Last Nail in the Coffin for Sugar-Sweetened Beverages

Now Let's Focus on the Hard Part

Alice H. Lichtenstein, DSc


Circulation. 2019;139(18):2126-2128. 

In This Article

Artificially Sweetened Beverages

The relationship between ASBs and mortality is less clear. ASB intake was positively associated with CVD and all-cause mortality in the women, although this association was weakened after correction for confounding factors, resulting in a significant effect for all-cause mortality and nonsignificant effect for CVD mortality. When women at the highest level of ABS intake were separated out (≥4 servings per week), the relationship with mortality became stronger. Similar relationships were not observed in men or in either sex for cancer mortality. Of note, the data for ASB need to be interpreted with caution given that the category of sweeteners was chemically heterogeneous during the period of data collection and is even more heterogeneous at present. Within this context, the authors estimated from their data that substituting 1 serving of an SSB with an ASB was associated with a 4% lower risk of all-cause mortality, 5% lower risk of CVD mortality, and 4% lower risk of cancer mortality.[4]