Kerry Torrens, nutritional therapist wrote in The truth about sugar:
The instant ‘lift’ we get from sugar is one of the reasons we turn to it at times of celebration or when we crave comfort or reward. However, even those of us without a sweet tooth may be eating more than we realise because so many everyday processed foods, from cereals and bread to pasta sauce and soups contain sugar…. http://www.bbcgoodfood.com/howto/guide/truth-about-sugar
There are many medical reasons for reducing sugar in one’s diet. The issue for many reduced or sugar free products is can palates educated to the taste of sugar adapt to a different option?
An American Society of Nephrology study reported that a sugar-sweetened beverage pattern was linked to a higher risk of kidney disease.
Science Daily reported in Sugar-sweetened beverage pattern linked to higher kidney disease risk:
Higher collective consumption of sweetened fruit drinks, soda, and water was associated with a higher likelihood of developing chronic kidney disease (CKD) in a community-based study of African-American adults in Mississippi. The findings, which appear in an upcoming issue of the Clinical Journal of the American Society of Nephrology (CJASN), contribute to the growing body of evidence pointing to the negative health consequences of consuming sugar-sweetened beverages.
Certain beverages may affect kidney health, but study results have been inconsistent. To provide more clarity, Casey Rebholz PhD, MS, MNSP, MPH (Johns Hopkins Bloomberg School of Public Health) and her colleagues prospectively studied 3003 African-American men and women with normal kidney function who were enrolled in the Jackson Heart Study.
“There is a lack of comprehensive information on the health implications of the wide range of beverage options that are available in the food supply,” said Dr. Rebholz. “In particular, there is limited information on which types of beverages and patterns of beverages are associated with kidney disease risk in particular.”
For their study, the investigators assessed beverage intake through a food frequency questionnaire administered at the start of the study in 2000-04, and they followed participants until 2009-13.
Among the 3003 participants, 185 (6%) developed CKD over a median follow-up of 8 years. After adjustment for confounding factors, consuming a beverage pattern consisting of soda, sweetened fruit drinks, and water was associated with a higher risk of developing CKD. Participants in the top tertile for consumption of this beverage pattern were 61% more likely to develop CKD than those in the bottom tertile.
The researchers were surprised to see that water was a component of this beverage pattern that was linked with a higher risk of CKD. They noted that study participants may have reported their consumption of a wide variety of types of water, including flavored and sweetened water. Unfortunately, the investigators did not collect information about specific brands or types of bottled water in the Jackson Heart Study.
In an accompanying editorial, Holly Kramer, MD, MPH and David Shoham, PhD (Loyola University Chicago) noted that the findings hold strong public health implications. “While a few select U.S. cities have successfully reduced SSB [sugar sweetened beverage] consumption via taxation, all other municipalities have resisted public health efforts to lower SSB consumption,” they wrote. “This cultural resistance to reducing SSB consumption can be compared to the cultural resistance to smoking cessation during the 1960s after the Surgeon General report was released. During the 1960s, tobacco use was viewed as a social choice and not a medical or social public health problem….” https://www.sciencedaily.com/releases/2018/12/181228091642.htm
Citation:
Sugar-sweetened beverage pattern linked to higher kidney disease risk
Date: December 28, 2018
Source: American Society of Nephrology
Summary:
In a study of African-American men and women with normal kidney function, a pattern of higher collective consumption of soda, sweetened fruit drinks, and water was associated with a higher risk of developing kidney disease.
Journal Reference:
Casey M. Rebholz, Bessie A. Young, Ronit Katz, Katherine L. Tucker, Teresa C. Carithers, Arnita F. Norwood, Adolfo Correa. Patterns of Beverages Consumed and Risk of Incident Kidney Disease. Clinical Journal of the American Society of Nephrology, 2018; CJN.06380518 DOI: 10.2215/CJN.06380518
Here is the press release from American Society of Nephrology:
PUBLIC RELEASE: 27-DEC-2018
Sugar-sweetened beverage pattern linked to higher kidney disease risk
AMERICAN SOCIETY OF NEPHROLOGY
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• In a study of African-American men and women with normal kidney function, a pattern of higher collective consumption of soda, sweetened fruit drinks, and water was associated with a higher risk of developing kidney disease.
Washington, DC (December 27, 2018) — Higher collective consumption of sweetened fruit drinks, soda, and water was associated with a higher likelihood of developing chronic kidney disease (CKD) in a community-based study of African-American adults in Mississippi. The findings, which appear in an upcoming issue of the Clinical Journal of the American Society of Nephrology (CJASN), contribute to the growing body of evidence pointing to the negative health consequences of consuming sugar-sweetened beverages.
