Estimated Global, Regional, and National Disease Burdens Related to Sugar-Sweetened Beverage Consumption in 2010
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Background—: Sugar-sweetened beverages (SSBs) are consumed globally and contribute to adiposity. However, the worldwide impact of SSBs on burdens of adiposity-related cardiovascular diseases (CVDs), cancers, and diabetes mellitus has not been assessed by nation, age, and sex. Methods and Results—: We modeled global, regional, and national burdens of disease associated with SSB consumption by age/sex in 2010. Data on SSB consumption levels were pooled from national dietary surveys worldwide. The effects of SSB intake on body mass index and diabetes mellitus, and of elevated body mass index on CVD, diabetes mellitus, and cancers were derived from large prospective cohort pooling studies. Disease-specific mortality/morbidity data were obtained from Global Burden of Diseases, Injuries, and Risk Factors 2010 Study. We computed cause-specific population-attributable fractions for SSB consumption, which were multiplied by cause-specific mortality/morbidity to compute estimates of SSB-attributable death/disability. Analyses were done by country/age/sex; uncertainties of all input data were propagated into final estimates. Worldwide, the model estimated 184 000 (95% uncertainty interval, 161 000–208 000) deaths/y attributable to SSB consumption: 133 000 (126 000–139 000) from diabetes mellitus, 45 000 (26 000–61 000) from CVD, and 6450 (4300–8600) from cancers. Five percent of SSB-related deaths occurred in low-income, 70.9% in middle-income, and 24.1% in high-income countries. Proportional mortality attributable to SSBs ranged from <1% in Japanese >65 years if age to 30% in Mexicans <45 years of age. Among the 20 most populous countries, Mexico had largest absolute (405 deaths/million adults) and proportional (12.1%) deaths from SSBs. A total of 8.5 (2.8, 19.2) million disability-adjusted life years were related to SSB intake (4.5% of diabetes mellitus–related disability-adjusted life years). Conclusions—: SSBs are a single, modifiable component of diet that can impact preventable death/disability in adults in high-, middle-, and low-income countries, indicating an urgent need for strong global prevention programs.
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Worldwide, 184,000 cardiometabolic deaths per year are estimated to be attributable to SSB consumption.
“Worldwide, 184,000 cardiometabolic deaths per year are estimated to be attributable to SSB consumption.260”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [260]
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- Authors
- Singh, G. M., Micha, R., Khatibzadeh, S., Lim, S., Ezzati, M., & Mozaffarian, D.
- Affiliations
- Tufts University (US)
- ORCID
- Venue
- Circulation
- Published
- 2015-08-25
- Volume
- 132
- Issue
- 8
- Pages
- 639-666
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- PMC
- PMC4550496
- OpenAlex
- W2131745222
- Cited by
- 390
- References
- 53
- Citations by year
- 2026: 7 · 2025: 26 · 2024: 33 · 2023: 29 · 2022: 41 · 2021: 47 · 2020: 46 · 2019: 36 · 2018: 39 · 2017: 39 · 2016: 35 · 2015: 12
- FWCI
- 36.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Archive ouverte UNIGE (University of Geneva) (acceptedVersion)
- OAR@UM (University of Malta) (submittedVersion, other-oa)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- drUM (cc-by)
- Funders
- United States Agency for International Development
- Brown University
- American University of Beirut
- University of Washington
- London School of Hygiene and Tropical Medicine
- Wellcome Trust (100693)
- Institute for Health Metrics and Evaluation
- Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology
- Imperial College London
- King's College London
- University of Aberdeen
- Indian Council of Medical Research
- University of Queensland
- Universität Wien
- Ministerio de Salud de la Nación
- Gazi Üniversitesi
- Korea Health Industry Development Institute
- Mahidol University
- Universiteit Gent
- Chinese Center for Disease Control and Prevention (R01-HD38700, R24 HD050924)
- Tehran University of Medical Sciences and Health Services
- National Health Research Institutes
- National and Kapodistrian University of Athens
- Universidad de Antioquia
- Hacettepe Üniversitesi
- Universidade de São Paulo
- Tallinna Tehnikaülikool
- Shahid Beheshti University of Medical Sciences
- Hôpitaux Universitaires de Genève
- National Research University Higher School of Economics
- National Nutrition and Food Technology Research Institute
- Harokopio University
- University of Colombo
- Helsedirektoratet
- Universitas Andalas
- Terveyden ja hyvinvoinnin laitos
- Hellenic Health Foundation
- Robert Koch Institut
- National Institutes of Health (2r24hd050924-06, R24 HD‐050924, #HD050924, 5 R24 HD050924)
- Centers for Disease Control and Prevention
- Gillings School of Public Health
- University of North Carolina at Chapel Hill (R24 HD050924, R01-HD38700, 5 R24 HD050924)
- Food and Nutrition Research Institute
- National Heart, Lung, and Blood Institute (K99HL124321, T32HL098048)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK007703., T32DK007703)
- National Center for Chronic Disease Prevention and Health Promotion
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD 38700, R24 HD-050924, 5R24 HD050924, R01HD038700)
- Carolina Population Center, University of North Carolina at Chapel Hill (R24HD050924, HD050924, 5 R24 HD050924)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Keywords
- sugar-sweetened beverages, disease burden, diabetes mellitus, cardiovascular disease, cancer, body mass index, adiposity, disability-adjusted life years, population attributable fraction, low- and middle-income countries, Mexico, dietary risk factors, preventable deaths, age and sex differences, Global Burden of Disease 2010
- MeSH terms
- Adult, Aged, Aged, 80 and over, Beverages, Energy Intake, Female, Humans, Male, Middle Aged, Mortality, Nutrition Surveys, Obesity, Prospective Studies, Risk Factors, Sweetening Agents, Global Health, Cohort Studies, Cost of Illness, Dietary Sucrose
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