Drinking to our health: can beverage companies cut calories while maintaining profits?
Open accessAbstract
Carbonated soft drinks and other beverages make up an increasing percentage of energy intake, and there are rising public health concerns about the links between consumption of sugar-sweetened beverages and weight gain, obesity, and other cardiometabolic problems. In response, the food and beverage industry claims to be reformulating products, reducing package or portion sizes and introducing healthier options. Comparative analysis on various changes and their potential effects on public health are needed. We conduct a case study using the two largest and most influential producers of sweetened beverages, The Coca-Cola Company and PepsiCo Inc., who together control 34% of the global soft drink market, examining their product portfolios globally and in three critical markets (the United States, Brazil and China) from 2000 to 2010. On a global basis, total revenues and energy per capita sold increased, yet the average energy density (kJ 100 mL(-1) ) sold declined slightly, suggesting a shift to lower-calorie products. In the United States, both total energy per capita and average energy density of beverages sold decreased, while the opposite was true in the developing markets of Brazil and China, with total per capita energy increasing greatly in China and, to a lesser extent, in Brazil.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the 1985 to 2005 period extensive added sugar intake occurred across HIC, but more recently large increases have occurred in LMIC, particularly in consumption of sugar-sweetened beverages and processed foods.
“In the 1985 to 2005 period extensive added sugar intake occurred across HIC (55) but more recently large increases have occurred in LMIC, particularly in consumption of sugar-sweetened beverages and processed foods (56–59).”
From Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System (2015) · cites this paper as [57]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Food, nutrition, physical activity, and the prevention of cancer: a global perspective
Marmot, M. G., Atinmo, T., Byers, T., Chen, J., Hirohata, T., Jackson, A., James, W., Kolonel, L. N., Kumanyika, S., Leitzmann, C., et al. (2008) · Choice Reviews Online · doi:10.5860/choice.45-5024 · Cited by 5,365 · see citing works
Obesity and the Environment: Where Do We Go from Here?
Hill, J. O., Wyatt, H. R., Reed, G. W., & Peters, J. C. (2003) · Science · doi:10.1126/science.1079857 · Cited by 2,180 · see citing works
Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J.-P., Willett, W. C., & Hu, F. B. (2010) · Diabetes Care · doi:10.2337/dc10-1079 · Cited by 2,116 · see citing works
Self-citationEffects of soft drink consumption on nutrition and health: a systematic review and meta-analysis
Vartanian, L. R., Schwartz, M. B., & Brownell, K. D. (2007) · American Journal of Public Health · doi:10.2105/ajph.2005.083782 · Cited by 1,863 · see citing works
Sugar-Sweetened Beverages, Obesity, Type 2 Diabetes Mellitus, and Cardiovascular Disease Risk
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J.-P., & Hu, F. B. (2010) · Circulation · doi:10.1161/circulationaha.109.876185 · Cited by 1,641 · see citing works
Self-citationQuantification of the effect of energy imbalance on bodyweight
Hall, K. D., Sacks, G., Chandramohan, D., Chow, C. C., Wang, Y. C., Gortmaker, S. L., & Swinburn, B. A. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60812-x · Cited by 1,165 · see citing works
Dhingra, R., Sullivan, L., Jacques, P. F., Wang, T. J., Fox, C. S., Meigs, J. B., D’Agostino, R. B., Gaziano, J. M., & Vasan, R. S. (2007) · Circulation · doi:10.1161/circulationaha.107.689935 · Cited by 918 · see citing works
Food marketing to children and youth : threat or opportunity?
Youth, McGinnis, J. M., Gootman, J. A., & Kraak, V. I. (2006) · National Academies Press eBooks · Cited by 907 · see citing works
Liquid versus solid carbohydrate: effects on food intake and body weight
DiMeglio, D., & Mattes, R. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801229 · Cited by 882 · see citing works
Dietary Intake and the Development of the Metabolic Syndrome
Lutsey, P. L., Steffen, L. M., & Stevens, J. (2008) · Circulation · doi:10.1161/circulationaha.107.716159 · Cited by 841 · see citing works
Changes in beverage intake between 1977 and 2001
Nielsen, S. J., & Popkin, B. M. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.05.005 · Cited by 792 · see citing works
Self-citationThe Public Health and Economic Benefits of Taxing Sugar-Sweetened Beverages
Brownell, K. D., Farley, T. A., Willett, W. C., Popkin, B. M., Chaloupka, F. J., Thompson, J. W., & Ludwig, D. S. (2009) · New England Journal of Medicine · doi:10.1056/nejmhpr0905723 · Cited by 742 · see citing works
Self-citationWang, Y. C., Bleich, S. N., & Gortmaker, S. L. (2008) · Pediatrics · doi:10.1542/peds.2007-2834 · Cited by 686 · see citing works
The Perils of Ignoring History: Big Tobacco Played Dirty and Millions Died. How Similar Is Big Food?
