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Association between soft drinks consumption and asthma: a systematic review and meta-analysis.
Al-Zalabani, Abdulmohsen Hamdan; Noor Elahi, Ibrahim; Katib, Abdullah; Alamri, Abdulmajeed G; Halawani, Abdulrahman; Alsindi, Nasser M; Almatrafi, Mohammed; Wesselius, Anke; Stewart, Kelly F J.
Afiliación
  • Al-Zalabani AH; Department of Family and Community Medicine, Taibah University, Madinah, Saudi Arabia aalzalabani@gmail.com.
  • Noor Elahi I; Department of Family and Community Medicine, Taibah University, Joint Program of Community Medicine, Madinah, Saudi Arabia.
  • Katib A; Department of Family and Community Medicine, Taibah University, Joint Program of Community Medicine, Madinah, Saudi Arabia.
  • Alamri AG; Department of Family and Community Medicine, Taibah University, Joint Program of Community Medicine, Madinah, Saudi Arabia.
  • Halawani A; Department of Family and Community Medicine, Taibah University, Joint Program of Community Medicine, Madinah, Saudi Arabia.
  • Alsindi NM; Department of Family and Community Medicine, Taibah University, Joint Program of Community Medicine, Madinah, Saudi Arabia.
  • Almatrafi M; Department of Family and Community Medicine, Taibah University, Joint Program of Community Medicine, Madinah, Saudi Arabia.
  • Wesselius A; NUTRIM, Maastricht University, Maastricht, The Netherlands.
  • Stewart KFJ; NUTRIM, Maastricht University, Maastricht, The Netherlands.
BMJ Open ; 9(10): e029046, 2019 10 14.
Article en En | MEDLINE | ID: mdl-31615794
OBJECTIVES: To carry out meta-analysis and systematic review on the association between soft drinks consumption and asthma prevalence among adults and children. DESIGN: Systematic review and meta-analysis of observational research. DATA SOURCES: Medline, Scopus, ISI Web of Science and the Cochrane Library were searched up to December 2018. ELIGIBILITY CRITERIA: We included observational studies investigating the association between soft drinks consumption (including maternal consumption during pregnancy) and asthma or wheeze. DATA EXTRACTION AND SYNTHESIS: Data were extracted by one author and reviewed independently by two other authors. The most adjusted estimate from each original study was used in the meta-analysis. Meta-analysis was conducted using random-effects model. The quality of studies was assessed using the Newcastle-Ottawa scale and heterogeneity was evaluated using I2 statistic. RESULTS: Of 725 publications originally identified, 19 were included in this systematic review, including 3 cohort studies and 16 cross-sectional studies. Ten articles reported on children up to 18 years, 5 articles on adults (>18 years) and 2 articles on prenatal exposure. In total, 468 836 participants were included, with more than 50 000 asthma cases. Soft drinks consumption was associated with significantly increased odds of asthma in both adults (OR=1.37; 95% CI, 1.23 to 1.52) and children (OR=1.14; 95% CI, 1.06 to 1.21). Prenatal exposure had marginally statistically significant association (OR=1.11; 95% CI, 1.00 to 1.23) with asthma in children. In subgroup analysis for childhood exposure, the association persists for sugar-sweetened soft drinks but not for carbonated drinks. CONCLUSION: Our findings show a positive association between soft drinks consumption and asthma prevalence, mostly from cross-sectional studies. Therefore, more longitudinal research is required to establish causality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Edulcorantes / Bebidas Gaseosas / Bebidas Azucaradas Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Child / Female / Humans / Pregnancy Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Edulcorantes / Bebidas Gaseosas / Bebidas Azucaradas Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Child / Female / Humans / Pregnancy Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Reino Unido