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So, Diet Coke gives you a stroke?

I'm basically one long cardiovascular disease with my sugar intake.

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Cool. Now do one on alcohol.

Only if 15% or greater of your daily calories come from added sugar it seems.

So don’t drink 3 sodas and coffee a day?

"From the Abstract Duringan average of 17.4 years of follow-up, 11,597 cases of total CVD (nonfatal myocardial infarction, coronary heart disease (CHD) death, stroke, coronary revascularization, and/or incident heart failure) were confirmed. Added sugar as % energy intake daily (%EAS) at ≥15.0% was positively associated with total CVD (HR = 1.08 [1.01, 1.15]) and CHD (HR = 1.20 [1.09, 1.32]). There was also a higher risk of total CVD associated with ≥1 serving of SSB intake per day (HR = 1.29 [1.17, 1.42]), CHD (1.35 [1.16, 1.57]), and total stroke (1.30 [1.10, 1.53]). Similarly, ASB intake was associated with an increased risk of CVD (1.14 [1.03, 1.26]) and stroke (1.24 [1.04, 1.48])"

So the highest finding was an association between sugar sweetened beverages (SSB) [1 or more servings per day] and Coronary Heart Disease (CHD) with a Hazard ratio of 1.35.

Seems about right. Don't drink soda kids.

It also mentions that 1 or more Sugar Sweetened Beverages per day can have similar detrimental impacts on cardiovascular health. That’s still quite a bit, 7 cokes per week avg.

Diet soda is okay?

so in the extract i posted, diet soda would fall under ASB (Artificially Sweetened Beverages). That had a weaker but still significant link with Heart problems: Hazard ratio of 1.14 for cardiovascular disease (CVD) and 1.24 for stroke.

 

one possible reason why ASB might be associated with CVD is weight gain. while it might seem illogical for ASB consumption to lead to weight gain (no calories right?) scientists think the chemicals in ASB can have effects on our metabolism (lowering it?) which can lead to weight gain. weight gain IS associated with CVD risk.

 

here is one such study https://pubmed.ncbi.nlm.nih.gov/18535548/ "Consuming >21 ASBs/week (vs. none) was associated with almost-doubled risk of OW/OB (odds ratio (OR) = 1.93, P = 0.007) among 1,250 baseline normal-weight (NW) individuals, and doubled risk of obesity (OR = 2.03, P = 0.0005) among 2,571 individuals with baseline BMIs <30 kg/m(2)."

Could someone help me with the following question?

Assuming artificial sweeteners are correlated to an increased risk of heart disease (apparently it is, although not that strongly), did they put in other factors to control for eating behaviours etc.?

It seems obvious that people who consume more diet coke also have a less healthy over-all diet than people who stick to water and tea.

(I'm too lazy too read it all... apologies, if it's in there)

Sorry that doesn't appear to be correct from the quoted abstract results summary., the two conditions are listed as independently associated with the disease outcomes. So either diet coke causes strokes or is associated with other behaviours or factors that do.

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Yeah that is a lot for someone who monitors their diet, but look at what the average US citizen consumes.

Yep I would certainly choose artificially sweetened over sugar containing even if it's just the lesser of 2 evils