Brownell, K. D., & Warner, K. E. (2009) · Milbank Quarterly · doi:10.1111/j.1468-0009.2009.00555.x · Cited by 679 · see citing works
Mattes, R. D., & Popkin, B. M. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2008.26792 · Cited by 521 · see citing works
Self-citationThe Sweetening of the World's Diet
Popkin, B. M., & Nielsen, S. J. (2003) · Obesity Research · doi:10.1038/oby.2003.179 · Cited by 453 · see citing works
Self-citationNettleton, J. A., Lutsey, P. L., Wang, Y., Lima, J. A. C., Michos, E. D., & Jacobs, D. R. (2009) · Diabetes Care · doi:10.2337/dc08-1799 · Cited by 420 · see citing works
Dietary Compensation by Humans for Supplemental Energy Provided as Ethanol or Carbohydrate in Fluids
Mattes, R. D. (1996) · Physiology & Behavior · doi:10.1016/0031-9384(95)02007-1 · Cited by 403 · see citing works
Tate, D. F., Turner-McGrievy, G., Lyons, E., Stevens, J., Erickson, K., Polzien, K., Diamond, M., Wang, X., & Popkin, B. (2012) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.026278 · Cited by 345 · see citing works
Self-citationEffects of food form on appetite and energy intake in lean and obese young adults
Mourão, D. M., Bressan, J., Campbell, W. W., & Mattes, R. D. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803667 · Cited by 327 · see citing works
Sharma, L. L., Teret, S. P., & Brownell, K. D. (2009) · American Journal of Public Health · doi:10.2105/ajph.2009.160960 · Cited by 313 · see citing works
Patterns of beverage use across the lifecycle
Popkin, B. M. (2010) · Physiology & Behavior · doi:10.1016/j.physbeh.2009.12.022 · Cited by 276 · see citing works
Self-citationEstimating the Energy Gap Among US Children: A Counterfactual Approach
Wang, Y. C., Gortmaker, S. L., Sobol, A. M., & Kuntz, K. M. (2006) · PEDIATRICS · doi:10.1542/peds.2006-0682 · Cited by 244 · see citing works
Does the consumption of caloric and non-caloric beverages with a meal affect energy intake?
DellaValle, D. M., Roe, L. S., & Rolls, B. J. (2005) · Appetite · doi:10.1016/j.appet.2004.11.003 · Cited by 234 · see citing works
Can the Food Industry Play a Constructive Role in the Obesity Epidemic?
Ludwig, D. S. (2008) · JAMA · doi:10.1001/jama.300.15.1808 · Cited by 222 · see citing works
Implementing American Heart Association Pediatric and Adult Nutrition Guidelines
Gidding, S. S., Lichtenstein, A. H., Faith, M. S., Karpyn, A. E., Mennella, J. A., Popkin, B. M., Rowe, J., Horn, L. V., & Whitsel, L. P. (2009) · Circulation · doi:10.1161/circulationaha.109.191856 · Cited by 189 · see citing works
Self-citationThe Effect of Increased Beverage Portion Size on Energy Intake at a Meal
Obbagy, J., Roe, L. S., & Rolls, B. J. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.09.005 · Cited by 183 · see citing works
Duffey, K. J., Steffen, L. M., Horn, L. V., Jacobs, D. R., & Popkin, B. M. (2012) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.026682 · Cited by 148 · see citing works
Self-citationCaloric beverage consumption patterns in Mexican children
Barquera, S., Campirano, F., Bonvecchio, A., Hernández-Barrera, L., Rivera, J. Á., & Popkin, B. M. (2010) · Nutrition Journal · doi:10.1186/1475-2891-9-47 · Cited by 124 · see citing works
Self-citationThe financial crisis of 2008 and the developing countriesPreprint
Naudé, W. A. (2009) · RePEc: Research Papers in Economics · Cited by 100 · see citing works
Monitoring Foods and Nutrients Sold and Consumed in the United States: Dynamics and Challenges
Ng, S. W., & Popkin, B. M. (2012) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jada.2011.09.015 · Cited by 99 · see citing works
Self-citationMonteiro, C. A., Gomes, F. S., & Cannon, G. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.187666 · Cited by 88 · see citing works
Interrelation of saturated fat, trans fat, alcohol intake, and subclinical atherosclerosis
Merchant, A. T., Kelemen, L. E., de Koning, L., Lonn, E., Vuksan, V., Jacobs, R., Davis, B. C., Teo, K. K., Yusuf, S., & Anand, S. S. (2008) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/87.1.168 · Cited by 80 · see citing works
Industry Progress to Market a Healthful Diet to American Children and Adolescents
Kraak, V. I., Story, M., Wartella, E. A., & Ginter, J. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.05.029 · Cited by 75 · see citing works
The role and challenges of the food industry in addressing chronic disease
Yach, D., Khan, M., Bradley, D. G., Hargrove, R., Kehoe, S., & Mensah, G. A. (2010) · Globalization and Health · doi:10.1186/1744-8603-6-10 · Cited by 70 · see citing works
Phelan, S., Lang, W., Jordan, D., & Wing, R. R. (2009) · International Journal of Obesity · doi:10.1038/ijo.2009.147 · Cited by 68 · see citing works
Intense sweeteners and energy density of foods: implications for weight control
