Umbrella review assesses the association between artificially sweetened beverages and health outcomes UniversidadVIU westernsydneyu Sydney_Uni HarvardChanSPH nutrition diet health sweeteners
By Dr. Priyom Bose, Ph.D.Jun 6 2023Reviewed by Danielle Ellis, B.Sc. The food and beverage industry considers artificially sweetened beverages a healthier replacement for sugar-sweetened beverages . This is because ASBs are sugar-free and have low or no calories.
Even though manufacturing companies claim artificially sweetened products are safe for consumption, a large amount of evidence has been documented that disagrees with this claim. These studies have shown that ASBs rapidly modify the gut microbial population in mice and humans. This alteration can significantly affect the metabolism, fat storage, and appetite of an individual.
Some meta-analyses that provided weak evidence due to their study design were excluded. If a meta-analysis considered a mixture of studies, such as cohort, cross-sectional, and case-control evidence, the cross-sectional aspect was excluded, and the meta-analysis was reanalyzed. In addition, systemic reviews that pooled data associated with energy drinks, SSBs, or juices, were excluded. This study did not include any narrative reviews and systematic reviews published as conference abstracts.
Study findings A total of eleven studies satisfied all the required criteria. The selected reports comprised fifty-one cohort studies and four case-control studies. Most of these studies indicated that ASBs are associated with a higher risk of cardiovascular mortality, hypertension, all-cause mortality, type 2 diabetes, obesity, and CVD incidence. This review added two additional health outcomes, i.e., stroke and coronary artery disease , liked to ASBs consumption.
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