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January 6, 2025Nature MedicineOpen Access

Burdens of type 2 diabetes and cardiovascular disease attributable to sugar-sweetened beverages in 184 countries

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Why the study?

Consumption of sugar-sweetened beverages is associated with type 2 diabetes and cardiovascular disease, but an updated and comprehensive assessment of the global attributable burden remains scarce.

Does sugar-sweetened beverage consumption increase the incidence of type 2 diabetes and cardiovascular disease globally?

Population

Populations across 184 countries in 1990 and 2020

Comparison

Sugar-sweetened beverage consumption

Design

Global comparative risk assessment modeling study

Authors

LLLaura Lara-CastorGeneral / Preventive / LipidsMOMeghan O’HearnTufts UniversityFCFrederick CudheaTufts University

Discussion

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Member takes

Overview

SSB-attributable T2D/CVD burdens persist globally; extends observational estimates while leaving causal effects and policy impacts open.

Structured PICO

Does sugar-sweetened beverage consumption increase the incidence of type 2 diabetes and cardiovascular disease globally?

P
Population
2.9 million individuals from 118 countries representing 87.1% of the global population (data from Global Dietary Database), modeled to estimate burdens across 184 countries.
I
Intervention
Sugar-sweetened beverages (SSBs) intake (defined as any beverage with added sugars and ≥50 kcal per 8 oz serving).
O
Outcome
Incident cases of type 2 diabetes (T2D) and cardiovascular disease (CVD) attributable to SSBs.hard clinical

Sugar-sweetened beverage consumption is responsible for a substantial and growing global burden of incident type 2 diabetes and cardiovascular disease, particularly in Latin America, the Caribbean, and sub-Saharan Africa.

Limitations

  • Lack of data on sweetened teas could partly underestimate burdens
  • Imperfections of global modeling

Cite This Study

Lara-Castor et al. (2025) studied this question.

synapsesocial.com/papers/6a7cb46a4ec837fd6928a8a5https://doi.org/10.1038/s41591-024-03345-4
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