Evidence mapPaperPMID 34199607Full record

ArticleNutrients2021

The Speed of Ingestion of a Sugary Beverage Has an Effect on the Acute Metabolic Response to Fructose.

Mehmet Kanbay, Begum Guler, Lale A Ertuglu, Tuncay Dagel, Baris Afsar, Said Incir, Arzu Baygul, Adrian Covic, Ana Andres-Hernando, Laura Gabriela Sánchez-Lozada and 2 more

Abstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. A study on the early metabolic effects of salt and fructose consumption: the protective role of water.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  8. The fructose survival hypothesis for obesity.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Review
  9. Sugar and Dyslipidemia: A Double-Hit, Perfect Storm.Journal of clinical medicine · 2023
    Review
  10. Review
  11. Fructose: A New Variable to Consider in SIADH and the Hyponatremia Associated With Long-Distance Running?American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
  12. Review
  13. Article
  14. Do thrifty genes exist? Revisiting uricase.Obesity (Silver Spring, Md.) · 2022
    Review
  15. Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mehmet KanbayDivision of Nephrology, Department of Medicine, Koc University School of Medicine, Istanbul 34010, Turkey.ORCID 0000-0002-1297-0675
Begum GulerDepartment of Medicine, Koc University School of Medicine, Istanbul 34450, Turkey.ORCID 0000-0002-4806-317X
Lale A ErtugluDepartment of Medicine, Koc University School of Medicine, Istanbul 34450, Turkey.ORCID 0000-0002-6318-4199
Tuncay DagelDivision of Nephrology, Department of Medicine, Koc University School of Medicine, Istanbul 34010, Turkey.
Baris AfsarDivision of Nephrology, Department of Internal Medicine, Suleyman Demirel University School of Medicine, Isparta 32260, Turkey.
Said IncirDepartment of Biochemistry, Koc University School of Medicine, Istanbul 34010, Turkey.
Arzu BaygulDepartment of Bioistastics, Koc University School of Medicine, Istanbul 34010, Turkey.
Adrian CovicDepartment of Nephrology, Grigore T. Popa' University of Medicine, 700115 Iasi, Romania.
Ana Andres-HernandoDivision of Renal Diseases and Hypertension, University of Colorado Denver, Aurora, CO 80045, USA.
Laura Gabriela Sánchez-LozadaDepartment of Cardio-Renal Physiopathology, Instituto Nacional de Cardiología-Ignacio Chavez, Mexico City, Mexico.ORCID 0000-0003-0348-9617
Miguel A LanaspaDivision of Renal Diseases and Hypertension, University of Colorado Denver, Aurora, CO 80045, USA.
Richard J JohnsonDivision of Renal Diseases and Hypertension, University of Colorado Denver, Aurora, CO 80045, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe consumption of sweetened beverages is associated with increased risk of metabolic syndrome, cardiovascular disease, and type 2 diabetes mellitus.

objectiveWe hypothesized that the metabolic effects of fructose in sugary beverages might be modulated by the speed of ingestion in addition to the overall amount.

designThirty healthy subjects free of any disease and medication were recruited into two groups. After overnight fasting, subjects in group 1 drank 500 mL of apple juice over an hour by drinking 125 mL every 15 min, while subjects in group 2 drank 500 mL of apple juice over 5 min. Blood samples were collected at time zero and 15, 30, 60, and 120 min after ingestion to be analyzed for serum glucose, insulin, homeostatic model assessment (HOMA-IR) score, fibroblast growth factor 21, copeptin, osmolarity, sodium, blood urea nitrogen (BUN), lactate, uric acid, and phosphate levels.

resultsSerum glucose, insulin, HOMA-IR, fibroblast growth factor 21, copeptin, osmolarity, sodium, BUN, and lactate levels increased following apple juice ingestion. The increases were greater in the fast-drinking group, which were more significant after 15 min and 30 min compared to baseline. The changes in uric acid were not statistically different between the groups. Phosphate levels significantly increased only in the fast-drinking group.

conclusionFast ingestion of 100% apple juice causes a significantly greater metabolic response, which may be associated with negative long-term outcomes. Our findings suggest that the rate of ingestion must be considered when evaluating the metabolic impacts of sweetened beverage consumption.

Indexed as

EatingAdultBlood GlucoseDiabetes Mellitus, Type 2FemaleFibroblast Growth FactorsFructoseFruit and Vegetable JuicesGlucoseGlycopeptidesHumansInsulinMaleMalusMetabolic SyndromeOsmolar ConcentrationBlood Glucosecopeptinsfibroblast growth factor 21Fibroblast Growth FactorsFructoseGlucoseGlycopeptidesInsulinProtein PrecursorsSugarsUric Acidcopeptinfibroblast growth factor 21osmolaritysugary beverage

Identifiers

PMID34199607
PMCPMC8228203

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.