Substitution of sugar-sweetened beverages with non-caloric alternatives and weight change: A systematic review of randomized trials and meta-analysis

IF 8 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2023-10-25 DOI:10.1111/obr.13652

Philip A.-S. Tobiassen, Rasmus Køster-Rasmussen

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Abstract

Background

Intake of sugar-sweetened beverages has been associated with weight gain. It is uncertain if replacing an existing use of sugar-sweetened beverages with non-caloric beverages results in long-term reduction in body weight.

Objective

The objective of this study is to explore if a long-term reduction in body weight can be achieved by replacing an existing intake of sugar-sweetened beverages with non-caloric beverages.

Methods

Systematic review and meta-analysis of randomized clinical trials in accordance with PRISMA guidelines. PubMed and EMBASE were searched for literature. Studies with a “substitution” design were included, that is, studies where subjects substituted an existing intake of sugar-sweetened beverages with either artificially sweetened beverages or unsweetened beverages/water. Studies with 6 months or longer follow-up of weight change were included.

Results

Six trials with a total of 1729 participants were included in the meta-analysis. Replacing an existing intake of sugar-sweetened beverages with a non-caloric beverage resulted in a long-term BMI reduction of 0.31 kg/m² compared with the sugar-sweetened beverage-group (95% CI; 0.17–0.44). One study with 1 year's intervention and 2 years follow-up showed a regression towards baseline BMI after the intervention had ended.

Conclusion

Replacing an existing use of sugar-sweetened beverages with artificially sweetened beverages or unsweetened beverages resulted in a long-term 0.31 kg/m² reduction in BMI equivalent to 0.5–1 kg in children and adults, respectively, as long as the interventions lasted.

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用无热量替代品替代含糖饮料与体重变化：随机试验和荟萃分析的系统综述。

背景：摄入含糖饮料与体重增加有关。目前尚不确定用无热量饮料取代现有的含糖饮料是否能长期减轻体重。目的：本研究的目的是探讨是否可以通过用无热量饮料代替现有的含糖饮料来实现长期减肥。方法：根据PRISMA指南对随机临床试验进行系统回顾和荟萃分析。检索PubMed和EMBASE的文献。包括“替代”设计的研究，即受试者用人工加糖饮料或不加糖饮料/水替代现有摄入的加糖饮料的研究。研究6 包括数月或更长时间的体重变化随访。结果：荟萃分析包括6项试验，共1729名参与者。用无热量饮料代替现有的含糖饮料可使BMI长期降低0.31 kg/m2，与加糖饮料组相比（95%CI；0.17-0.44）一年的干预和2 多年的随访显示，干预结束后，BMI回归基线。结论：用人工加糖饮料或不加糖饮料代替现有的加糖饮料可导致长期0.31 kg/m2 BMI降低相当于0.5-1 只要干预措施持续下去，儿童和成人的体重分别为公斤。

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来源期刊

Obesity Reviews 医学-内分泌学与代谢

CiteScore

19.30

自引率

1.10%

发文量

130

审稿时长

1 months

期刊介绍： Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.