Mixed
Artificially sweetened beverages (ASBs) are associated with a 25% increased risk of type 2 diabetes before adjustment for adiposity, which attenuates to 8% after adjustment, but likely involve bias and are not healthy alternatives.
Switching from sugar-sweetened to artificially sweetened beverages may not reduce your diabetes risk as much as expected, and the association may be influenced by bias. Neither is a clearly healthy option for diabetes prevention.
for artificially sweetened beverages, 25% (18% to 33%, I2=70%) and 8% (2% to 15%, I2=64%)... Potential sources of heterogeneity or bias were not evident for sugar sweetened beverages. For artificially sweetened beverages, publication bias and residual confounding were indicated.
Why this rating
Meta-analysis of prospective cohorts, but significant publication bias and residual confounding limit certainty.
Source
Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction
Fumiaki Imamura et al. · BMJ · 2015
DOI 10.1136/bmj.h3576
More from this paper
- Habitual consumption of sugar-sweetened beverages (SSBs) increases the incidence of type 2 diabetes independently of obesity status, with an estimated 13% increased risk per serving per day after adjusting for adiposity.Good
- Consumption of sugar-sweetened beverages is estimated to be responsible for 8.7% of type 2 diabetes cases in the US and 3.6% in the UK over a 10-year period, assuming causality.Good
Related findings · Mixed
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