Research

Energy balance

In individuals with high central adiposity (high trunk fat), replacing sugar-sweetened beverages with either unsweetened beverages or artificially sweetened beverages leads to greater weight loss compared to continuing to consume sugar-sweetened beverages.

If you carry extra weight around your stomach, switching your daily sugary drinks to water or diet soda can help you lose weight or prevent weight gain over a year. This benefit is specific to those with higher belly fat; if you are lean, you might not see a weight change, but you also won't gain weight from the switch.

GoodQualifiesHIGH confidence
Among participants in the highest tertile of baseline trunk fat... weight gain was greater... for the SSB (4.4±1.0 kg... compared with ASB (0.5±0.9 kg) or USB (−0.2±0.9 kg) group.
Cara B. Ebbeling et al. · Journal of the American Heart Association · 2020

Why this rating

RCT design with high retention and statistically significant interaction term (P=0.006) for trunk fat.

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×
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DOI resolved against Crossref · corpus check 2026-06-10

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