake among participants free of diabetes and cardiovascular disease in the NHS. Least-squares mean (95% CI) concentrations of biomarkers by frequency of fruit juice intake among participants free of diabetes and cardiovascular disease in the NHS.
Receives: Other: Sugar sweetened beverage (SSB)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fetuin-A

    Biomarkers of liver function

    Measured: Blood collection cycle 1 (1989-1990)

  2. Fetuin-A

    Biomarkers of liver function

    Measured: Blood collection cyle 2 (2000-2001)

  3. Alanine transaminase

    Biomarkers of liver function

    Measured: Blood collection cycle 1 (1989-1990)

  4. Alanine transaminase

    Biomarkers of liver function

    Measured: Blood collection cyle 2 (2000-2001)

  5. Gamma-glutamyl transferase

    Biomarkers of liver function

    Measured: Blood collection cycle 1 (1989-1990)

  6. Gamma-glutamyl transferase

    Biomarkers of liver function

    Measured: Blood collection cyle 2 (2000-2001)

Secondary outcomes (20)
  1. Triglycerides

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  2. Triglycerides

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 2 (2000-2001)

  3. High-density lipoprotein cholesterol (HDL-C)

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  4. High-density lipoprotein cholesterol (HDL-C)

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 2 (2000-2001)

  5. Low-density lipoprotein cholesterol (LDL-C)

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  6. Low-density lipoprotein cholesterol (LDL-C)

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 2 (2000-2001)

  7. Total cholesterol

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  8. Total cholesterol

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 2 (2000-2001)

  9. Total cholesterol/HDL-C ratio

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  10. Total cholesterol/HDL-C ratio

    Biomarkers of lipid metabolism

    Measured: Blood collection cycle 2 (2000-2001)

  11. C-reactive protein (CRP)

    Biomarkers of inflammation

    Measured: Blood collection cycle 1 (1989-1990)

  12. C-reactive protein (CRP)

    Biomarkers of inflammation

    Measured: Blood collection cycle 2 (2000-2001)

  13. Intracellular adhesion molecule 1 (ICAM-1)

    Biomarkers of inflammation

    Measured: Blood collection cycle 1 (1989-1990)

  14. Intracellular adhesion molecule 1 (ICAM-1)

    Biomarkers of inflammation

    Measured: Blood collection cycle 2 (2000-2001)

  15. Vascular cell adhesion protein 1 (VCAM-1)

    Biomarkers of inflammation

    Measured: Blood collection cycle 1 (1989-1990)

  16. Vascular cell adhesion protein 1 (VCAM-1)

    Biomarkers of inflammation

    Measured: Blood collection cycle 2 (2000-2001)

  17. Insulin

    Biomarkers of glucose metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  18. Insulin

    Biomarkers of glucose metabolism

    Measured: Blood collection cycle 2 (2000-2001)

  19. Hemoglobin A1c

    Biomarkers of glucose metabolism

    Measured: Blood collection cycle 1 (1989-1990)

  20. Hemoglobin A1c

    Biomarkers of glucose metabolism

    Measured: Blood collection cycle 2 (2000-2001)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2017
  2. Study start16 Sep 1999
  3. Primary completion31 Mar 2009
  4. Study completion31 Mar 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
33,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03173586
Sponsor's protocol ID
1999-P-011114
Status last verified
May 2017
First submitted
26 May 2017
Last updated
2 Jun 2017
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data are de-identified

Publications

  • Malik VS, Popkin BM, Bray GA, Despres JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care. 2010 Nov;33(11):2477-83. doi: 10.2337/dc10-1079. Epub 2010 Aug 6.

    PubMed 20693348
  • Xi B, Huang Y, Reilly KH, Li S, Zheng R, Barrio-Lopez MT, Martinez-Gonzalez MA, Zhou D. Sugar-sweetened beverages and risk of hypertension and CVD: a dose-response meta-analysis. Br J Nutr. 2015 Mar 14;113(5):709-17. doi: 10.1017/S0007114514004383. Epub 2015 Mar 4.

    PubMed 25735740
  • de Koning L, Malik VS, Kellogg MD, Rimm EB, Willett WC, Hu FB. Sweetened beverage consumption, incident coronary heart disease, and biomarkers of risk in men. Circulation. 2012 Apr 10;125(14):1735-41, S1. doi: 10.1161/CIRCULATIONAHA.111.067017. Epub 2012 Mar 12.

