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Record W4413745380 · doi:10.1186/s12986-025-00999-w

Sugar-sweetened beverage consumption and risk of premature coronary artery disease in a multi-ethnic Iranian case–control study

2025· article· en· W4413745380 on OpenAlexaff
Noushin Mohammadifard, Negar Ostadsharif, Ghazaleh Bahrami, Ehsan Zarepur, Fatemeh Nouri, Fereidoon Nouhi, Nahid Azdaki, Nahid Salehi, Masoud Lotfizadeh, Samad Ghaffari, Arsalan Salari, Mostafa Dehghani, Mostafa Cheraghi, Ahmadreza Assareh, Hassan Alikhasi, Fahimeh Haghighatdoost, Nizal Sarrafzadegan

Bibliographic record

VenueNutrition & Metabolism · 2025
Typearticle
Languageen
FieldMedicine
TopicDiet, Metabolism, and Disease
Canadian institutionsUniversity of British Columbia
FundersIsfahan University of Medical Sciences
KeywordsMedicineClinical nutritionEthnic groupEnvironmental healthCoronary artery diseaseConsumption (sociology)Internal medicineSocial science

Abstract

fetched live from OpenAlex

The association of sugar sweetened beverages (SSBs) and coronary artery disease (CAD) has not been well-established in Asians, where SSBs are the leading ultra-processed food product. We aim to examine the association between SSBs and premature CAD (PCAD) in Iranian adults. Case-control. A multi-centric study of Iranians including 2006 PCAD and 1131 healthy individuals as control group. Dietary intakes were assessed using a validated food frequency questionnaire (FFQ). SSBs consist of artificial juice and sugar -sweetened drinks. The PCAD was determined based on the results of angiography and the occlusion percent of vessels. The odds of PCAD across the quartiles of SSBs were assessed by binary logistic regression. The mean (SD) age of participants and SSB consumption was 51.5 years and 46.9 g/d, respectively. In the fully-adjusted model, compared with participants in the first quartile, those in the fourth quartile had higher risk of PCAD (OR = 1.50, 95% CI: 1.12, 2.00; P trend = 0.044). Consistently, SSB consumption was directly associated with the severity of PCAD. The higher SSB consumption, the greater risk for the severe PCAD (OR Q4 vs. Q1 = 1.34, 95% CI: 1.06, 1.68; P < 0.001). This study demonstrated that higher consumption of SSB might be associated with higher risk of PCAD. However, more prospective cohort studies are necessary to confirm this association. Does Sugar Sweetened Beverages (SSBs) Consumption Increases the Risk of Premature Coronary Artery Disease (PCAD)? Logistic regression of data from Iran Premature Coronary Artery Disease Study from 3137 individuals from 8 ethnicities of Iran demonstrated that there is a positive association between SSBs and PCAD. However, prospective cohort studies are suggested for further illustration of causal relationships. Sugar Sweetened Beverages (SSBs) Consumption Was Associated With Increased Risk of Premature Coronary Artery Disease (PCAD): Iran Premature Coronary Artery Disease Study (IPAD).

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.054
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.299
Teacher spread0.278 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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