Certain beverages may affect kidney health, but study results have been inconsistent. To provide more clarity, Casey Rebholz PhD, MS, MNSP, MPH (Johns Hopkins Bloomberg School of Public Health) and her colleagues prospectively studied 3003 African-American men and women with normal kidney function who were enrolled in the Jackson Heart Study.
“There is a lack of comprehensive information on the health implications of the wide range of beverage options that are available in the food supply,” said Dr. Rebholz. “In particular, there is limited information on which types of beverages and patterns of beverages are associated with kidney disease risk in particular.”
For their study, the investigators assessed beverage intake through a food frequency questionnaire administered at the start of the study in 2000-04, and they followed participants until 2009-13.
Among the 3003 participants, 185 (6%) developed CKD over a median follow-up of 8 years. After adjustment for confounding factors, consuming a beverage pattern consisting of soda, sweetened fruit drinks, and water was associated with a higher risk of developing CKD. Participants in the top tertile for consumption of this beverage pattern were 61% more likely to develop CKD than those in the bottom tertile.
The researchers were surprised to see that water was a component of this beverage pattern that was linked with a higher risk of CKD. They noted that study participants may have reported their consumption of a wide variety of types of water, including flavored and sweetened water. Unfortunately, the investigators did not collect information about specific brands or types of bottled water in the Jackson Heart Study.
In an accompanying editorial, Holly Kramer, MD, MPH and David Shoham, PhD (Loyola University Chicago) noted that the findings hold strong public health implications. “While a few select U.S. cities have successfully reduced SSB [sugar sweetened beverage] consumption via taxation, all other municipalities have resisted public health efforts to lower SSB consumption,” they wrote. “This cultural resistance to reducing SSB consumption can be compared to the cultural resistance to smoking cessation during the 1960s after the Surgeon General report was released. During the 1960s, tobacco use was viewed as a social choice and not a medical or social public health problem.”
In an accompanying Patient Voice editorial, Duane Sunwold explained that he is a patient with CKD who changed his eating and drinking patterns to put his disease in remission. As a chef, he offers a number of recommendations to fellow patients trying to decrease their consumption of sugar-sweetened drinks.
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Study co-authors include Bessie Young, MD, MPH, Ronit Katz, PhD, Katherine Tucker, PhD, Teresa Carithers, PhD, RD, LD, Arnita Norwood, PhD, MPH, RD, and Adolfo Correa, MD, PhD, MPH.
Disclosures: The authors reported no financial disclosures.
The article, entitled “Patterns of Beverages Consumed and Risk of Incident Kidney Disease,” will appear online at http://cjasn.asnjournals.org/ on December 27, 2018, doi: 10.2215/CJN.06380518.
The accompanying editorial, entitled “The Millennial Physician and the Obesity Epidemic: A Tale of Sugar Sweetened Beverages,” will appear online at http://cjasn.asnjournals.org/ on December 27, 2018.
The Patient Voice editorial, entitled “Diet and Risk for Developing Kidney Disease,” will appear online at http://cjasn.asnjournals.org/ on December 27, 2018.
The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.
Since 1966, ASN has been leading the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients. ASN has more than 20,000 members representing 131 countries. For more information, please visit http://www.asn-online.org or contact the society at 202-640-4660.
Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.
The Harvard T. H. Chan School of Public Health reported about the effects of sugary drinks in Soft Drinks and Disease.
According to the Chan School:
Soft drinks are the beverage of choice for millions of Americans, but sugary drinks increase the risk of type 2 diabetes, heart disease, and other chronic conditions.
• People who consume sugary drinks regularly—1 to 2 cans a day or more—have a 26% greater risk of developing type 2 diabetes than people who rarely have such drinks. (46)
• A study that followed 40,000 men for two decades found that those who averaged one can of a sugary beverage per day had a 20% higher risk of having a heart attack or dying from a heart attack than men who rarely consumed sugary drinks. (47) A related study in women found a similar sugary beverage–heart disease link. (48)
• A 22-year-long study of 80,000 women found that those who consumed a can a day of sugary drink had a 75% higher risk of gout than women who rarely had such drinks. (49) Researchers found a similarly-elevated risk in men. (50)
• Dr. Frank Hu, Professor of Nutrition and Epidemiology at Harvard School of Public Health, recently made a strong case that there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. (51)…. https://www.hsph.harvard.edu/nutritionsource/healthy-drinks/soft-drinks-and-disease/
Each individual should consult competent medical professionals about their individual dietary needs.
Resources:
Diabetes Myths http://www.diabetes.org/diabetes-basics/myths/
Does Eating Sugar Cause Diabetes? https://www.webmd.com/diabetes/video/kahn-eating-sugar-cause-diabetes
Diabetes https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444
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