Abstract
Background
Excessive consumption of sugar-sweetened beverages (SSBs) has become an intractable
public health concern worldwide, making investigation of healthy beverage alternatives
for SSBs imperative.
Aim
To summarize the available evidence on the effects of replacing SSBs with beverage
alternatives on long-term health outcomes.
Method
We systematically retrieved studies from six electronic databases from inception to
November 2013. Prospective cohort studies and randomized controlled trials (RCTs)
examining the effects of substituting beverage alternatives for SSBs on long-term
health outcomes in both children and adults were included. The quality of included
studies was assessed using the Scottish Intercollegiate Guidelines Network 50 methodology
checklists.
Results
Six cohort studies and four RCTs were included in the systematic review with the quality
rating ranging from acceptable to high. Evidence from both cohort studies and RCTs
showed substitution of SSBs by various beverage alternatives was associated with long-term
lower energy intake and lower weight gain. However, evidence was insufficient to draw
conclusions regarding the effect of beverage substitution on other health outcomes,
and which beverage alternative is the best choice.
Conclusions
Although studies on this topic are sparse, the available evidence suggests a potential
beneficial effect on body weight outcomes when SSBs are replaced by water or low-calorie
beverages. Further studies in this area are warranted to fully understand the long-term
health implications of beverage substitutions.
Keywords
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Biography
M. Zheng is a PhD candidate, School of Molecular Bioscience, University of Sydney, New South Wales, Australia.
Biography
M. Allman-Farinelli is a professor of dietetics, School of Molecular Bioscience, University of Sydney, New South Wales, Australia.
Biography
A. Rangan is a senior lecturer, School of Molecular Bioscience, University of Sydney, New South Wales, Australia.
Biography
B. L. Heitmann is a professor of nutrition epidemiology, Research Unit for Dietary Studies, Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, the Capital Region, Copenhagen, Denmark, the National Institute of Public Health, University of Southern Denmark, Copenhagen, and The Boden Institute of Obesity, Nutrition, Exercise, and Eating Disorders, Sydney Medical School, University of Sydney, New South Wales, Australia.
Article info
Publication history
Published online: March 04, 2015
Accepted:
January 16,
2015
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No conflict of interest was reported by the authors.
FUNDING/SUPPORT There is no funding to disclose.
Identification
Copyright
© 2015 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
