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Artificially Sweetened Beverages and Health Outcomes: An Umbrella Review
Indexado
WoS WOS:001029923900001
Scopus SCOPUS_ID:85160786304
DOI 10.1016/J.ADVNUT.2023.05.010
Año 2023
Tipo revisión

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



The consumption of artificially sweetened beverages (ASBs) is increasing in some countries. However, some meta-analyses have found that habitual consumers of ASBs (compared with low or no consumption) had an increased risk on some health outcomes. We performed an umbrella review of meta-analyses to grade the credibility of the evidence of claimed observational associations between ASBs and health outcomes. Data were searched in Web of Science, Embase, and PubMed for systematic reviews published up to 25 May 2022, examining association between ASBs and any health outcomes. Certainty of the evidence for each health outcome was obtained based on statistical results of tests used in umbrella reviews. The AMSTAR-2 tool (16 items) was used to identify high-quality systematic reviews. Answers of each item were rated as yes, no, or partial yes (for a partial adherence to the standard). We included data from 11 meta-analyses with unique population, exposure, comparison group, outcome obtained from 7 systematic reviews (51 cohort studies and 4 case-control studies). ASBs were associated with higher risk of obesity, type 2 diabetes, all-cause mortality, hypertension, and cardiovascular disease incidence (supported by highly suggestive evidence). Evidence for other outcomes (colorectal cancer, pancreatic cancer, gastrointestinal cancer, cancer mortality, cardiovascular mortality, chronic kidney disease, coronary artery disease, and stroke) was weak. Results of the quality assessment of systematic reviews using AMSTAR-2 showed some notable deficiencies: unclear sources of funding of eligible studies and lack of predefined study protocols to guide authors. The consumption of ASBs was associated with a higher risk of obesity, type 2 diabetes, all-cause mortality, hypertension, and cardiovascular disease incidence. However, further cohort studies and clinical trials in humans are still needed to understand the impact of ASBs on health outcomes.

Revista



Revista ISSN
Advances In Nutrition 2161-8313

Métricas Externas



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Disciplinas de Investigación



WOS
Nutrition & Dietetics
Scopus
Sin Disciplinas
SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Diaz, Cristina - Universitat de València - España
Int Univ Valencia VIU - España
2 Rezende, L. F. M. Hombre Universidade Federal de São Paulo - Brasil
Univ Fed Sao Paulo - Brasil
3 Sabag, Angelo - NICM Health Research Institute - Australia
Faculty of Medicine and Health - Australia
Western Sydney Univ - Australia
UNIV SYDNEY - Australia
4 Lee, Dong Hoon - Harvard T.H. Chan School of Public Health - Estados Unidos
Yonsei University - Corea del Sur
Harvard TH Chan Sch Publ Hlth - Estados Unidos
Yonsei Univ - Corea del Sur
5 Ferrari, Gerson Hombre Universidad de Santiago de Chile - Chile
6 Giovannucci, Edward L. Hombre Harvard T.H. Chan School of Public Health - Estados Unidos
Harvard TH Chan Sch Publ Hlth - Estados Unidos
7 Rey-Lopez, Juan P. Hombre Universitat de València - España
Universidad Católica de Murcia - España
Int Univ Valencia VIU - España
Univ Catolica Murcia - España

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Financiamiento



Fuente
Sin Información

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Agradecimientos



Agradecimiento
The authors’ responsibilities were as follows – JPRL and LFM designed the umbrella review; all authors defined the search strategy. The umbrella review was not registered; AS was in charge of the identification of the literature; CD and JPRL screened studies, and extracted data of eligible studies; LFM analyzed data; CD and JPRL assessed the methodological quality of eligible studies; JPRL wrote the first version and all authors contributed with the writing of next versions. All authors read and approved the final manuscript.

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