Why the study?
Chronic consumption of sugar- and artificially-sweetened beverages is associated with increased stroke risk, but how acute consumption influences cerebral vascular function is unclear.
Does acute consumption of caffeinated sugar- or artificially-sweetened beverages alter dynamic cerebral autoregulation and cerebral vascular reactivity to hypercapnia compared to water in healthy adults?
Does acute consumption of caffeinated sugar- or artificially-sweetened beverages alter dynamic cerebral autoregulation and cerebral vascular reactivity to hypercapnia compared to water in healthy adults?
Acute consumption of caffeinated artificially-sweetened beverages slightly attenuates middle cerebral artery vascular reactivity to hypercapnia, but neither sugar- nor artificially-sweetened beverages significantly alter dynamic cerebral autoregulation compared to water.
Acute ASB intake may subtly affect cerebrovascular testing; extends RCT evidence on acute dietary effects on cerebral vasoreactivity.
Chronic consumption of sugar- and artificially-sweetened beverages (SSB and ASB) are associated with an increased risk of stroke but it is unclear how acute consumption influences cerebral vascular function. Purpose: We hypothesized that: (1) acute consumption of SSB and ASB would augment dynamic cerebral autoregulation (dCA) and attenuate cerebral vascular reactivity to hypercapnia (CVR CO2 ) compared to water; and (2) dCA and CVR CO2 would be attenuated with SSB compared to ASB and water. Methods: Twelve healthy adults (age: 23 ± 2 years, four females) completed three randomized trials where they drank 500 ml of water, SSB (Mountain Dew ® ), or ASB (Diet Mountain Dew ® ). We measured mean arterial pressure (MAP), middle and posterior cerebral artery blood velocities (MCAv and PCAv), and end-tidal CO 2 tension (PETCO 2 ). Cerebral vascular conductance was calculated as cerebral artery blood velocity/MAP (MCAc and PCAc). Twenty min after consumption, participants completed a 5 min baseline, and in a counterbalanced order, a CVR CO2 test (3%, 5%, and 7% CO 2 in 3 min stages) and a dCA test (squat-stand tests at 0.10 Hz and 0.05 Hz for 5 min each) separated by 10 min. CVR CO2 was calculated as the slope of the linear regression lines of MCAv and PCAv vs. PETCO 2 . dCA was assessed in the MCA using transfer function analysis. Coherence, gain, and phase were determined in the low frequency (LF; 0.07–0.2 Hz) and very low frequency (VLF; 0.02–0.07 Hz). Results: MCAv and MCAc were lower after SSB (54.11 ± 12.28 cm/s, 0.58 ± 0.15 cm/s/mmHg) and ASB (51.07 ± 9.35 cm/s, 0.52 ± 1.0 cm/s/mmHg) vs. water (62.73 ± 12.96 cm/s, 0.67 ± 0.11 cm/s/mmHg; all P < 0.035), respectively. PCAc was also lower with the ASB compared to water ( P = 0.007). MCA CVR CO2 was lower following ASB (1.55 ± 0.38 cm/s/mmHg) vs. water (2.00 ± 0.57 cm/s/mmHg; P = 0.011) but not after SSB (1.90 ± 0.67 cm/s/mmHg; P = 0.593). PCA CVR CO2 did not differ between beverages ( P > 0.853). There were no differences between beverages for coherence ( P ≥ 0.295), gain ( P ≥ 0.058), or phase ( P ≥ 0.084) for either frequency. Discussion: Acute consumption of caffeinated SSB and ASB resulted in lower intracranial artery blood velocity and conductance but had a minimal effect on cerebral vascular function as only MCA CVR CO2 was altered with the ASB compared to water.
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Reed et al. (2022) studied this question.
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