Drewnowski, A. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600879 · Cited by 65 · see citing works
Hicks, C. S. (1930) · Public Health · doi:10.1016/s0033-3506(30)80522-5 · Cited by 27 · see citing works
The shifting beverage landscape
Storey, M. L. (2010) · Physiology & Behavior · doi:10.1016/j.physbeh.2010.02.009 · Cited by 24 · see citing works
Emerging economies and the global financial crisis: Evidence from China and India
Kshetri, N. (2011) · Thunderbird International Business Review · doi:10.1002/tie.20404 · Cited by 17 · see citing works
Recession in America and its World Wide Repercussion
Morales-Pita, A. E., Cihlar, B., Richmond, R., et al. (2009) · Economics and Organization of Enterprise · doi:10.2478/v10061-010-0016-3 · Cited by 1 · see citing works
Societal Resolve and the Health of Children
McGinnis, J. M. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.06.029 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- [26]Federal Trade Commission and DHHS Perspective on marketing, self-regulation, & childhood obesity: a report on a joint workshop of the Federal Trade Commission and DHHS 2006
- [38]Ma J Press Release on Major Figures of the 2010 National Population Census National Bureau of Statistics of China 2011
- [40]The Coca-Cola Company 2010 Annual Review 2010
Cited by
Sorted by citations
Global nutrition transition and the pandemic of obesity in developing countries
Popkin, B. M., Adair, L. S., & Ng, S. W. (2012) · Nutrition Reviews · doi:10.1111/j.1753-4887.2011.00456.x · Cited by 4,313 · see citing works
Self-citationMoodie, R., Stuckler, D., Monteiro, C., Sheron, N., Neal, B., Thamarangsi, T., Lincoln, P., & Casswell, S. (2013) · The Lancet · doi:10.1016/s0140-6736(12)62089-3 · Cited by 1,663 · see citing works
Hu, F. B. (2013) · Obesity Reviews · doi:10.1111/obr.12040 · Cited by 884 · see citing works
Sweetening of the global diet, particularly beverages: patterns, trends, and policy responses
Popkin, B. M., & Hawkes, C. (2016) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(15)00419-2 · Cited by 737 · see citing works
Self-citationAnand, S. S., Hawkes, C., de Souza, R. J., Mente, A., Dehghan, M., Nugent, R., Zulyniak, M. A., Weis, T., Bernstein, A. M., Krauss, R. M., et al. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.07.050 · Cited by 507 · see citing works
“The epidemiological relationships between SSB consumption, overweight, obesity, hypertension, and T2DM are strong (122).”
BackgroundSelf-citationThe Impact of Transnational “Big Food” Companies on the South: A View from Brazil
Monteiro, C. A., & Cannon, G. (2012) · PLoS Medicine · doi:10.1371/journal.pmed.1001252 · Cited by 334 · see citing works
Mialon, M., Swinburn, B., & Sacks, G. (2015) · Obesity Reviews · doi:10.1111/obr.12289 · Cited by 318 · see citing works
Trends in Caffeine Intake Among US Children and Adolescents
Branum, A. M., Rossen, L. M., & Schoendorf, K. C. (2014) · Pediatrics · doi:10.1542/peds.2013-2877 · Cited by 151 · see citing works
Duffey, K. J., Pereira, R. A., & Popkin, B. M. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2013.60 · Cited by 124 · see citing works
The food retail revolution in China and its association with diet and health
Zhou, Y., Du, S., Su, C., Zhang, B., Wang, H., & Popkin, B. M. (2015) · Food Policy · doi:10.1016/j.foodpol.2015.07.001 · Cited by 102 · see citing works
Self-citationThe Healthy Weight Commitment Foundation Pledge
Ng, S. W., Slining, M. M., & Popkin, B. M. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.05.029 · Cited by 58 · see citing works
- Authors
- Kleiman, S., Ng, S. W., & Popkin, B.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Popkin, B.
- ORCID
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2011-11-10
- Volume
- 13
- Issue
- 3
- Pages
- 258-274
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- PMC
- PMC3420345
- OpenAlex
- W1853249141
- Cited by
- 104
- References
- 42
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2022: 3 · 2021: 2 · 2020: 10 · 2019: 5 · 2018: 3 · 2017: 6 · 2016: 6 · 2015: 21 · 2014: 15 · 2013: 18 · 2012: 8
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Robert Wood Johnson Foundation
- National Institutes of Health (2r24hd050924-06)
- National Heart, Lung, and Blood Institute (R01HL104580)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24 HD-050924)
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Keywords
- sugar-sweetened beverages, soft drinks, energy density, Coca-Cola, PepsiCo, corporate profits, obesity, cardiometabolic risk, emerging markets, portion size reduction
- MeSH terms
- Beverages, Energy Intake, Carbonated Beverages, Drinking, Drinking Behavior, Food Preferences, Food Supply, Humans, Nutritive Value, Obesity, Public Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review