Research

Mixed

Replacing sugar-sweetened beverages (SSBs) with unsweetened beverages (USBs) or artificially sweetened beverages (ASBs) for 12 months does not significantly improve cardiometabolic risk factors (specifically the TG:HDL-C ratio) in the general adult population.

If you drink sugary beverages daily, switching to water or diet soda for a year won't necessarily fix your cholesterol or triglyceride ratios on its own. However, if you carry excess weight around your midsection, switching to either water or diet soda can help you lose weight compared to continuing sugary drinks. Water is better if you want to reduce your craving for sweet tastes.

GoodRefutesHIGH confidence
Change in serum triglyceride to high-density lipoprotein cholesterol ratio was not different between groups.
Cara B. Ebbeling et al. · Journal of the American Heart Association · 2020

Why this rating

Randomized Controlled Trial with high retention (91.6%) and clear group differentiation, though underpowered for small effect sizes on the primary outcome.

Source

Effects of Sugar‐Sweetened, Artificially Sweetened, and Unsweetened Beverages on Cardiometabolic Risk Factors, Body Composition, and Sweet Taste Preference: A Randomized Controlled Trial

Cara B. Ebbeling et al. · Journal of the American Heart Association · 2020

DOI 10.1161/jaha.119.015668

rct · n=203Cited 85×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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