Drinking two or more diet drinks a day may increase the risk of heart disease, heart attack and stroke in otherwise healthy postmenopausal women, according to findings presented yesterday at the American College of Cardiology’s 63rd Annual Scientific Session in Washington, D.C.
The population analysis looked at diet drink intake and cardiovascular health in almost 60,000 women participating in the Women’s Health Initiative Observational Study and found that, compared to women who never or only rarely consume diet drinks, those who consume two or more a day are 30 percent more likely to have a cardiovascular event and 50 percent more likely to die from related disease.
If two curves go up, someone is going to imply causality.
"This is one of the largest studies on this topic, and our findings are consistent with some previous data, especially those linking diet drinks to the metabolic syndrome,” says lead investigator Dr.Ankur Vyas, a fellow in cardiovascular disease at Univerity of Iowa Hospitals and Clinics.
About one in five people in the U.S. consume diet drinks on a given day, according to data from the National Health and Nutrition Examination Survey (2009-10). But, according to Vyas, there is a relative lack of data about the cardiovascular health consequences of diet drinks.
Based on self-reported consumption of diet drinks over a three-month period, the researchers divided the 59,614 study participants into four consumption groups: two or more diet drinks a day, five to seven diet drinks per week, one to four diet drinks per week, and zero to three diet drinks per month. Each drink was defined as the equivalent of a 12-ounce beverage and included both diet sodas and diet fruit drinks.
After an average follow-up of 8.7 years, the primary outcome—defined as a composite of incident coronary heart disease, congestive heart failure, heart attack, coronary revascularization procedure, ischemic stroke, peripheral arterial disease, and cardiovascular death—occurred in 8.5 percent of the women consuming two or more diet drinks a day compared to 6.9 percent in the five-to-seven diet drinks per week group; 6.8 percent in the one-to-four drinks per week group; and 7.2 percent in the zero-to-three per month group.
The association persisted even after researchers adjusted the data to account for demographic characteristics and other cardiovascular risk factors, including body mass index, smoking, hormone therapy use, physical activity, energy intake, salt intake, diabetes, hypertension, high cholesterol, and sugar-sweetened beverage intake. On average, women who consumed two or more diet drinks a day were younger, more likely to be smokers, and had a higher prevalence of diabetes, high blood pressure, and higher body mass index.
But Vyas says the association between diet drinks and cardiovascular problems raises more questions than it answers, and should stimulate further research.
“We only found an association, so we can’t say that diet drinks cause these problems,” Vyas says, adding that there may be other factors about people who drink more diet drinks that could explain the connection.
“It’s too soon to tell people to change their behavior based on this study; however, based on these and other findings we have a responsibility to do more research to see what is going on and further define the relationship, if one truly exists,” he adds. “This could have major public health implications.”
Future research could include clinical studies, animal models, and even molecular and pharmacologic analyses to begin to explain what, if any, direct role diet drinks play in heart health.
In addition to Vyas, the study team included Linda Rubenstein, Jennifer Robinson, Linda Snetselaar, and Robert Wallace from the UI College of Public Health, and Rebecca Seguin at Cornell University; Mara Z. Vitolins at Wake Forest Medical School; Rasa Kazlauskaite at Rush University Medical Center; James Shikany at University of Alabama Birmingham School of Medicine; and Karen C. Johnson at University of Tennessee Health Science Center.
Source: University of Iowa
- PHYSICAL SCIENCES
- EARTH SCIENCES
- LIFE SCIENCES
- SOCIAL SCIENCES
Subscribe to the newsletter
Stay in touch with the scientific world!
Know Science And Want To Write?
- My Thoughts On The LIGO-VIRGO Result
- The 10 catastrophic mistakes virtual reality firms are making
- Henri Poincaré Predicted The Existence Of Gravitational Waves As Early As June 5, 1905
- Gravitational Waves? Watch the LIGO press conference at 10:30 Eastern.
- Using Stories To Teach Human Values To Robots
- Giddings: The 750 GeV Diphoton Resonance Is A Graviton
- Put That In Your E-Cigarette And Vape It: Or Should You?
- "I am somewhat confused. Where did the three solar masses that were converted to gravity waves come..."
- "Veronique,You are right to suspect that the organic industry has been more than happy to go along..."
- "I'm not understanding yet, but this is like unravelling a fun physics puzzle. I'd thank you for..."
- "I would just like to thank the author of this article for having the balls to take a stand against..."
- Natural Flavors Are More Radioactive Than Artificial Ones.
- Bariatric Surgery Beneficial Even for Older People
- Opiates No Better at Easing Knee Osteoarthritis Pain
- BRCA Tests Increasing for Younger Breast Cancer Patients
- EWG Verified: A New Way To Greenmail Food Companies
- A Cluttered Kitchen May Undo Your Diet
- Eating breakfast could help obese people get more active
- 'Jaws' may help humans grow new teeth, shark study suggests
- For a special Valentine? Beyond diamonds and gems: The world's rarest minerals
- Most precise measurement of reactor Antineutrino spectrum reveals intriguing surprise
- Using stories to teach human values to artificial agents