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dc.contributor.authorDiaz, Cristina-
dc.contributor.authorRezende, Leandro F.M.-
dc.contributor.authorSabag, Angelo-
dc.contributor.authorHoon Lee, Dong-
dc.contributor.authorFerrari, Gerson-
dc.contributor.authorGiovannucci, Edward L.-
dc.contributor.authorRey-Lopez, Juan Pablo-
dc.date.accessioned2024-09-24T04:17:42Z-
dc.date.available2024-09-24T04:17:42Z-
dc.date.issued2023-05-13-
dc.identifier.urihttp://localhost:8080/xmlui/handle/123456789/6237-
dc.description.abstractABSTRACT 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. Keywords: acefulsame potassium, artificially sweetened beverages, microbiota, sucralose, umbrella reviewen_US
dc.language.isoenen_US
dc.publisherAdvances in Nutritionen_US
dc.subjectacefulsame potassium,en_US
dc.subjectartificially sweetened beverages, microbiota, sucralose, umbrella reviewen_US
dc.subjectartificially sweetened beverages,en_US
dc.subjectmicrobiota,en_US
dc.subjectsucralose,en_US
dc.subjectumbrella reviewen_US
dc.titleArtificially Sweetened Beverages and Health Outcomes: An Umbrella Reviewen_US
dc.typeArticleen_US
Appears in Collections:VOL 14 No 4 2023

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