    PubMed 22412070
  • Bazzano LA, Li TY, Joshipura KJ, Hu FB. Intake of fruit, vegetables, and fruit juices and risk of diabetes in women. Diabetes Care. 2008 Jul;31(7):1311-7. doi: 10.2337/dc08-0080. Epub 2008 Apr 4.

    PubMed 18390796
  • Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, Willett WC, Hu FB. Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA. 2004 Aug 25;292(8):927-34. doi: 10.1001/jama.292.8.927.

    PubMed 15328324
  • Nettleton JA, Lutsey PL, Wang Y, Lima JA, Michos ED, Jacobs DR Jr. Diet soda intake and risk of incident metabolic syndrome and type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA). Diabetes Care. 2009 Apr;32(4):688-94. doi: 10.2337/dc08-1799. Epub 2009 Jan 16.

    PubMed 19151203
  • de Koning L, Malik VS, Rimm EB, Willett WC, Hu FB. Sugar-sweetened and artificially sweetened beverage consumption and risk of type 2 diabetes in men. Am J Clin Nutr. 2011 Jun;93(6):1321-7. doi: 10.3945/ajcn.110.007922. Epub 2011 Mar 23.

    PubMed 21430119
  • Willett WC, Sampson L, Stampfer MJ, Rosner B, Bain C, Witschi J, Hennekens CH, Speizer FE. Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol. 1985 Jul;122(1):51-65. doi: 10.1093/oxfordjournals.aje.a114086.

    PubMed 4014201
  • Salvini S, Hunter DJ, Sampson L, Stampfer MJ, Colditz GA, Rosner B, Willett WC. Food-based validation of a dietary questionnaire: the effects of week-to-week variation in food consumption. Int J Epidemiol. 1989 Dec;18(4):858-67. doi: 10.1093/ije/18.4.858.

    PubMed 2621022
  • Ley SH, Sun Q, Jimenez MC, Rexrode KM, Manson JE, Jensen MK, Rimm EB, Hu FB. Association between alcohol consumption and plasma fetuin-A and its contribution to incident type 2 diabetes in women. Diabetologia. 2014 Jan;57(1):93-101. doi: 10.1007/s00125-013-3077-8. Epub 2013 Oct 9.

    PubMed 24105100
  • Nimptsch K, Brand-Miller JC, Franz M, Sampson L, Willett WC, Giovannucci E. Dietary insulin index and insulin load in relation to biomarkers of glycemic control, plasma lipids, and inflammation markers. Am J Clin Nutr. 2011 Jul;94(1):182-90. doi: 10.3945/ajcn.110.009555. Epub 2011 May 4.

    PubMed 21543531
  • Sun Q, Cornelis MC, Manson JE, Hu FB. Plasma levels of fetuin-A and hepatic enzymes and risk of type 2 diabetes in women in the U.S. Diabetes. 2013 Jan;62(1):49-55. doi: 10.2337/db12-0372. Epub 2012 Aug 24.

    PubMed 22923470
  • Malik VS, Pan A, Willett WC, Hu FB. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr. 2013 Oct;98(4):1084-102. doi: 10.3945/ajcn.113.058362. Epub 2013 Aug 21.

    PubMed 23966427
  • Liu S, Manson JE, Buring JE, Stampfer MJ, Willett WC, Ridker PM. Relation between a diet with a high glycemic load and plasma concentrations of high-sensitivity C-reactive protein in middle-aged women. Am J Clin Nutr. 2002 Mar;75(3):492-8. doi: 10.1093/ajcn/75.3.492.

    PubMed 11864854
  • Fung TT, Malik V, Rexrode KM, Manson JE, Willett WC, Hu FB. Sweetened beverage consumption and risk of coronary heart disease in women. Am J Clin Nutr. 2009 Apr;89(4):1037-42. doi: 10.3945/ajcn.2008.27140. Epub 2009 Feb 11.

    PubMed 19211821

Questions about this trial

What is this clinical trial studying?

An observational study of Biomarkers, run by Harvard School of Public Health (HSPH) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fetuin-A (time frame: Blood collection cycle 1 (1989-1990)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03173586, which also lists 20 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jun 2017.

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